Clinical Psychology Commons^™

Technology Use In Rural Appalachia: A Pilot Study Of The Implications For Pediatric Behavioral Health, Courtney E. Lilly

Electronic Theses and Dissertations

Technology is a promising means for increasing rural individuals’ access to behavioral healthcare. However, the range of technology use in rural areas is currently unknown. The aims of this study were to examine the use of technology in rural areas, the relationship between technology use and willingness to access pediatric mental health services via videoconferencing, and this relationship within the context of other critical variables linked to service uptake. Data were collected at 2 pediatric primary care clinics. While no significant relationship was found between technology use and willingness to use videoconferencing, a significant relationship emerged between previous service seeking …

Feeling Sad? Maybe You Are Just Uncertain! A Predictive Test For Depression, Dana Elizabeth Larson

Masters Theses & Specialist Projects

The current study examined the relationship between depression and uncertainty within the stress-diathesis model. Depression is a mental health disorder that is wide spread within our society. However, few causes of this disease have been able to be identified. Studies in uncertainty have shown that it is a major stressor in day-to-day life. Previous research has shown that individuals with high levels of uncertainty show higher levels of depression. The stress-diathesis model, a model originally developed to explain differences in development of schizophrenia, provides a theoretically meaningful way to combine these two concepts. The model states that a person who …

Clinical Benefits Of Emotional Freedom Techniques On Food Cravings At 12-Months Follow-Up: A Randomized Controlled Trial, Peta Stapleton, Teri Sheldon, Brett Porter

Peta B. Stapleton

This randomized, single-blind, crossover trial tested whether participants who used Emotional Freedom Techniques (EFT) maintained reduced food cravings after 12-months and updates previously reported 6 month findings. Ninety-six overweight/obese adults were allocated to a 4-week EFT treatment or wait list condition. Degree of food craving, perceived power of food, restraint capabilities, and psychological symptoms were assessed pre- and post-test and at 12-month follow-up for collapsed groups. Significant improvements occurred in weight, body mass index, food cravings, subjective power of food, craving restraint, and psychological coping for EFT participants from pre-test to 12 months (p < .05). It appears EFT can result in participants maintaining reduced cravings over time and affect weight and BMI in overweight and obese individuals.

An Exploratory Study Of Recovery And Recovery Maintenance For Victims Of Childhood Sexual Abuse Who Completed Faith-Based Residential Treatment Programs, Ann Kerlin

Doctoral Dissertations and Projects

This interpretive phenomenological analysis of the experience of recovery and recovery maintenance for women with a history of childhood sexual abuse and its sequelae included interviews and a non-standard questionnaire. Ten women with this history who had completed a faith based treatment program for substance abuse and/or eating disorders described recovery. Themes that emerged related to the process of change included: Changes in Relationships with Others, to Self, to God, and lastly, Forgiveness as a Catalyst for Change. Six practices emerged in the exploration of maintenance recovery. This research highlighted the need for thorough bio-psycho-social-spiritual assessment and areas of concern …

Do Prostate Cancer Patients Suffer More From Depressed Mood Or Anhedonia?, Christopher Sharpley, Vicki Bitsika, David Christie

Vicki Bitsika

Objective: This study aimed to compare the prevalence of depressed mood and anhedonia in a sample of men with prostate cancer (PCa) and to determine which of these key symptoms contributed most to the overall depressive status of that sample. Method: From Zung Self-rating Depression Scale (SDS) responses collected on 526 PCa patients, direct comparisons were made between the prevalence of the first two DSM-IV-TR symptoms of Major Depressive Episode. These symptoms were then tested for their predictive power on depression total score and Zung’s criteria for ‘clinically significant’ depression. Results: Mean scores for anhedonia were significantly higher than for …

Practical Application Of Emotional Freedom Techniques For Food Cravings, Peta Stapleton, Terri Sheldon, Brett Porter

Peta B. Stapleton

Emotional Freedom Techniques (EFT) has been shown to have a lasting effect on food cravings, power over food and restraint ability, and ultimately results in weight loss. This paper discusses the approach utilised in a recent food craving clinical treatment trial (Stapleton, Sheldon, & Porter, 2012; Stapleton, Sheldon, Porter, & Whitty, 2011), and highlights the case of a single participant. Sessions are described in detail and specific recommendations are made for the application of EFT to food cravings in overweight and obese individuals.

