Clinical Psychology Commons^™

Child Sexual Abuse, Ptsd, And Substance Use: Predictors Of Revictimization In Adult Sexual Assault Survivors, Sarah E. Ullman, Cynthia J. Najdowski, Henrietta Filipas

Psychology Faculty Scholarship

This study examined the unique effects of child sexual abuse simultaneously with post-traumatic stress disorder symptom clusters, problem drinking, and illicit drug use in relation to sexual revictimization in a community sample of female adult sexual assault victims. Participants (N = 555) completed two surveys a year apart. Child sexual abuse predicted more post-traumatic stress disorder symptoms in adult sexual assault victims. Posttraumatic stress disorder numbing symptoms directly predicted revictimization, whereas other post-traumatic stress disorder symptoms (reexperiencing, avoidance, and arousal) were related to problem drinking, which in turn predicted revictimization. Thus, numbing symptoms and problem drinking may be independent risk …

Prospective Effects Of Sexual Victimization On Ptsd And Problem Drinking, Cynthia J. Najdowski, Sarah E. Ullman

Psychology Faculty Scholarship

Posttraumatic stress disorder (PTSD) and problem drinking are common and often co-occurring sequelae experienced by women survivors of adult sexual assault, yet it remains unclear whether survivors drink to cope with PTSD symptoms or whether PTSD symptoms are exacerbated by drinking. Thus, we used a cross-lagged panel design with a large (N = 555), ethnically diverse sample of women assault survivors to determine whether PTSD prospectively led to problem drinking or vice versa. We also examined whether cumulative sexual victimization experiences related to greater PTSD and problem drinking. Structural equation modeling revealed that child sexual abuse was associated with …

Locus Of Control And Adjustment To Vision Loss Among People With Age Related Macular Degeneration, Delinda Stinnette

Walden Dissertations and Doctoral Studies

People aged 65 and older account for 12.8% of the population and for 30% of all visually impaired individuals. Age-related Macular Degeneration (ARMD) has been identified as a significant public health issue, with a potential 8 million Americans at risk. While the literature supports a connection between LOC and adaptation to ARMD, there is a gap in the current literature supporting this relationship even when other factors are controlled (i.e. age, sex, education, type of ARMD, when diagnosed, the use of medical treatments, the use of visual assistance devices, participant engagement in rehabilitation, and depression). The present survey study used …

Child Neglect And Trauma: The Additive Traumatic Effects Of Neglect On Maltreated Adolescents, Adrianna Rachel Wechsler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child maltreatment affects thousands of youths in the United States and poses numerous detrimental effects to individuals, families, and the community. Neglect is the most commonly reported and least studied form of child maltreatment. All types of child maltreatment may result in negative outcomes, but the chronic and pervasive nature of child neglect poses a significant threat to child development. No studies have been published evaluating the role of child neglect in the development of Posttraumatic Stress Disorder (PTSD) and PTSD-related symptoms. This study examined whether neglect has an additive traumatic effect on maltreated youth. The first hypothesis was that …

Mental Health Professionals’ Perceptions Of Voluntarily Childless Couples, Felizon C. Vidad

Antioch University Dissertations & Theses

Studies conducted in previous decades have examined attitudes toward and perceptions of voluntarily childless men and women. Participants in these studies were usually comprised of high school, college, and university students. The results showed that, compared to those who were parents, voluntarily childless men and women were mostly perceived in a less favorable light. This study sought to investigate how voluntarily childless heterosexual couples are currently viewed and whether attitudes toward the voluntarily childless have changed since the earlier research was conducted. Participants in this study consisted of individuals who were practicing in the field of mental health and who …

“Riding Bareback”: Factors Involved In The Development Of A Bareback Identity, Scott Charles Musgrove

Antioch University Dissertations & Theses

Researchers in the area of HIV prevention have long been aware of the rising incidence of unprotected sex among men who have sex with men (MSM). In recent years researchers have witnessed the emergence of the behaviors, attitudes and practices that discriminate between those of the MSM community who strictly and consistently adhere to safer sex practices, those who inconsistently practice safer sex, and those who eschew protected sex altogether. Understanding the factors that motivate the development and adoption of a "barebacker identity" in spite of serious potential for HIV infection may well help support the efforts of public agencies …

