Clinical Psychology Commons^™

Investigating The Pathways Between Social Factors, Physical Activity, And Mental Health On Cognitive Efficiency In Young Adults, Emma Hurston-Gates

Masters Theses

Cognitive health is important across the life span and cognitive functions, particularly executive functions, are positively correlated with subjective well-being and success in adulthood (Loprinzi, 2013). The present study aimed to investigate how social factors, mental health, and physical activity impacts cognition in young adults. Young adults aged 18-30 (N = 134) answered questionnaires regarding levels of physical activity, social support, social participation, anxiety, depression, and overall well-being. Participants completed Trail Making Tasks A and B to measure their cognitive efficiency (i.e., combined processing speed, psychological flexibility, visual search, and attention). Across all samples, one of the most consistent …

Therapy In The Age Of Ai: How Young Adults Seek Help, Support, And Solutions, Faith Maeba, Isabella Quilon, Abigail Adade

UROP Posters

Therapy has long been a foundational approach for addressing mental health, but advances in digital technology have led many young adults, especially Generation Z, to increasingly turn to AI tools for support. Rising costs, limited access to providers, and long wait times have further boosted the appeal of AI-based mental-health solutions. Despite this growing interest, the use of AI for emotional and psychological support raises important questions about trust, empathy, safety, and the ethical responsibilities of mental-health providers and developers. We conducted a brief scoping review of research on AI-based mental-health tools and student help-seeking behaviors. Searches were performed on …

Anxiety And Adaptive Functioning In Young Adults: The Moderating Role Of Psychological Flexibility, Makenzie L. Kennedy, Jeffrey E. Cassisi

Honors Undergraduate Theses

Anxiety is highly prevalent among emerging adults and is associated with impairments in academic, social, and daily functioning. While previous research has documented strong associations between anxiety and adaptive functioning, the present study uniquely tested psychological flexibility as a potential moderator that may foster resilience and adaptive coping.

Undergraduate students (N = 522) from the University of Central Florida completed measures of anxiety (PROMIS-A, GAD-7, STAI-S), adaptive functioning (WHODAS 2.0), and psychological flexibility (COMPACT-23). Confirmatory factor analyses supported distinct but correlated latent constructs of anxiety and adaptive functioning. Due to poor subscale intercorrelations, the COMPACT-23 total score was modeled as …

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

Theses and Dissertations--Psychology

Objective

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

Methods

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

Responses To Tobacco Use Screening And Tobacco Cessation Assistance Offers Among Rural And Ubran Cancer Survivors At An Nci-Designated Comprehensive Cancer, Abigayle Feather

Theses and Dissertations--Psychology

Smoking after cancer diagnosis is associated with poor outcomes while smoking cessation can improve quality of life and promote survival. Although there are calls for equitable tobacco treatment delivery in cancer and other healthcare settings, disparities in tobacco-related disease burden persist. In the context of an outpatient cancer center’s population-based tobacco treatment program, this study examines the association between cancer survivors’ rural and Appalachian residence and 1) current tobacco use status, 2) decision to decline cessation assistance, and 3) reason for declining assistance. A cross-sectional, retrospective analysis was conducted using electronic health record data from 16,839 adults (64.04% female, 88.49% …

Weighted Family History Density Of Substance Use: Influence On Participant Substance Use Onset, Escalation, And Duration, Carleigh A. Litteral

Theses and Dissertations--Psychology

Substance use disorders impose a staggering toll on the United States (U.S.), straining healthcare systems, destabilizing communities, and profoundly impacting both individuals and families. Approximately one in six Americans aged 12 and older had a past-year substance use disorder in 2022 (Key Substance Use, 2022), and nearly one-third of adults experience a substance use disorder in their lifetime (Wu, 2010), contributing to an economic burden exceeding $400 billion annually (National Drug Threat Assessment, 2011). Family history of substance use disorders is a key predictor of vulnerability, with individuals who have affected relatives being 2–8 times more …

Investigating The Role Of Motivation In Open-Label Placebo Responses, Joshua Worthington

Cal Poly Humboldt theses and projects

Placebo effects occur when an individual receives an inactive treatment that should be unable to provide therapeutic benefits but still demonstrates meaningful improvements in health. Open-label placebos extend this phenomenon by providing full disclosure to individuals that they are receiving a placebo, as opposed to traditional placebo treatments that utilize deception. The role of expectancy as a mechanism of change in placebo has received some mixed results in open-label placebo studies. To the author’s knowledge, motivation for change has not been examined in open-label placebo. The current study examined the role of motivation as a mechanism of placebo responses. To …

Too Much Information: The Role Everyday Information Plays In The Understanding Of Mental Health, Jeremy M. Morgan

