Clinical Psychology Commons^™

Investigating Social Support As A Moderator Of The Association Between Adverse Childhood Experiences And Alcohol Use And Problems, Sterling Mckenzie Hubbard

Masters Theses & Specialist Projects

Unresolved childhood trauma, known as adverse childhood experiences (ACES), have been found previously to lead to a plethora of health disparities and increase the risk for problematic substance use, particularly alcohol use. However, protective factors, such as social support have been found to buffer against these consequences. The goal of this study was to highlight the connection between ACES and problematic alcohol use. Additionally, the aim was to investigate perceived social support as a moderator between ACES and problematic alcohol use and to examine the domains of social support and how they individually moderate the association between ACES and social …

Cerebellum-Seeded Functional Connectivity Changes In Trait-Anxious Individuals Undergoing Attention Bias Modification Training, Katherine Elwell

All NMU Master's Theses

Anxiety and anxiety related disorders are increasing at a drastic rate in the past decade, with the NIMH reporting that 31.1% of U.S. adults will experience an anxiety disorder at some point in their lives. Anxiety is commonly characterized by increased attention bias to threat. Attention Bias Modification (ABM) is a new treatment used to reduce individual’s attention bias towards threat. The extent to which ABM leads to underlying neural changes is still unknown. The cerebellum is a neglected brain structure, with new research provides evidence that cerebellum’s functional connectivity and shared networks with threat processing regions has a direct …

Negative Urgency's Influence On State-Level, Emotion-Based Changes In Alcohol-Related Cognitions, Noah Wolkowicz

Graduate Theses and Dissertations

This project expanded on the Acquired Preparedness Model of Risk (APMR) by examining how Negative Urgency (NU), the tendency to act rashly in negative emotional states, affects emotion-based changes in alcohol cognitions to produce risk for alcohol use. The APMR prioritizes the role of outcome expectancies as the means through which traits such as NU, convey alcohol use risk. However, this model treats these cognitions as static and often fails to assess their valence; further, alcohol-cognitions fluctuate in response to negative emotions and may become more salient during these states. Therefore, this study examined: 1) how NU impacts negative emotion-based, …

Body Dissatisfaction And Disordered Eating Among College Women’S Social Networks: An Investigation Of Perceived Changes Following A Dissonance-Based Body Image Intervention, Rachel I. Macintyre

Psychology Theses & Dissertations

Body dissatisfaction is associated with numerous health consequences and is pervasive among college women. Effective interventions exist that reduce body dissatisfaction in college women by helping them resist sociocultural pressures to conform to the appearance ideal, such as the Body Project. Yet research is limited on whether social and behavioral processes help participants reduce their engagement in sociocultural appearance-ideal messages and contribute to the intervention’s effectiveness. The primary purpose of the present study was to examine these social and behavioral processes, including the changes in college women’s social networks associated with their participation in the Body Project. Undergraduate and graduate …

The Relationship Of Hope To Goals And Psychological Outcomes In Patients With Advanced Lung Cancer: A Test Of Hope Theory, Kelly A. Hyland

USF Tampa Graduate Theses and Dissertations

Background. Hope is an important positive psychological construct that may help to explain how individuals cope in the context of life-threatening illness. Snyder’s hope theory states that humans are goal-oriented, and that goals link hope to psychological outcomes. The purpose of the current study was to investigate the relationship of hope to emotional well-being, meaning and purpose in life, and positive and negative affect in a sample of patients with advanced stage lung cancer. The study also sought to identify how hope relates to patients’ goals and to explore whether goal characteristics and progress in achieving goals mediated the relationship …

Telehealth Best Practice: A Call For Standards Of Care, Donna S. Sheperis, Arielle Smith

Journal of Technology in Counselor Education and Supervision

Teletherapy is an approach to working with clients that mental health providers have used in some form for years. However, the onset of COVID forced the provision of therapy into teletherapy almost exclusively for a period of time. Currently, mental health providers conducting therapy virtually are not required to be trained in telehealth and are operating without consistent uniform standards of practice. This manuscript pulls from the current literature and guidelines across counseling, psychology, psychiatry, family therapy, and social work to provide a Proposed Standards of Practice for Telehealth. Such standards benefit mental health counselor by grounding practice in common …