A Search For Meaning: The Family’S Response To Serious Mental Illness, Katherine Marie Burrelsman

Antioch University Dissertations & Theses

It is a commonly held belief that it is inherent in human nature to strive for coherence and meaning in the midst of adversity. Whether this is short or long term, for immediate or prolonged functioning, we all strive to put experiences within events into a framework that enables us to develop a sense of order leading to acceptance and resolution. Therefore, each individual within a family system may develop a hypothesis in order to make a modicum of sense of what can appear to be an impossible situation. The participants involved in this study were individuals with relatives suffering …

Technologically Assisted Intervention (Tai): Are Clients Satisfied With Online Therapy?, Jennifer A. Morrow

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study examined the level of satisfaction reported by participants of a technologically assisted intervention study (TAI). TAI is a type of teletherapy done through online, live video conferencing. Satisfaction was examined at three different time points, post therapy, 3-months post therapy, and 6-months post therapy. Analyses examined if there were any changes in reported satisfaction over the three time periods. Participants received cognitive behavioral therapy (CBT) targeted at reducing symptoms of mild to moderately severe depression. A satisfaction measure was developed for this study, and included quantitative and qualitative items which were analyzed to determine participants' level of satisfaction. …

Breast Cancer Screening Disparities In Japanese-American Women, Theodora Stratis

Loma Linda University Electronic Theses, Dissertations & Projects

Cancer screening disparities in ethnic minority women have received much research attention in the last several years due to a marked increase in ethnic minority cancer incidence and poor survival rates (Miller, Kollnel, Bernstein, Young Swanson, West et ah, 1996). Breast cancer is the leading cause of death for Asian American women (Asian American Network for Cancer Awareness, Research & Training, 2002) and, although their incidence and mortality rates are lower than Caucasian women, these rates continue to increase every year. This increasing mortality rate is likely due to the underutilization of breast cancer screening by Asian American women. Asian …

Emotion Recognition And The Propensity To Engage In Sexually Coercive Behaviors: A Study With College Males, Beth J. Dietzel

Dissertations

Several variables have been investigated over the past years as risk factors for sexual aggression. Among them, substance use/abuse, family environment, attitudes towards women, and lack of empathy. Although researchers have identified several risk factors, predicting aggressive behaviors continues to be a difficult task. One variable that has received less attention in the literature is men's emotion recognition skills. Do men's emotion recognition skills affect their propensity to aggress?

The purpose of this study was to investigate emotion recognition skills/deficits and how such skills predict propensity to engage in sexually coercive behavior. There were two main goals of this study. …

Ptsd Symptoms And Self-Rated Recovery Among Adult Sexual Assault Survivors: The Effects Of Traumatic Life Events And Psychosocial Variables, Cynthia J. Najdowski, Sarah E. Ullman

Psychology Faculty Scholarship

Prior research has demonstrated that self-blame is predictive of more PTSD symptoms and poorer recovery (Frazier, 2003; Koss, Figueredo, & Prince, 2002), and perceived control over recovery is associated with less distress (Frazier, 2003) in adult sexual assault (ASA) survivors. A structural equation model was tested to examine the role of traumatic events, self-blame, perceived control over recovery, and coping strategies on PTSD symptoms and self-rated recovery in women ASA survivors. Adaptive coping partially mediated the effects of other traumas, self-blame, and perceived control over recovery on PTSD symptoms, and showed a small positive association with increased PTSD symptoms. As …

Evaluation Of A Sleep Hygiene Program To Improve Inmate Sleep Quality, Jennifer F. Hodges-Crowder

Doctoral Dissertations

Research investigating the effectiveness of treatments for inmates with poor sleep quality appears minimal. Some difficulties related to poor sleep quality can be addressed effectively with little time and expense. Studies show that psychoeducational interventions are effective in reducing sleep complaints and improving sleep quality in a variety of populations including college students and adults. However, the effect of sleep hygiene interventions on inmate sleep complaints is unknown. Thus, the purpose of this study was to evaluate a psychoeducational intervention program aimed at improving prison inmate sleep habits, length, and quality.