Murray State Theses and Dissertations

Information overload has become increasingly problematic within the world of mental health, as people are able to go online and access overwhelming amounts of mental health-related information within seconds. The aim of the current study was to examine the interaction between excess mental health information and individuals’ understanding of mental health, specifically Autism Spectrum Disorder (ASD), as well as self-diagnosis. Data from 128 participants was examined. The data collected related to participants’ online search and use patterns of ASD information, their understanding of ASD symptoms, as well as their experiences with those symptoms. Results indicated a significant positive correlation between …

Reply [To Burnout Reflections: Musings On Bianchi And Schonfeld’S Five Focal Areas], Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Contrary to what one might assume, the burnout construct did not emerge from systematic research. The definition of burnout was formulated in the 1970s based on prenotions and anecdotal evidence. No sound empirical studies, no in-depth theoretical reflections, not even a review of the stress literature underpinned the introduction of the construct. It is thus unsurprising that some observers regard the edifice of burnout research with scepticism. The pioneers of burnout research neglected basic scientific standards and, by overlooking the abundant work of contemporary stress researchers, deprived themselves of important safeguards against illusions of novelty making big claims based on …

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

Electronic Theses & Dissertations (2024 - present)

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

Beyond My Control: The Role Of Sense Of Control On Cognitive Functioning And Depressive Symptoms In Older Adults, Sabine Lohmar

Graduate Theses, Dissertations, and Problem Reports (ETD)

Depression and depressive symptoms commonly coincide with mild cognitive impairment (MCI) and dementia in older adults (Ismail et al., 2017; Panza et al., 2010), with its prevalence varying based on dementia severity, diagnostic criteria, and dementia subtype (Chi et al., 2015; Ismail et al., 2017; Leung et al., 2021; Lopez et al., 2003). This relationship is hypothesized to exist for a variety of reasons, including that depressive symptoms occur as an emotional response to cognitive functioning (Bennett & Thomas, 2014; Richard et al., 2013). Emotional responses may be explained by a decline in sense of control, or the belief in …

Bending But Not Breaking: An Investigation Of The Relationship Between Psychological Flexibility And Suicidality In Individuals With Chronic Pain, Adalyn Mcmurray

Murray State Theses and Dissertations

Chronic pain is a burdensome condition that has been found to be associated with increased suicide risk, yet the mechanisms underlying this relationship remain unclear (Domenichiello & Ramsden, 2019). The present study aimed to examine the role of pain interference and psychological inflexibility in predicting past two-week suicidal thoughts among individuals with chronic pain, with psychological inflexibility explored as a potential moderator. This study also sought to replicate and extend McCracken et al. (2018) and enhance the understanding of suicidality in chronic pain populations by using the Multidimensional Psychological Flexibility Inventory (Rolffs et al., 2018b), a more psychometrically sound measure …

Cognitive Behavioral Therapy (Cbt) Interventions For Group Therapy For College Students Experiencing Depression, Ty Ogren

Dissertations, Theses, and Projects

This group manual was created to support college students struggling with a depressive mood disorder such as Major Depressive Disorder. The instance of mental health concerns, including depression, have increased greatly over the last several years. Depression is the most common mental health concern for college students, and the rate at which they experience depressive symptoms has exceeded that of the general population. Depressive symptoms in college students can lead to many concerns like poor academic achievement, self-isolation, poor diet and nutrition, and suicidal ideation (Liu et al., 2022). This group manual aims to equip college students struggling with depression …

A Grounded Theoretic Analysis Of College Students’ Attitudes Regarding Indoor Plants And Pets As Moderators Of Daily Stressors, Lydia Dill

Honors Projects

This study explores college students' attitudes toward indoor plants and pets, and how this may impact college students’ experience with stress. Through in-depth interviews and grounded theory methodology, three key themes emerged: Plant Ownership as a Method of Establishing Structure, Plants as Ornamentation, and Pets as a Source of Comfort. Plant ownership helps students create routines and emotional stability, while plants also enhance living spaces aesthetically. Pets provide emotional support, offering companionship and support, particularly during academic pressures. The study builds on previous research by examining both indoor plants and pets together, highlighting how each fulfills unique emotional, psychological, and …

Study Abroad Angst: A Literature Review On The Mental Health Of International Students During Covid-19, Daisuke Akiba, Michael Perrone, Caterina Almendral

Publications and Research

Background: The COVID-19 pandemic presented unique and unprecedented challenges for international students, those studying at institutions of higher education outside of their home countries, due to their distinct circumstances and vulnerabilities. This literature review examines the multifaceted mental health burdens they experienced and highlights the need for targeted support and interventions. Methods: A rigorous search across three databases (i.e., PubMed, PsycINFO, and ERIC) yielded 50 empirical studies for inclusion in this literature review. A six-phase thematic analysis framework was employed to identify and synthesize key themes. Results: Seven prominent themes emerged: (1) academic and professional disruptions; (2) challenges navigating international …