Language As The Medium: A Literature Review. Harnessing The Prolific Power Of Dramatic Language As A Therapeutic Tool In Drama Therapy, Edward Freeman

Expressive Therapies Capstone Theses

Language in and of the theatre, with its palate of variegated writing styles and playwrights from throughout time, has the potential to be harnessed, focused, and systematized for use as a therapeutic tool within drama therapy – the field’s artistic medium. Drama therapy could benefit from having a specific medium germane to its artform which has the potential to provide practitioners with a common resource and means of communication, assessment, diagnosis, and treatment planning, as well as align the field with other creative arts therapies. Language encompasses all forms of human communication – speaking, writing, signing, gesturing, expressing facially – …

Bringing The Body Into Art Therapy: The Use Of Touch And Body Awareness In Creative Healing, Janna Corsetti

Expressive Therapies Capstone Theses

The focus on the use of healing touch and body awareness in art therapy is critically lacking. Despite the research supporting the use of body-oriented techniques in clinical therapy, there is little research related to this use specifically in art therapy. Research reveals that healing touch and body awareness can be instrumental in healing trauma, if done with the proper training and boundaries in place. The first form of attachment and comfort for children is that of touch. Therefore, it is imperative to acknowledge the power of touch and body awareness when healing from traumatic experiences. The purpose of this …

Exploring Tactile Art-Making With Deafblind Students And Their Families: An Opportunity For Creative Play, Alice Rodgers

Expressive Therapies Capstone Theses

The impact of a deafblind diagnosis on an individual’s mental health and the well-being of the family involved can be profound. However, current research and available literature for the mental health treatment and therapy practices of deafblind persons and their families is limited (Kyzar et al., 2016; “WFDB Global Report 2018,” n.d.). This thesis used the Leeds Family Psychology and Therapy Service principles (Leeds FPTS) and the Expressive Therapies Continuum with established deafblind teaching strategies to facilitate an original arts-based community project entitled: “Things We Like.” This project provided an opportunity for deafblind students (ages three to 22) and their …

Knowing What We Know: Leveraging Community Knowledge Through Automated Text-Mining, Justin Gardner, Jonathan Tory Toole, Hemant Kalia, Garry Spink Jr., Gordon Broderick

Advances in Clinical Medical Research and Healthcare Delivery

No abstract provided.

Reiki For Recovery: Incorporating Japanese Health Practices To Increase Contemporary Resiliency In American Health, Leif Peterson

Master's Projects and Capstones

The Japanese health practice of Reiki attempts to maximize the latent ability of the human system to heal itself. The Reiki system, established over a century ago, combines multiple Asian health traditions, experimenting with practices that maximize the natural processes of the body to perform its own repairs. Reiki encourages healthy behaviors that balance the mind and body, return the human system to a lowered stress level, and allow for an optimal recovery state for the patient. This paper illustrates how this Japanese health-affirming method can be integrated and utilized within existing health and medical practices. An area that is …

Factors Associated With Suicide Screenings For An Autism Spectrum Disorder Population In A Pediatric Medical Setting, Cheng Qian, Dawn Greathouse

Research Days

Background: Individuals with autism spectrum disorder (ASD) are at least 3 times more likely to attempt suicide than those without ASD (Kolves et al., 2021; Richa et al., 2014). Core features of ASD (e.g., deficits in communicating emotions, difficulty with change) are associated with known suicide attempt antecedent events, and rates of co-occurring mental health concerns (e.g., depression) that increase suicide risk are higher than in the general population (Richa et al., 2014). However, mental health clinicians perceive patients with ASD to be at lower risk for suicide, and report lower self-efficacy in screening in this population (Jager-Hyman et al., …

Bmi And Associated Variables In A Pediatric Gender Clinic Sample, Mirae J. Fornander

Research Days

Background: Studies of transgender/gender diverse (TGD) youth indicate a high prevalence of overweight/obesity and concern for unhealthy weight control behavior.