Participants of this study were inmates at a department …

Attachment Style And Relationship Predictors Of Adult Children's Responsive Caregiving To Dependent Parents, Brent T. Tucker

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to examine whether anxious attachment, avoidant attachment, relationship closeness, and trust in the relationship predict adult children caregivers' (ACC) level of responsiveness to their dependent parents. Eighty-four adult children who provide support for a dependent parent were included in this study. Furthermore, correlations of avoidant attachment style with responsive caregiving and anxiety attachment style with responsive caregiving were investigated. A multiple regression was conducted and it was found that anxious attachment, trust, and relationship closeness stastically predicted responsive caregiving of ACCs caring for dependent parents [R2 = .26, F (3, 80) = 9.47, p < .001]. This linear combination of variables accounted for 26% of the variance in responsive caregiving. A voidant attachment was not found to predict responsive caregiving. There were no significant bivariate correlations found between anxious attachment and responsive caregiving or between avoidant attachment and responsive caregiving.

A Behavioral Model For The Assessment And Management Of Dehydration In Older Adults, Leilani Feliciano

Dissertations

Dehydration is a serious health concern in the elderly, constituting 1 of the 10 most common causes for hospitalization in this population (Sanservo, 1997). Previous research on dehydration has typically been conducted within nursing home settings (Chidester & Spangler, 1997; Holbren, Hassell, Williams, & Helle, 1999; Spangler, Risley, & Bilyew, 1984) without specific attention to the variables maintaining dehydration for any given individual. A functional behavioral approach to assessment and prevention or intervention for dehydration would involve identifying maintaining variables in the environment that can be altered to produce effective, non-intrusive interventions to increase healthy fluid consumption. The current project …

Reliability And Validity Of The Dallas Threat Of Violence Risk Assessment, Russell B. Van Dyke

All-Inclusive List of Electronic Theses and Dissertations

Several high-profile, multiple-victim school shootings between 1996 and 1999 dramatically shook the public's perception of the safety of our schools. In response to public concern, the Dallas Independent School District (DISD) developed a district-wide policy for responding to threats of violence and implemented the Dallas Threat of Violence Risk Assessment (DTVRA). The DTVRA is designed to help school personnel assess the likelihood of a student following through with a threat and to provide guidance for appropriate interventions for students who threaten violence. The purpose of this study was to evaluate the inter-rater reliability and construct-related validity of the DTVRA. Ratings …

Ethnic Identity And Body Ideal In Adolescent Girls, Erin E. Ramirez

Loma Linda University Electronic Theses, Dissertations & Projects

Adolescence is a period characterized by physical growth and maturation (Cobb, 1995). This normal biological process moves most American girls away from the thin ideal body shape that is dominant within the United States. Ethnic differences in ideal body size have in fact been found in several studies; but they have been shown based on ethnic group membership, not ethnic identification. The specific relationship of ethnic identity and body ideal for Mexican American, African American, and Anglo American adolescent females has not been clearly defined; Lopez, Blix, and Blix (1995) have hinted at the role of ethnic identification (through the …

The Relationship Among Pathological Internet Use, Level Of Social Anxiety, And Degree Of Self-Esteem, Mark Tanner Gibson

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to determine whether the variables of degree of selfesteem, level of social anxiety, level of education, age, and gender can predict whether or not individuals meet criteria for Pathological Internet Use (PIU). The Diagnostic Questionnaire was used to ascertain the degree of pathology in each participant's Internet use. Participants also completed a 25-item Social Anxiety Inventory, a 30-item SelfEsteem Inventory, and several demographic items. The sample consisted of399 individuals, 31 of whom met criteria for PIU (leaving 368 Non-PIUs). A discriminant analysis was used to analyze the data to determine whether PIUs and Non-PIUs …

The Effect Of Alcohol On Women’S Detection Of Risk In A Date Rape Analogue, Marci Marroquin Loiselle

Dissertations

Research strongly suggests that alcohol is a risk factor for date rape for both victims and perpetrators (Abbey, 1991, Fritner & Rubinson, 1994; Miller & Marshall, 1987; Muehlenhard & Linton, 1987; Norris & Cubbins, 1992; Marx, Van Wie, & Gross, 1996). Many victims of sexual assault consume alcohol prior to being raped (Marx, et al., 1999), and "early recognition of when a social situation with a male acquaintance or intimate partner has become threatening can aida woman in preventing a serious incident of sexual aggression" (Norris, et al, 1999, p. 230). This study's purpose was to experimentally address the link …