Adopting A Heroic Persona To Manage A Traumatic Life Event: "The Face In The Mirror", Peter Bray

Heroism Science

This article applies a critical autoethnographic approach and a positive transformational stance to an experience of a choiceless traumatic loss. It considers how in a crisis of grief individuals may consciously choose to adopt a more agentic ‘heroic’ persona that enables them to survive the psychological disintegration of their assumptive world. Selecting a persona that serves their immediate survival needs, liberates individuals from those sociocultural expectations that dictate the conduct and positioning of the bereaved. In this new persona, the bereaved accesses a higher level of self-consciousness and autonomy, and an internal locus of control more suited to a survivor. …

A Veteran Mental Health Approach Sustaining Identity Post-Military Life: A Comprehensive Overview, Darren Sosa, Lindsay Gietzen

Pacific Journal of Health

Veterans and their mental health face readjustment challenges based on veteran identity, intersectionality, and experiences from their time serving in the military. This comprehensive overview and PRISMA analysis investigate the current evidence-based practices of veterans' identity and intersectionality. Specifically, psychoeducation and evidence-based practices for veterans readjusting back into their communities. A gap identified in this research’s findings calls for suggestions for future research on the veteran population and intersectionality. No specific psychoeducation or evidence-based practices tailored for identity readjustment or veteran intersectionality were found. This research constructs a tailored framework of suggestions for current and future evidence-based practices for the …

The Efficacy Of The G.R.A.C.E Matrix® In Ptsd Treatment”, Maria Grace G. Wolk, Lindsay Gietzen

Pacific Journal of Health

The purpose of this study is to explore the efficacy of the G.R.A.C.E Matrix®, a step-by-step technique of treatment for post-traumatic stress disorder (PTSD). This study uses case studies that serve as portrayals of adults who struggle with PTSD. The three cases, referred to as "Jamal," "Isabel," and "Joel," are based on disguised aspects of real psychotherapy patients from a psychotherapy clinic. By detailing the treatment courses of these patients, the study highlights critical clinical issues in engaging patients with evidence-based therapy. The cases illustrate how the G.R.A.C.E Matrix® treatment, beginning with written assessments and culminating in trauma-informed interventions, has …

The Relationship Between Health Anxiety, Health Information Seeking Behaviors, And Healthcare Outcomes, Rima Malkan

Theses and Dissertations

The relationship between health anxiety and health information-seeking behaviors (HISB) suggests a possible bidirectional or reciprocal relationship, suggesting that health anxiety leads to HISB and HISB exacerbates health anxiety. The motivations for individuals seeking different types of health information vary and may be impacted by numerous factors that lead to particular health outcomes. However, the impact of these collective variables on healthcare outcomes has not been extensively investigated. The current study aimed to bridge this gap in the literature. The study sample consisted of 133 individuals ages 20-77 years who had varying levels of health anxiety. Results suggested that those …

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

Theses and Dissertations

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

Emotional Overeating And Eating Motives During Covid-19 In Polish Women: Intergroup Comparison Among Participants In Various Body Mass Index Categories, Adriana Modrzejewska, Justyna Modrzejewska, Kamila Czepczor-Bernat, Julia Wyszomirska

Baltic Journal of Health and Physical Activity

Introduction: Taking into account the situation of the COVID-19 pandemic and the ac-companying lockdown resulting in increased negative emotions, it is interesting to learn about eating motives and behaviors and check their intensity. The aim of this study was to investigate the differences between Polish women in various body mass index categories in terms of eating motives and emotional overeating during the COVID-19 pandemic. Material and methods: This study sample comprised 1,447 women (M_age = 31.34 ± 11.05; M_BMI = 23.79 ± 4.59). The research used the following tools: the Eating Motivation Survey, the Emotional Overeating Questionnaire, and …

A Multifactorial Study Of Factors Influencing Self-Health Behaviors In Dementia, Elizabeth Malkin

Dissertations

The global increase in dementia cases presents a significant public health challenge, particularly given the absence of a cure and the rising healthcare burden on individuals and society. This study aims to examine the influence of knowledge, beliefs, and motivation on self-health behaviors to mitigate the risk of dementia among individuals residing in the United States. With the use of an online survey, the study utilized the U.S. normed MCLHB-DRR scale and supplemental questions about knowledge of risk factors and degree of closeness to family members with dementia to determine whether (1) more closely related relatives (first-degree relatives) and those …

Defining Resilience In Young People With Inflammatory Bowel Disease: A Theory Informed Approach, Barbara Storch

