Clinical Psychology Commons^™

Is The Phq-9 A Unidimensional Measure Of Depression? A 58,272-Participant Study, Renzo Bianchi, Jay Verkuilen, Sharon Toker, Irvin Sam Schonfeld, Markus Gerber, Elmar Brähler, Kurt Kroenke

Publications and Research

The PHQ-9 has become a measure of reference in depression research and clinical practice. However, the issue of the PHQ-9’s unidimensionality has not been fully elucidated, and the usability of the PHQ-9’s total score requires clarification. In this study, we examined the dimensionality, scalability, and monotonicity properties of the PHQ-9 as well as the scale’s total-score reliability. We did so based on exploratory structural equation modeling (ESEM) bifactor analysis and Mokken scale analysis (MSA). We relied on a total of 58,272 participants (63% female; Mage = 43, SDage = 13) from 29 samples involving seven different countries (e.g., Germany, the …

Toward Holistic Mental Wellness: A Literature Review Of Mindfulness-Based And Focusing-Oriented Art Therapies, Lesley Vernon

Expressive Therapies Capstone Theses

Modern day living, for all its benefits, is synonymous with record levels of stress. The mental health clinician’s role is to assist clients in accessing the skills and tools necessary to reduce and alleviate the symptoms of stress-induced anxiety. Mindfulness is emerging as a potent and effective tool to restore one’s state of well-being. Likewise, engaging in art therapy has been shown to reduce stress and foster resilience. Grounded in humanistic and existential theories, this literature review aimed to assess the impact and effectiveness of two intermodal holistic therapies, specifically mindfulness-based art therapy (MBAT) and focusing-oriented art therapy (FOAT). A …

Rethinking Binge Eating Disorder: Is Resource Depletion The Missing Link?, Laura Fewell

Dissertations

Binge eating disorder (BED), the most prevalent of the eating disorders, is associated with significant mental health impairments, high healthcare costs and utilization, and increased mortality. Yet little is known about the mechanisms involved in binge eating, and existing BED theories are incomplete. Scholars have recently suggested that resource depletion, or the state of reduced self-regulation abilities, may apply to BED, but no identified studies have experimentally examined this relationship. The purpose of the current study was to examine the role of resource depletion in binge eating behaviors. Ego anxiety, discomfort anxiety, and dietary restraint were also examined as potential …

The Effects Of Cannabidiol Isolate On Menstrual-Related Symptoms, Morgan L. Ferretti

Masters Theses, 2020-current

The current study aimed to examine the potential effects of CBD isolate for alleviating menstrual-related symptoms (MRS). Participants (N = 33, M_AGE = 20.50, M_BMI = 23.02)were assigned randomly to two open-label dosing groups (160mg, n = 17; 320mg, n = 16) and completed monthly surveys for four months that included MRS-related measures. We examined differences in MRS and related outcomes between baseline and three months of CBD administration. Results revealed reductions in MRS, irritability, anxiety, global impression, stress, and subjective severity scores with a small effect when comparing baseline to all three months of CBD administration. …

The Role Of Prenatal Anxiety Sensitivity On Postpartum Anxiety And Depression, Ryann Holman

Honors Theses

Pregnancy is a vulnerable period for women, with roughly 15% of women experiencing psychopathology during pregnancy and postpartum. The most common mental health concerns during this period are anxiety and depression, which have been linked to adverse outcomes on both mother and baby, such as low birth weight and preterm birth. In understanding their onset, anxiety sensitivity has been found to be a potential mechanism for the development of both anxiety and depressive disorders. The goal of the current study was to examine the association between prenatal anxiety sensitivity and postpartum anxiety and depression. Pregnant women were given a battery …

Lifetime Cannabis Use Is Associated With Suicidal Ideation And Non-Suicidal Self Injury, Diamonde Mccollum, Katie Moskal, Jenni Teeters

Student Research Conference Select Presentations

Poster regarding cannabis use.

The current study hypothesized lifetime cannabis use frequency would be linked to greater risk of lifetime suicidal ideation, lifetime suicide attempts and lifetime non-suicidal self injury.