The Effect Of Background Information On The Identity Formation And Self-Concept Of Adoptees, Molly Susan Dye

All-Inclusive List of Electronic Theses and Dissertations

Adoptees are over represented in clinical populations. Issues of self-concept, identity formation and the search for background history may be of particular relevance to adoptee clients and could be addressed as a focus of treatment. This study attempted to assess if lack of knowledge about background information is related to poorer selfconcepts and increased difficulty with identity formation in adoptees. Adults (N=299) who were adopted prior to 6 months of age were recruited from adoption related sites on the Internet. Measures of self-concept, identity formation and adoption related factors were completed on a web page designed for this study. Results …

Attitudinal And Behavioral Changes Demonstrated By Expectant Fathers As Measured By The Index Of Self Esteem, Terry G. Savage

Theses, Dissertations and Capstones

Thirty married men who were expecting their first child were tested in the first, second, and third trimesters of pregnancy with the Index of Self Esteem to see if the subjects experienced a significant drop in self esteem during the course of pregnancy. The current study focused on the attitudinal and behavioral changes in the subjects as measured by the index of self-esteem. A decrease in self-esteem of the expectant fathers was not found, however the lack of diversity within the sample may account for the results. It would be necessary to conduct more extensive research to be more representative …

Sex, Gender Roles, And Bias In The Diagnosis Of Personality Disorders: A Models Comparison Approach, Jeremy Paul Crosby

All-Inclusive List of Electronic Theses and Dissertations

Clinicians have been found to assign differing personality disorder diagnoses based on the patient's sex, raising concerns of sex bias. However, studies assessing symptom ratings have yielded different results than studies assessing the assignment of diagnoses. The present study utilized both approaches to address sex bias. A national sample (N = 167) of psychologists provided both symptom ratings and diagnoses for two case vignettes meeting minimum DSM-IV criteria for Antisocial and Histrionic personality disorders, and the sex of the patients in the cases was manipulated. A sexunspecified condition was used as a baseline measure to assess for over- and underpathologizing …

Thinness In Women: The Impact Of Female Body Weight On Relationship Satisfaction And Commitment, Wendy Walter Campbell

All-Inclusive List of Electronic Theses and Dissertations

The current study represents an investigation of the impact of weight change on romantic relationships, and the hypothesized gender difference in the importance assigned to a partner's weight. Participants were 221 undergraduate students (148 women and 73 men) from a medium sized Midwestern University. Participants were randomly assigned to one of three conditions in which their weight in a photo image was increased, decreased or left unchanged. Upon inspecting the image, participants were asked to complete measures of relationship satisfaction and commitment (including among others, items from the Dyadic Adjustment Scale [DAS]), the Kansas Marital Satisfaction Scale [KMSS], as well …

Peer Support As A Protective Factor In The Impact Of War On Adolescents In Lebanon, Nadine S. Fakhran

All-Inclusive List of Electronic Theses and Dissertations

Children exposed to situations of war have been shown to develop behavioral as well as psychological difficulties. Researchers have observed, however, that not all children manifest these difficulties in reaction to war situations. Therefore, scientists have attempted to look at resilient children, investigating protective and vulnerability factors in the child's environment. One such protective factor is social support. Although there have been several studies on social support, those studies have tended to focus on family support. There seems to be a void in the literature on the effects of peer support on post-traumatic stress reactions in children. The present study …

Male Sexual Behavior: Revisiting The Eiu Sexual Experience Survey And Report, Justin W. Freeman

Masters Theses

The EIU Sexual Experiences Survey of 1989 was given to 1693 Eastern undergraduate students in order to determine the incidence rate of sexual assault on campus. The survey report consisted of descriptive findings only, leaving future correlational research to answer any questions that remained. This study designated 664 male survey respondents with the Illinois legal classification system, and analyzed the demographics of the men surveyed to find any correlational relationships. No meaningful correlational relationships were found across the conditions of perpetrator and non-perpetrator for the male survey respondents.