Dissertations, Theses, and Capstone Projects

Inflammatory Bowel Disease (IBD) is a chronic gastrointestinal illness for which there is no existing cure. There is significant literature documenting the increased likelihood of adverse biopsychosocial outcomes in young people with IBD (e.g., Greenley et al., 2010); however, many individuals with IBD respond by either maintaining or increasing outcomes categorized as positive. These trajectories can be thought of as characterized by a resilient response. The study of resilience in young people with IBD is nascent. Given the unique disease-specific and developmental contexts young people with IBD experience, the first step in understanding the process of resilience in young people …

The Effects Of Mood And Anxiety Sensitivity On Attentional Engagement And Disengagement In Sleep Disturbance, Kara L. Buda

Dissertations, Theses, and Capstone Projects

Insomnia is a highly prevalent, chronic disorder that is associated with adverse psychological, physical, and psychosocial outcomes. Harvey’s (2002) cognitive model of insomnia and Espie’s (2006) attention-intention-effort pathway model highlight two critical processes believed to play a role in the onset and persistence of insomnia: (a) emotional distress and physiological arousal and (b) selective attention and monitoring. However, investigations examining attentional bias in sleep disturbance have produced mixed results and have exclusively used paradigms that are limited in their ability to differentially examine the two unique components of attentional bias (i.e., facilitated engagement, impaired disengagement). Discrepant findings in the attentional …

Measuring Intersectional Strength And Stigma Among Racially Minoritized Gender Diverse Young Adults, Joseph Carter

Dissertations, Theses, and Capstone Projects

Background: Racially minoritized transgender and gender expansive young adults (RMTGEYA; aged 18-26) experience mental health inequities due to intersectional, multilevel stigma. RMTGEYA communities embody intersectional strength and resilience that can mitigate the impact of stigma. Understanding and capturing strength and stigma factors to address these inequities has significant implications for clinical science research and practice. There is, however, a complete absence of instruments that are validated to do so. Objective: The goal of this study is to conduct a three-phase, mixed methods study that centers intersectional and community engaged methods of psychometric development for a measure that captures daily experiences …

Health Behaviors And Physical Health Among Young Adults With Varying Psychometric Schizotypy, Christopher Liong

Dissertations, Theses, and Capstone Projects

Schizophrenia has consistently been associated with increased rates of physical illness and early mortality. One explanation for this association might be poor health behaviors, as people with schizophrenia are more sedentary, less physically active, and more likely to engage in substance use compared to the general population. Schizotypy may be conceptualized as the phenotypic expression of increased risk for schizophrenia spectrum disorders, and dimensional models of schizotypy suggest that it varies on a continuum ranging from non-clinical (i.e. low schizotypy) to clinical (i.e. high schizotypy and dysfunction, as in schizophrenia). Though schizotypy and schizophrenia appear to share similar deficits and …

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …

Infertility’S Impact On Couples’ Functioning, Elizabeth Sanders

Dissertations

Historically, infertility has been a taboo topic of discussion and is often avoided in conversation because of the stigmatization of the diagnosis. According to the World Health Organization (2022), infertility affects 186 million individuals globally. However, there seems to be a gap in the research as it pertains to the psychological well-being and treatment of men and women diagnosed with this condition. While it has become less of a feared topic, it still is not discussed or researched enough, thus further exacerbating the gap in research on mental health and treatment options. The following dissertation completed a critical review of …

Optimistic Biases On E-Cigarette Cessation: Examining Competing Theoretical Models For Young Adults With And Without Chronic Health Conditions, Eleanor Steffens

Dissertations

The dramatic increase in youth nicotine initiation is an ongoing public health concern and heightens risk for morbidity and mortality, especially among young adults with chronic health conditions. Consequently, there is an urgent need for research exploring potential psychological mechanisms for continued e-cigarette use to aid in the development of targeted cessation interventions and combat the re-emerging nicotine epidemic. Utilizing the Population Assessment of Tobacco and Health (PATH) Study, the present study modeled the impact of optimistic biases for e-cigarette use on e-cigarette cessation interest among young adults with and without chronic health conditions (n=1,827). Results showed that, regardless of …

Training In Trauma-Responsive And Anti-Racist Telehealth: A Model For Behavioral Health Clinicians And Providers, Ritchie Rubio

Psychology Division Scholarship

Telehealth's uptake in behavioral health services has been accelerated by the COVID-19 pandemic. However, many clinicians continue to lack focused training in providing trauma-informed and culturally-responsive telehealth care. This article outlines a model curriculum that was created to instruct and coach behavioral health providers in California on how to integrate anti-racist and trauma-responsive techniques into telehealth. Topics like evidence-based trauma therapies, racial/ ethnic trauma, marginalized communities, digital divide, and provider selfcare were all covered in the nine-part curriculum. Every three-hour session included evidence-informed didactic content, telehealth skills practice, and concrete planning for implementation. Trauma-responsive frameworks such as the tri-phasic model …