Objectives/Goal: Describe BMI and the association of medication use, well-being, and recreational activities in treatmentnaïve pediatric TGD patients.

Methods/Design: Chart review of 302 patients (age 3-19, 73.5% sex assigned at birth (SAB) female; 85.8% white) from 2017-20. BMI was calculated by age and SAB using CDC growth charts. Parents reported medication use. Parent and self-reported Pediatric Quality of Life (PEDS-QL) Well-Being and activities were surveyed electronically.

Results: By BMI category, 3.3% were underweight (BMI85% and 29.5% fell >95%. Overweight and …

Understanding Illness Encouragement And Pain Acceptance In Pediatric Patients With Abdominal Pain, Scott Wagoner

Research Days

Background: Parents can respond to their child’s abdominal pain in a variety of ways, and parental illness encouragement (e.g., spoiling, letting child stay home from school) is known to relate to longer periods of illness. Modeling and reinforcement of the “sick role” has been used to explain these processes. Many pediatric patients with abdominal pain will continue to experience symptoms in adulthood, so having a full understanding of what pain management techniques patients adopt is crucial. This study explored the impact of parental illness encouragement on how patients engage in valued activities (i.e., activity engagement) and prioritize controlling their pain …

Impact Of Covid-19 On Families With A Child In Cancer Treatment, Mirae J. Fornander

Research Days

Background: A new diagnosis of pediatric cancer diagnosis is a sudden and tremendous stressor to families (Long & Marsland, 2011). The COVID-19 pandemic presented an acute, universal stressor that impacted daily life around the world (Brooks et al., 2020). The impact of the COVID-19 pandemic on children with cancer and their families is not yet known.

Objectives/Goal: The current study is a pilot investigation of COVID-19 exposure and impact among a sample of families with a child being treated for cancer.

Methods/Design: Primary caregivers (N=22) of a child (M age=7.4, SD=4.6) who was diagnosed with cancer within the last 18 …

How College Men Describe Their Understanding Of Sexual Assault, Sarah Anolik

Dissertations, 2020-current

Despite the proliferation of many vital bystander intervention programs across the country, approximately one in four college women will experience sexual violence. Though it was once believed that a small minority of men were responsible for the vast majority of sexual violence, an estimated 12%-25% of college men report having used sexual violence as an undergraduate student. Research across disciplines suggests several factors associated with the perpetration of sexual violence. While numerous studies have explored these constructs quantitatively on and off college campuses, there have been far fewer qualitative studies that provide insight into how men who have perpetrated violence …

The Aftermath Of Sexual Assault: Creating The "I Am More Than My Experience" Workbook, Isabella Chung

Calvert Undergraduate Research Awards

The following thesis includes a literature review of the immediate and long-term effects of sexual assault on victims in regards to their physical, mental, and emotional health and romantic relationships, followed by a proposed workbook for sexual assault victims/survivors. Being that typical responses immediately after an assault are fear, disbelief, and activation of the sympathetic nervous system, it is to no surprise that long term issues of depression, anxiety, and Posttraumatic Stress Disorder (PTSD) often arise as well. Thus, a workbook was created with the intention of educating readers about sexual assault and helping victims/survivors to heal from the trauma …

Distress Tolerance As A Potential Target For Change: The Relationship Between Distress Tolerance, Craving, And Alcohol Consumption In A Lab-Based Experiment, Isabel F. Augur

Graduate Theses and Dissertations

Distress tolerance (DT) has recently been studied as a potential catalyst for the development ofalcohol use disorder (AUD). Research exploring the relationship between DT and craving is limited and has primarily focused on nicotine craving. Furthermore, there are no current studies examining the relationship between DT and alcohol consumption. This study was designed to fill this gap in the literature, which may shed light on a potentially important target for alcohol use treatment. Additionally, the role of mindfulness was explored in the context of the relationship between DT and alcohol craving and consumption, with the intention of expanding on the …

Examining The Mental Health Of Older Hispanic/Latino Adults: Relationship Between Psycho-Social-Cultural Factors And Depressive Symptomatology, Anna Prado