Therapists' Attitudes Toward Forgiveness: The Relationship Between Forgiveness Conceptualizations And Predicted Likelihood To Assist Clients To Forgive During Treatment, Cameron F. Cannon

Electronic Theses and Dissertations

Research supports the use of forgiveness in psychotherapy; however, little is known about how this process is integrated into treatment. Views on the utility of forgiveness appear to be mixed. Differences in conceptualization appear to exist between interventionists who promote its use and those who argue against it. This study explored the potential relationship between therapists' conceptualization of forgiveness, categorized as either agreeing with popular interventionists or not, and their predicted assistance of client forgiveness, as well as relationships between attitudes toward forgiveness and other potentially related variables Two hundred sixty nine participants recruited from practice-focused graduate training institutions completed …

Acculturation, Marianismo Gender Role, And Ambivalent Sexism In Predicting Depression In Latinas, Andreana T. Jezzini

Electronic Theses and Dissertations

This study explores acculturation, the Latina gender role of marianismo, and ambivalent sexism in predicting depression in a community sample of Latinas. A review of existing literature regarding these variables reveals that all three constructs can be both risk factors as well as protective factors. Since marianismo and ambivalent sexism may share similar traits, both may be self-protective coping mechanisms by Latinas in the context of a patriarchal environment with structured gender roles and strong gender disparities. One hundred and thirteen adult Latina participants from various ancestries of origin were solicited from the community using an Internet survey tool. …

Effectiveness Of Teacher-Implemented Function-Based Interventions Versus Non-Function-Based Interventions For Preschoolers, Katherine Marie Bellone

Dissertations

Disruptive behaviors occur frequently in preschool classrooms. Children who exhibit early-onset behavioral concerns in educational settings are at greater risk for negative developmental outcomes than their peers. In order to address problem behaviors in the classroom, practitioners may use functional assessment methodology to design an individualized intervention tied to the function of the behavior. Alternatively, practitioners may choose to use an evidence-based practice, not tied to behavioral function, shown to be beneficial through research. Though much research states the need for empirical comparisons between function-based interventions and non-function-based interventions, past comparisons have often been unbalanced, such that the interventions included …

The Sexual Assault Severity Scale: A Comprehensive Measure Of Assault Severity, Karyn Crystal Swinson

Dissertations

Many studies in the sexual assault literature have found a significant relationship between sexual assault severity and psychological distress, specifically PTSD and suicidality. However, in the current literature, there is an inconsistent and incomplete definition of the construct of assault severity. The present study aims to create a comprehensive self-report questionnaire, called the Sexual Assault Severity Scale (SASS) that includes assault characteristics, such as victim-offender relationship, substance use, and peritraumatic responses, and cognitive variables, such as posttraumatic schema disruptions and coping self-efficacy in the conceptualization of assault severity. Two models evaluating the relationship between assault severity and post assault distress …

Strengths Versus Deficits: The Impact Of Gender Role Conflict And Counseling Approach On The Appeal Of Therapy For Men, Jeff Reznicek-Parrado

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Current trends from the fields of mental health, criminal justice, and sociology suggest that despite men’s significant mental health problems (i.e. Moscick, 1995; Sue, Sue, & Sue, 2003; Greenfield & Snell, 1999; Follman, Aronsen, & Pan, 2013), they are much more reluctant to seek mental health help than women (Addis & Mahalik, 2003; Olfson & Marcus, 2010). Sociologists and psychologists have suggested that this disparity in help seeking can be largely explained by a cultural mismatch between the context of masculinity and the context of psychotherapy. Psychologists have called for a paradigm shift in the way clinical services are rendered …

Treatment Of Psychiatric Inpatients With Relationship Dysfunction Using A Short Term Cognitive Interpersonal Intervention: A Pilot Study, Tamra Rasberry

Doctoral Dissertations and Projects

Relationship conflict for the psychiatric patient can have significant detrimental effects. There are specific types of interactions that can increase conflict and predict the potential for relapse; these have been identified by research and designated as components of Expressed Emotion (EE). Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) have been very effective when targeting specific psychiatric diagnoses, but less effective when addressing relationship conflict. The majority of studies addressing relationship conflict have taken place in an outpatient, long-term setting. There is limited research that utilizes an inpatient short-term intensive therapy with relationship conflict as its sole focus, targeting areas …

Ensuring Ethical Practice: Guidelines For Mental Health Counselors In Private Practice, Cecile Brennan

Cecile Brennan

Since mental health counselors in private practice often work in relative isolation, it is especially important that they attend to ethical issues. This article reviews four dimensions of ethical knowledge: the foundation of ethical actions, counselors as agents of ethical action, the need to establish a decision-making process, and the importance of sustaining ethical practice by keeping current with clinical developments and attending to their own well-being.