Improving Depression Screening And Follow-Up Care In Underserved Populations, Alicia D. Hankins

The Eleanor Mann School of Nursing DNP Capstone Projects

Depression is a substantial source of financial, emotional, and physical burdens to patients and their families worldwide. It also disproportionately affects economically disadvantaged populations. To combat the depression crisis, The United States Preventive Services Task Force (USPSTF) published guidelines to boost depression screenings of all patients presenting for healthcare services. A review of literature and the completed needs assessment confirmed low rates of depression screening in the rural primary care sector. This project took place in an outpatient primary care facility in rural Arkansas, where current depression screening tools were not being used. The goal was to increase the percentage …

Associations Between Trauma History And Dimensions Of Self-Concept In College Students, Francisco Carrillo-Alvarez

Honors Scholar Theses

Past research in the literature of the self has considered the influence of potentially traumatic or adverse events. In this study, we aim to explore this relationship among undergraduate students utilizing various measures of self-concept including global self-worth, self-concept clarity and domain specific measures of self-perception. Various measures were administered to 308 participants that aimed to determine the instances of potentially traumatic events experienced and the subjective level of distress, in addition to the self-concept measures of global self-worth, self-concept clarity and the domain specific measures of self-perception including self-fulfillment, autonomy, and emotional self-adjustment. The results reveal that global self-worth …

Providing Effective Assessment Feedback To Patients: Lessons Learned From Feedback After A Severe Injury, Kelsie Mcquinn

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper seeks to articulate lessons learned from feedback received after a severe injury in order to help guide neuropsychologists provide effective feedback to patients. Given that there is no agreed upon conceptual framework for providing neuropsychological assessment feedback, parallels are drawn from what works in clinical psychology – the working alliance. I use personal examples to highlight how the working alliance, as well as other psychological principles, can help inform neuropsychologists provide the most effective feedback to patients.

The Relationship Between Ptsd-Related Symptoms And Skin Disease Symptom Severity In A Dermatological Sample, Kristin Barnett

Honors Theses

Previous research has demonstrated associations between stress and physical health conditions, including skin disease. The stress cycle, including its associated hormonal responses and stress behaviors, contributes to more severe skin disease symptoms. Psychological stress and anxiety-disorder symptoms are known to be associated with skin disease severity; however, research has yet to examine the relationships between stress disorders and skin disease severity. Therefore, stress disorders (e.g., posttraumatic stress disorder [PTSD]) are hypothesized to have a similar relationship with skin disease severity, wherein greater severity of PTSD-related symptoms would be positively associated with skin disease severity. Participants from Amazon’s Mechanical Turk (N …

Ptsd And Suicidality Among Student Service Members And Veterans (Ssm/Vs), Kimberly Gomes

Symposium of Student Scholars

Background: Posttraumatic stress disorder (PTSD) is a commonly diagnosed condition among student service members and veterans (SSM/Vs). Many SSM/Vs who report PTSD symptoms also report suicidal ideation and/or suicide attempts. Consequently, it is important to understand which factors may buffer or contribute to the risk for suicide among SSM/Vs with PTSD to inform appropriate interventions and future research.

Methods: A sample of student service members and veterans (SSM/Vs) from five southern universities (N = 377) completed self-report measures of PTSD symptoms (i.e., PCL-5), suicidality (i.e., DSI-SS), dysfunction, and recovery (i.e., DRDI). We conducted two moderation analyses to examine interactions …

Investigating If Changes In Cannabis Expectancies Mediate Driving After Cannabis Use Intervention Outcomes, Sarah Nicole Elder

Masters Theses & Specialist Projects

Driving after cannabis use (DACU) has become an increasing public health concern specifically for the states that have legalized cannabis use. In a 2018 survey, 4.7% of U.S. residents reported driving while impaired by cannabis (Azofeifa et al., 2019). Previous research suggests that several skills are impaired following cannabis use, such as increased lane weaving, slowed reaction time, and distorted perceptions about external stimuli. This effect was seen to extend to frequent cannabis users who also demonstrated driving impairments despite heightened cannabis tolerance (Hartman & Huestis, 2013). With the increase in DACU it is crucial to understand the factors that …