Theses and Dissertations

The most prevalent disorders affecting the older adult population worldwide are dementia and depression. Ethnic minorities are disproportionately more likely to be affected by these two distressing and debilitating conditions. Hispanic/Latino older adults encounter numerous psycho-social-cultural factors that influence health behaviors, attitudes, and beliefs in positive and negative ways. Presently, research on the influence of these factors on Hispanic/Latino mental health is highly inconsistent. The purpose of the present study is to examine the relationship between selected psycho-social-cultural factors and the mental health of older Hispanic/Latino adults. Using data from the Health and Retirement Study, the association between the Hispanic/Latino …

Treatment Access For Dual Diagnosis Substance Use And Mental Health Disorders, Pedro Banuelos

Electronic Theses, Projects, and Dissertations

In 2018, of 1.3 million Latinx adults in the United States facing concurrent issues with substance use disorders (SUD) and mental health disorders (MHD) 93% remained untreated for either diagnosis. This is concerning since Substance Abuse and Mental Health Services Administration (SAMHSA) data reveals that this population is at greater risk for suicidal thoughts, plans, and attempts. They also face structural barriers such as employment, housing, legal involvement, and insurability that further impede access to treatment.

This study’s purpose was to examine barriers to accessing treatment for Latinx populations confronting co-occurring SUDs and MHDs. This study used a qualitative design …

“In This Industry, You're No Longer Human”: An Exploratory Study Of Women’S Experiences In Pornography Production In Sweden, Meghan Donevan

Dignity: A Journal of Analysis of Exploitation and Violence

Despite being a global, billion-dollar industry, very little is known about the conditions women face within the pornography industry. The aim of this study was to explore women’s experiences in pornography production, with a particular focus on structural antecedents to entrance, coercion, and violence within the industry, as well as current needs and any barriers to exiting the industry. Semi-structured, in-depth interviews were conducted with nine women with experiences in pornography production in Sweden. Participants identified young age, financial insecurity, earlier exposure to sexualized violence, and poor mental health as typical antecedents to entering the pornography industry. Once in the …

The Role Of Interior Design In The Psychotherapist's Office, Vincent Ylagan

Senior Theses

A growing body of research in environmental and design psychology indicates that our surroundings can have subtle but significant effects on how we feel and think. One setting where thoughts and feelings are at the forefront of the work done is the psychotherapist’s office, where clients go to process stressors and learn strategies to overcome emotional difficulties. The current study aimed to investigate how therapists and clients view the therapist office and identify the features associated with the “ideal” therapist office. Therapists, current or past therapy clients, and individuals who have not been to therapy completed short surveys. Surveys asked …

Mental Health Supportive Services During Covid-19: Proposing An Online, Self-Guided Acceptance And Commitment Therapy Program For Parents In The Disability Community, Ty B. Aller, Elizabeth B. Fauth, Sarah Hodgskiss, Jeff Sheen, Michael E. Levin

Developmental Disabilities Network Journal

Parents of Children with Intellectual and Developmental Disabilities (I/DD) often experience stress, and the COVID-19 pandemic has likely increased their stress. In the current paper, we describe four things. First, we describe how mental telehealth treatments can effectively decrease parent stress, including programs that target behavior training and those that provide therapy. Teleheath programs are delivered by phone, computer, or fully online. Second, we describe challenges of these programs and explain how online, self-guided programs may help address these challenges. Third, we explain our online, self-guided program based in Acceptance and Commitment Therapy (ACT). ACT is a specific type of …

Fear Of Covid-19 And Depression: Mediating Role Of Anxiety And Stress Among University Students, Noreena Kausar, Amna Ishaq, Hafsa Qurban, Hafiz Abdur Rashid

Journal of Bioresource Management

Fear of CIVID-19 and psychological health issues are most common in general population, health professionals and students after emerging the COVID-19 infection. The literature review elaborated the correlation among fear of COVID-19, stress, depression and anxiety among students at different levels.The current study was conducted with two objectives. First aim was to assess the relationships among fear of COVID-19, stress, anxiety and depression among university students. The second objective was to measure the mediating role of anxiety and stress between the relationship of fear of COVID-19 and depression.Total 500 Government and private university students were selected through convenient sampling technique …