Psychopathology Of Incarcerated Males And Severity Of Nicotine Withdrawal Symptoms, Karen L. Cropsey

All-Inclusive List of Electronic Theses and Dissertations

Previous research has demonstrated the link between depression and severity of nicotine withdrawal symptoms. This study investigated depression and other psychopathology as predictors of severity of nicotine withdrawal symptoms among incarcerated males forced to quit smoking due to prison policy. Four hundred and ninety current Smokers, Ex-Smokers, and Non-Smokers completed a baseline questionnaire one week prior to smoking cessation. Three hundred and sixty-nine participants completed the second follow-up questionnaire four days after cessation, an attrition rate of 24. 7%. Two hundred and fifty-six participants completed the final follow-up assessment one month after implementation of the smoking ban, an overall attrition …

Use Of Selected Mmpi-A Factors In The Prediction Of Clinical Outcomes In A Community-Based Treatment Program For Juvenile Sexual Offenders, Linda Marks Hunter

Psychology Theses & Dissertations

This study was designed to evaluate the use of MMPI-A factors to make predictions about clinical outcomes within a community-based treatment program for juvenile sexual offenders. Specifically, selected MMPI-A factors were used to predict client acceptance into the program and client compliance with program expectations over a 12-month period. Results showed that program acceptance was best predicted by the MMPI-A factor, “Immaturity.” No MMPI-A factors were found to be statistically significant in the prediction of program compliance. A high degree of collinearity was found between MMPI-A factors, raising questions about their discriminative utility. Results are discussed with regard to the …

Perceptions Of Childhood Relation With Parents Related To Current Functioning, Peter O. Lielbriedis

Psychology Theses & Dissertations

This study investigated the relationships between perceptions of childhood relationships with parents, certain current self-conscious emotions, current religious orientation, and current risk-taking behaviors. The study also sought to develop models that would predict risk-taking behavior based on the other variables.

At an eastern university, 174 students (79 males) completed the Test of Self-Conscious Affect, Religious Life Inventory, Clark-Parent Child Relations Questionnaire, and the Past Frequency scale of the Cognitive Appraisal of Risky Events Questionnaire. Of these, 30 students were solicited from on-campus, religious organizations.

The data did not show an inverse relationship between “positive parenting” and shame proneness or risk-taking …

The Effects Of Group Counseling On The Self-Esteem, Anxiety, And Behavior Of Children With Deployed Parents, Nancy Taylor Mitchum

Psychology Theses & Dissertations

The purpose of this study was to examine the effectiveness of a six-session group counseling intervention for children who had a parent experiencing military-induced deployment. Participants were 65 children (30 boys, 35 girls) of enlisted military personnel attending elementary schools near the Norfolk Naval Base. Elementary school counselors facilitated the counseling groups.

An experimental/control group pretest-posttest design was employed. Independent variables were the child's participation in the Children of Deployed Parents-Group/control group, child gender and age. Dependent variables were self-esteem, anxiety, and behavior as measured by the Coopersmith Self-Esteem Inventory (SEI), the State-Trait Anxiety Inventory for Children (STAIC), the Child …

Applications Of Group Career Counseling Techniques In Asian Cultures, Mark Pope

Education Sciences and Professional Programs Faculty Works

In this article, applications of group career counseling techniques to Asian cultures are discussed. The article first identifies how group‐oriented cultures differ from individually oriented cultures, reasons that group career counseling is especially appropriate for group‐oriented cultures, and relevant issues in group career counseling with Asian populations. Interventions that illustrate the use of group career counseling with Asian clients are prescribed.

Men Who Batter: Personality Variables, Relationship Variables, And Treatment Outcome, Lisa M. Petrica

Psychology Theses & Dissertations

This study investigated the relationship between the personality characteristics of male batterers and treatment outcome. It also examined a pattern of communication found in violent couples where the male pursues the female and the female withdraws in an argument. The study also compared alcohol use with treatment outcome.

Twenty-one men who attended a group psychoeducational treatment program for batterers completed the Minnesota Multiphasic Personality Inventory (MMPI-2). The men were divided into three groups based on their scores: non-pathological (normal profile), narcissistic/antisocial (elevated psychopathic deviate scale), and severely disordered (elevations on several scales). Pre and post-test measures were completed: Dyadic Adjustment …