Occupational Depression In A Spanish-Speaking Sample: Associations With Cognitive Performance And Work-Life Characteristics, Bianchi Renzo, Guadalupe Manzano García, Maria Pilar Montanes, Emily A. Schonfeld, Irvin Sam Schonfeld

Publications and Research

This 386-participant study investigated the structural and psychometric properties of the Spanish version of the Occupational Depression Inventory (ODI). Exploratory structural equation modeling bifactor analysis revealed that the ODI meets the requirements for essential unidimensionality. Measurement invariance held across our sample and the English- and French-speaking samples used in the ODI’s initial validation study. Mokken scale analysis indicated that (a) the scalability of the instrument was strong, (b) no violations of monotonicity or local independence were present, and (c) invariant item ordering was sufficiently accurate. The ODI’s reliability was optimal. The ODI exhibited both convergent validity and discriminant validity vis-à-vis …

Surviving Child Pornography: Fifty Years On, Jeanette M. Westbrook

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Mindfulness And Physical Activity As Moderators Of Behavioral Inhibition Sensitivity And Psychological Distress, Edward Silber

LSU Master's Theses

Framed in Reinforcement Sensitivity Theory, the current study examined the moderating effects of mindfulness and moderate-to-vigorous physical activity (MVPA) on the relationship between behavioral inhibition system (BIS) sensitivity and psychological distress. Participants (N=183) were college students at a large public university in the Southeastern United States. Data were collected using an online survey with self-report questionnaires that demonstrated acceptable reliability. Data analysis utilized multiple linear regression models to test study hypotheses. Findings revealed a significant positive relationship between BIS sensitivity and psychological distress, with mindfulness and MVPA significantly moderating this association. Specifically, increased reports of mindfulness and MVPA …

Pornography: Social, Emotional And Mental Implications Among Adolescents, William K. Canady

National Youth Advocacy & Resilience Conference

This presentation will explain the historical development of pornography. It will highlight four segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention. 4- A review of interventions available to assist clients in navigating a lifestyle away from pornography.

Sexual Coercion, Unintended Pregnancy, And Poor Reproductive Health Among Adolescent Girls (Aged 13 - 19) In Mexico, Arun Kumar Acharya, Maria Luisa Martinez

Dignity: A Journal of Analysis of Exploitation and Violence

In Mexico, nearly 23,000 adolescents between the ages of 12-17 years suffer sexual coercion every year. This group also has a high birth rate of 77/1,000 adolescents, which indicates that one in every five pregnant women is an adolescent. This study describes the sexual coercion of victims and their views regarding the experience based on data collected from 37 Mexican girls between the age of 13 to 19, selected purposively using the snowball method in Monterrey city, Mexico. Results indicate that sexual coercion among adolescents is a serious problem, where 70% of adolescents experienced vaginal sexual coercion, nearly 22% experienced …

Testing Barriers To Non-Suicidal Self-Injury With College Students: Narcissistic Traits As Moderators, Philip Stoner

Dissertations

Research on non-suicidal self-injury (NSSI) has produced mixed findings, resulting in a lack of clarity regarding these behaviors (Klonsky & Meuhlenkamp, 2007). To address this, Hooley and Franklin (2018) developed the Benefits and Barriers Model (BBM) to provide a comprehensive understanding of NSSI, in which they identified the barriers that commonly prevent people from engaging in these behaviors (e.g., self-esteem, shame, and peer-bonding motivations/social norms). They also identified adverse childhood experiences (ACEs) as a distal predictor of NSSI, which aids people in overcoming the barriers to engaging in these behaviors. Recent NSSI literature has shown that college women in the …

Emotion Dysregulation And Intimate Partner Aggression During Pregnancy: Leveraging Both Partners’ Experiences With Dyadic Data, Victoria M. Atzl