Exploring Parental Experiences And Decision-Making Processes Following A Fetal Anomaly Diagnosis, Ramona L. Fernandez

Electronic Thesis and Dissertation Repository

Often the first indication that something may be wrong in a seemingly normal pregnancy occurs during the first detailed ultrasound appointment between 16 and 20 weeks gestation. Even the most tentative suspicions of fetal anomalies is jarring. Parent’s default reality of a normal pregnancy and a ‘perfect child’ changes to one of risk factors and the possibility of an ‘unhealthy child’. This study begins with the realization of this first loss in a series of losses that follow for parents as they grapple with diagnostic information to be able to make informed medical decisions regarding their fetus and pregnancy. The …

Study Of Employment Retention Veterans (Serve): Improving Reintegration Of Oregon National Guard And Reserves In The Workplace, Gilbert Patrick Brady, Jr., Leslie B. Hammer

Student Research Symposium

This presentation will provide an overview of the recently funded Department of Defense grant (Principal Investigator, Leslie Hammer, Ph.D.). Since 9/11 over 2.8 million United States military personnel have served in and around Iraq and Afghanistan. By 2018, the number of post-9/11 veterans is projected to top 3.1 million. Of these most recent veterans, 18% have difficulty holding a job and many experience family difficulty. Presently, a third or more of these post-9/11 veterans – some 874,728 service members and counting – have deployed to various global hotspots as active-duty reservists of the U.S. armed forces. Unemployment, underemployment and mental …

Overseeing Supervisees Treating Clients Exhibiting Suicidal Behaviors: Its Impact On Clinical Supervisors, Michael Girard Catalana

Doctoral Dissertations

Individuals at risk of suicide often seek mental health treatment (Brook, Klap, Liao, & Wells, 2006; Moscicki, 2001; Souminen, Isometsa, Martunnen, Ostamo, & Lonnqvist, 2004). The clinicians who treat these individuals experience significant levels of stress (Knox, Burkard, Bentzler, Schaack, & Hess, 2006; Ruskin, Sakinofsky, Bagby, Dickens, & Sousa, 2004). Clinical supervisors are an important resource for clinicians (Chemtob, Hamada, Bauer, Kinney, & Torigoe, 1988a; Kleespies, Smith, & Becker, 1990; Knox et al., 2006; Maltsberger, 1992; Ruskin et al., 2004). Researchers recently acknowledged that overseeing clinicians whose client exhibited suicidal behavior is also stressful (Catalana, 2012; Hoffman, 2009; Sanger, 2010). …

Increasing Psychological Flexibility Regarding Interpersonal Conflict Between Religious Beliefs And Attitudes Towards Sexual Minorities: An Acceptance And Commitment Therapy (Act) Intervention, Cory John Myler

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study was designed to facilitate the development and assessment of a group therapeutic intervention for lesbian, gay, bisexual, and questioning individuals. Previous research has established that this population is particularly vulnerable to psychological distress and that religiosity contributes to this vulnerability, but there have been no interventions established specifically for the population of sexual minorities who are experiencing religious conflict. The components of Acceptance and Commitment Therapy were used to inform the development of a group intervention, which was then carried out. An assessment battery of numerous quantitative measures was given to participants before and after the intervention to …

Age And Gender Effects On The Assessment Of Spirituality And Religious Sentiments (Aspires) Scale: A Cross-Sectional Analysis, Nathan Gehlert, Tucker Brown, Tianzhi Chen, Ralph Piedmont

Nathan C. Gehlert

Research literature suggests that there are age and gender effects on numinous constructs, but little is known about how spirituality and religiousness evolve over time and differ between genders. The purpose of this study was to determine whether observed gender and age effects would be evidenced on the Assessment of Spirituality and Religious Sentiments (ASPIRES) and whether the underlying factor structure of the ASPIRES was consistent across age and gender groups. These sample data (N = 1,534 women and 697 men) demonstrated that (a) there are significant age and gender effects on the ASPIRES scales, and (b) the underlying factor …

An Exploration Of Men's Attitudes Regarding Depression And Help-Seeking, Brian Paul Cole

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Despite significantly higher risk of suicide and co-morbid substance abuse, college age men are far less likely than college age women to seek help when depressed (ACHA, 2010). This “gender gap” has led researchers to suggest that college men are experiencing a mental health crisis (Davies, Shen-Miller, & Isacco, 2010). Several theories have been suggested for this gender gap including: (a) barriers caused by male gender socialization, (b) inaccurate diagnostic criteria, and (c) men experience different symptoms when depressed (Cochran, 2005; Levin & Sanacora, 2007). Additionally, the current researcher hypotheses that fear of femininity is a core aspect of the …

Gender And Grade Differences In How High School Students Experience And Perceive Cyberbullying, Jeremy D. Doucette

Electronic Thesis and Dissertation Repository

Gender and grade differences in how high school students experience and perceive cyberbullying was examined through a survey and focus groups with youth in southwestern Ontario, Canada. Survey findings revealed that boys reported cyberbullying more often than girls on most items while girls reported experiencing cyberbullying more often than boys on most items. Grade alone did not account for significant differences, but interactions with gender were sometimes found. The focus groups revealed that most students believe that girls cyberbully more than boys, but that boys are more likely than girls to view cyberbullying as a form of joking, and to …