Creating A Theoretical Framework To Underpin Discourse Assessment And Intervention In Aphasia, Lucy Dipper, Jane Marshall, Mary Boyle, Deborah Hersh, Nicola Botting, Madeline Cruice

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Discourse (a unit of language longer than a single sentence) is fundamental to everyday communication. People with aphasia (a language impairment occurring most frequently after stroke, or other brain damage) have communication difficulties which lead to less complete, less coherent, and less complex discourse. Although there are multiple reviews of discourse assessment and an emerging evidence base for discourse intervention, there is no unified theoretical framework to underpin this research. Instead, disparate theories are recruited to explain different aspects of discourse impairment, or symptoms are reported without a hypothesis about the cause. What is needed is a theoretical framework that …

Psychiatrist Burnout, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

We critique a paper published by Summers et al. (2020) and papers in general that, because of flawed methods, arrive at exceedingly high estimates of burnout in psychiatrists and other professionals.

Adhd Performance On Nonverbal Measures Of Set Shifting And Working Memory, S. Hans Stoltzfus

Doctor of Psychology (PsyD)

The relationship between language and cognition is an area of inquiry among many psychologists (Pellicano, 2010; Russel, 1996). The connection between thoughts, verbal language, and nonverbal communication turned researchers towards the relationship between language and executive functioning. Executive functioning (EF) is described as tasks involving working memory, inhibition, and set shifting (Miyake and Friedman (2012)). Despite studies demonstrating the correlation between language deficits and lower executive functioning there is not consensus on the directionality of the relationship (Kuhn, et al 2014; Boting et al., 2017). Data from the Leiter International Performance Scale, Third Edition (Leiter-3) (Roid, et al., 2013) were …

Antecedents Of Borderline Personality Disorder And Antisocial Personality Disorder: An Examination Of Gene X Environment Interactions, Amy L. Medina

Dissertations, Theses, and Capstone Projects

Current thinking suggests that genotypes associated with impulse-control disorders and negative emotionality, such as monoamine oxidase-a (MAOA), interact with negative early environmental factors like childhood maltreatment and develop into the disorders know as Borderline Personality Disorder (BPD) and Antisocial Personality Disorder (ASPD). Using existing data from a prospective cohort design study of the consequences of child abuse and neglect, participants (N = 896 represent individuals with documented histories of child abuse and neglect and a matched comparison group that were followed up into adulthood and interviewed. A subsample of 631 participants gave permission for DNA extraction and analyses during …

Adolescent Healthcare Contacts In The Year Before Suicide: A Case Control Study, Ana Lanier, Jordan Braciszewski, Hsueh-Han Yeh, Gregory Simon, Rebecca Rossom, Frances Lynch, Stephen Waring, Christine Lu, Ashli Owen-Smith, Arbe Beck, Brian Ahmedani

Medical Student Research Symposium

Introduction: Suicide rates among adolescents have risen steadily since 2007, creating a dire need to expand prevention protocols. Healthcare systems have been identified as a key avenue for identification and intervention. To date, no comprehensive analysis has been done to understand adolescent-specific characteristics and healthcare utilization prior to suicide death.

Methods: A case-control study was conducted using records from eight healthcare systems nationwide. Data from 450 subjects aged 10-24 who died by suicide between the years 2000-2013 was matched with 4500 controls based on health system and time period of membership. We examined past-year health diagnoses and patterns of visit …

A Solution For Breaking The Impasse Of Burnout Measurement, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

In view of the profound problems affecting burnout’s conceptualization and measurement and because there is now robust evidence that burnout is a depressive condition, we recommend that occupational health specialists shift their focus from burnout to depression. A measure of job-related depressive symptoms, the Occupational Depression Inventory (ODI), has recently been developed. Advantageously, the ODI resolves many of the persistent problems linked to burnout while being consistent with burnout researchers’ original aim of assessing a work-attributed form of distress. The ODI includes a diagnostic algorithm that allows investigators to estimate the prevalence of depressive disorders that individuals specifically ascribe to …