Electronic Theses and Dissertations

Intimate partner aggression (IPA) during pregnancy is a significant public health problem that has negative consequences for maternal and fetal health. This study examined emotion dysregulation as a potential predictor of IPA during pregnancy from a dyadic perspective. Participants were 113 couples expecting a baby and included 113 mothers (MOBs; Mage = 27.50 years, SDage = 5.53, rangeage = 19-40; 38.1% White, 24.8% Latinx, 15.9% African American, 14.2% biracial/multiracial, 3.5% Asian American/Pacific Islander, 2.7% Native American and .8% other) and 113 fathers (FOBs; Mage = 29.83 years, SDage = 7.61, rangeage = 18-55; 38.1% White, 22.1% African American, 20.4% Latinx, …

The Impacts Of Learning 2 Breathe On Rumination, Adessa Flack

West Chester University Doctoral Projects

The present study examined the impact of Learning2Breathe (L2B), a mindfulness-based stress reduction program developed for use with adolescents on rumination. The program was applied to rumination in college-age men and women. Our experiment utilized a quasi-experimental design. The sample consisted of 50 undergraduate students that were placed in either the experimental or control group. Data was collected pretest and posttest through a variety of measures including the Rumination Reflection Questionnaire (RRQ) which consisted of a rumination and reflection subscale, and the Mindfulness Attention Awareness Scale (MAAS). A two-way mixed ANOVA design was used to analyze data. There was no …

Can It Heal And Hurt?: Survivors Of Sexual Assault Share The Benefits And Challenges Of Sexual Assault Support Group Participation, Brittni Gettys

West Chester University Doctoral Projects

Research exploring the relationships among trauma survivors is largely non-existent. This study aimed to explore the effects of relationships among individuals with a shared experience of sexual trauma within the group therapeutic context of sexual assault support groups. This study sought to examine the potential buffering and supportive effects of social support between sexual assault survivors, while also exploring the potential negative effects of shared trauma that may occur from the potentially triggering nature of seeking support from other sexual assault survivors. These complex dynamics were explored through examining the relationships and experiences of sexual assault survivors who have attended …

Parent-Prompted Dysregulation: Do Parents Serve As Cues For Dysregulation In Some Children?, Daniel Lee

Pitzer Senior Theses

Children occasionally encounter dysregulation when interacting with their parents in relatively neutral or positive scenarios. Given that the cause of dysregulation is usually relational, meaning it is often cued by someone who is seen to have power or control over the person, children could be particularly susceptible to dysregulation in the presence of their parents. However, when examining the existing literature, there appeared to be a lack of research and knowledge concerning this topic, with much of the literature focusing on the effect of child stressors on parental dysregulation. As a result, the term parent-prompted dysregulation was developed to refer …

Embodied Reminders And Well-Being Among Breast Cancer Survivors: Examining The Influence Of Feminine Gender Role Orientation, Biographical Disruption, And Body Image, Andriana Frost

West Chester University Doctoral Projects

Breast cancer is the leading cause of cancer-related mortality for women around the world, but despite the significant prevalence of the disease, research has shown that survival rates continue to improve globally. The present study utilized a cross-sectional design involving 108 women who were diagnosed with and completed treatment for breast cancer. Participants completed questionnaires that assessed their embodied reminders of their cancer treatment (e.g., scars, burns, hair loss), gender role orientation, self-narrative, mental health, and general well-being. Eight moderated mediation models were applied to test the hypothesis that women who identified as more feminine would experience greater biographical disruption …

Our Thoughts Matter: The Mental Health Of College Students During The Covid-19 Pandemic, Caitlin Zarzeczny

UNF Graduate Theses and Dissertations

This study aimed to explore the mental health of undergraduate college students within the context of COVID-19 pandemic, as well as cognitions about health threat and engagement in protective health behaviors during the COVID-19 pandemic. Participants were (N = 276) undergraduate students attending the University of North Florida. Students completed a SONA systems survey between March 2021 and December 2021. Participants received course credit for completing the survey. Survey questions were taken from the Perceived Effectiveness of COVID-19 Prevention Effectiveness Protocols scale (Prasetyo et al., 2020). Three types of variables were assessed: demographics, perceived threat, and planned action. Correlational …

The Limits Of Healthy Habits: Exploring The Relationship Between Disordered Eating, Body Image, Mindfulness, Social Media, And Dysfunctional Exercise, Taylor A. Dinkel