Trauma And Post-Traumatic Stress Disorder In Therapeutic Day School Students: Prevalence In This Population And Effective Treatment Programs, Monica Roberts

Dissertations

This survey-based, comparative study investigated the percentage of students at a suburban Chicago therapeutic day school who meet criteria for clinically significant levels of PTSD as compared to students in a general education setting. The directional hypothesis was that students placed at therapeutic day schools have a higher prevalence of PTSD than a general population of students. The method used was a survey assessment called the Child PTSD Symptom Scale (CPSS) given to 16 students at a suburban Chicago therapeutic day school. These CPSS scores were analyzed and statistically compared to CPSS scores of an already published study with students …

Counselor Demographics, Client Aggression, Counselor Job Satisfaction, And Confidence In Coping In Residential Treatment Programs, Erik Braun

Counseling & Human Services Theses & Dissertations

Counselors at residential agencies are sometimes assaulted by physically aggressive clients (Flannery & Walker, 2001, 2008). As a possible result of this professional hazard, mental health professionals typically resign from residential counseling positions after approximately 14.6 weeks (Connis, 1979). Although job satisfaction and counselor confidence in coping with client aggression have been widely studied individually in the context of residential settings, researchers have examined these variables together. The overarching purpose of this study was to examine the association between counselor demographic characteristics, agency/environmental characteristics, and crisis intervention training and job satisfaction and confidence in coping with client aggression. Data were …

Se Habla Inglés Aquí: Las Dificultades En El Tratamiento De La Depresión En Latinos En Los Estados Unidos, Melissa Kim Dundas

World Languages and Cultures

This project attempts to identify and bring to light the issues relating to treatment of Latinos and native Spanish speakers in the United States. The stigma surrounding depression is already strong in the U.S., and when minorities, who tend to have their own views of mental health disorders and who are less likely to seek treatment for any mental health disorder they might have, are added to the picture, the rates of treatment go drastically down. There are many factors that play into whether or not Latinos will seek treatment for depression, many of which revolve around language and culture, …

The Ticking Of The “Biological Clock”: Worry About Future Fertility In Nulliparous Women, Karen E. Kersting

Theses and Dissertations

Abstract

Title: The Ticking of the “Biological Clock”: Worry about Future Fertility in Nulliparous Women

By: Karen Kersting, M.A., M.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.

Virginia Commonwealth University, 2013.

Major Director: Kathleen M. Ingram, J.D., Ph.D.

Associate Professor of Psychology

Department of Psychology

Modern women are waiting until later in their lives to have children than women of previous generations, a trend influenced by a number of factors including financial stability, dating norms, and career goals and responsibilities. As women age, their fertility may decline …

Short Communication: Powerless And Jobless? Comparing The Effects Of Powerless Speech And Speech Disorders On An Applicant’S Employability, Christian M. End, Katherine Saunders

Faculty Scholarship

The present study examines the impact of a speech disorder (a lateral lisp) and powerless speech on an applicant’s hireability. College students (N = 113) reviewed an applicant’s resume, as well as a description of two occupations/job openings that varied in regard to necessitating speech. Participants listened to one of three interviews (speech disorder vs. powerless speech vs. control), indicated their willingness to hire the applicant, and then completed hire-ability and employability scales for both positions, as well as an impressions ratings form. Contrary to the hypotheses, few differences between the “employers” responses to the control and speech disorder applicants …

The Impact Of Acculturation And Labeling On African Americans' Stigmatization Of Mental Illness, Tahirah Abdullah

Theses and Dissertations--Psychology

Although African Americans endorse more stigma towards those with mental illnesses than European Americans and are quite susceptible to stigma’s detrimental effects on help-seeking for mental health problems, stigma has not been adequately studied for African Americans. Given that stigma is a key barrier to obtaining help for mental health problems, it is imperative that we gain a more nuanced understanding of stigma. This study used experimental design and vignettes to examine the influence of acculturation and labeling on African Americans’ stigmatization of depression, social phobia, alcohol dependence, and schizophrenia. Results indicated that schizophrenia was generally the most stigmatized disorder …

Stigma And The Acceptability Of Depression Treatments Among African American Clergy, Connie Gardner

Doctoral Dissertations and Projects

The purpose of this cross sectional study was to investigate stigma associated with depression treatments and to approximate its association with treatment acceptability among African American Clergy. There were 109 African American clergy who completed three measures: treatment specific stigma instrument, treatment acceptability instrument, and a demographic questionnaire, anonymously. Three hypotheses were tested using descriptive statistics, Mantel-Haenszel common odds ratio estimate, Pearson correlation coefficient, and ordinal logistic regression. Statistical analysis revealed stigma did increase with the expansion of the social circle; Christian mental health counseling had the highest acceptability rate among clergy not pastoral or lay counseling and there was …