Master's Theses or Doctor of Nursing Practice

In recent decades, there has been an increase not only in full syndrome eating disorders, but also in subclinical presentations of disordered eating, many of which include dysfunctional relationships with exercise. Although not full diagnosable syndromes, disordered relationships with food and exercise, as well as a preoccupation with body image, can cause severe physical and psychological stress for individuals who present with these dysfunctional patterns. With the growth of fitness-related social media accounts, the increase in social media usage during the pandemic, and the increase in subclinical disordered eating presentations and dysfunctional relationships with exercise, it is important be aware …

A Pilot Randomized Trial To Assess Motivating Operations In Delay Discounting Of Food, Breeanna Michelle Slusher

Graduate Theses/Dissertations

This pilot study addresses the impact motivating operations have on delay discounting of food in the presence of real food. Six participants were recruited and randomly assigned to three food stimuli groups (donut, vegetable, and control) and assigned to either a deprivation or non-deprivation condition within the group. Participants were asked to complete a set of questionnaires and a delay discounting task. Demographics and anthropometric measurements were obtained from each participant. The pilot study showed support for previous delay discounting research that as the delay to more nutrient dense meals increases the subjective value of the delayed reward decreases. Thus, …

Pain Interference Across Chronic Pain Populations: Variability And Associated Psychosocial Processes, Stephanie Judge

Theses and Dissertations--Psychology

Chronic pain is one of the most common health complaints, yet the limited effectiveness of existing treatment options suggests that chronic pain is still not fully understood. The goals of this study are to identify and organize well-established and emerging psychosocial factors associated with pain interference, clarify the nature of between- and within-diagnostic group differences in psychosocial and demographic factors associated with pain interference, and identify interactions among diagnostic and psychosocial factors associated with pain interference.

Community-dwelling participants (N = 284) completed a one-time survey which included demographic information, information about pain and diagnosis, and five existing measures that assess …

Interactions Of International Pilots' Stress, Fatigue, Symptoms Of Depression, Anxiety, Common Mental Disorders And Wellbeing, Marion Venus, Martin Grosse Holtforth

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This study Investigates more dimensions than previous studies simultaneously: pilots’ duty rosters, stress, sleep difficulties, fatigue levels, wellbeing, symptoms of depression, anxiety, and common mental disorders (CMD), and how they are interrelated.

Background

Several scientific studies have confirmed that fatigue can pose a significant risk to flight safety. Other studies reported positive depression screening results for more pilots, compared with the general population.

Method

A cross-sectional online survey was completed by 406 international pilots, who reported their duty rosters of the last two months. Pilots also self-assessed their stress-levels, sleep problems, fatigue, wellbeing, and mental health.

Results

Although pilots …

Examining Perceived Stigma, Disclosure, Self-Compassion, And Health-Related Quality Of Life In College Students With Cystic Fibrosis, Anna R. Hangge

Electronic Theses and Dissertations

Cystic Fibrosis (CF) is a life-limiting genetic disorder that affects the lungs, pancreas, and other organs. Recent advances in CF-related healthcare have improved the life expectancy of individuals with CF from childhood to approximately 50 years old (CFF, 2020). Therefore, more individuals with CF are attending college and facing challenges within this new stage of life. This study examined perceived stigma, disease disclosure, self-compassion, and health-related quality of life (HRQoL) in a sample of current and former college students with CF to understand their psychosocial experience of managing their illness while in college. Results indicated that perceived stigma and HRQoL …

Athletic Injury And Resources For Student-Athletes: A Proposal For An Athlete Injury Playbook, Jessica J. Pauley

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Athletic injury happens frequently and is rarely predictable. While injury is common in sport involvement at all levels, this proposal focused on National Collegiate Athletic Association (NCAA) student-athletes and expanding the resources they have available to them. The vast literature on athletic injury and rehabilitation in sport has served researchers and academic consumers, and unfortunately, has lacked an easily accessible resource for student-athletes and sports medicine professionals to utilize. Therefore, the purpose of this doctoral paper was to propose a resource focused on post-athletic injury and written for collegiate student-athletes to understand called, The Secret Playbook. This playbook included information …