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Articles 1 - 28 of 28
Full-Text Articles in Clinical Psychology
Perceived Barriers And Facilitators To Mental And Behavioral Health Screening And Treatment In Primary Care For Women In Northeast Tennessee, Sarah K. Hill
Electronic Theses and Dissertations
Between one quarter and one third of all primary care patients meet criteria for at least one mental disorder. However, many women are not screened for mental disorders as recommended by the literature. Some studies suggest even lower rates of screening and treatment in rural areas. This researcher sought to identify barriers and facilitators to mental and behavioral health screening and treatment for women in primary care and solicit feedback on how to ameliorate perceived barriers. Given the limited extant data describing rural Appalachian women’s perceptions of barriers and facilitators to receiving mental health services an exploratory qualitative analysis was …
Who Done It? Rurality Vs. Ses As Critical Factors In Evaluating The Prevalence Of Child Psychosocial Concerns In Primary Care, Robert M. Tolliver
Who Done It? Rurality Vs. Ses As Critical Factors In Evaluating The Prevalence Of Child Psychosocial Concerns In Primary Care, Robert M. Tolliver
Electronic Theses and Dissertations
The purpose of this study was to evaluate the prevalence of child psychosocial concerns in rural primary care, hypothesized to be greater than national averages due to lacking mental health services in rural areas. This study was an examination of the role of SES, various definitions of “rural,” and the interaction of SES and rurality, in predicting parent-reported child psychosocial concerns in Appalachian primary care clinics. Caregivers presenting with their child at one of 8 pediatric primary care sites (n=2,672) were recruited to complete a measure assessing demographics and the Pediatric Symptom Checklist (PSC). Results showed that while rural status …
Actively Caring About The Actively Caring Survey: Evaluating The Reliability And Validity Of A Measure Of Dispositional Altruism, Philip Randall
Actively Caring About The Actively Caring Survey: Evaluating The Reliability And Validity Of A Measure Of Dispositional Altruism, Philip Randall
Electronic Theses and Dissertations
Geller’s Actively Caring Survey (ACS) was theorized to measure person states deemed necessary to “Actively Care” or act altruistically toward others. Empirical research of the ACS has been limited, and this researcher sought to evaluate its reliability, validity, and factorial consistency. Undergraduate students (n = 1,095) completed the measure online. Hypotheses were partially supported. Unrotated primary component analysis found the ACS to be a unitary measure with 73.3% of the items loading onto the first factor. The ACS showed excellent internal consistency. Convergent and divergent validity with existing measures (i.e., the Big 5 Personality, Marlowe-Crowne Social Desirability, Cognitive Failures …
Technology Use In Rural Appalachia: A Pilot Study Of The Implications For Pediatric Behavioral Health, Courtney E. Lilly
Technology Use In Rural Appalachia: A Pilot Study Of The Implications For Pediatric Behavioral Health, Courtney E. Lilly
Electronic Theses and Dissertations
Technology is a promising means for increasing rural individuals’ access to behavioral healthcare. However, the range of technology use in rural areas is currently unknown. The aims of this study were to examine the use of technology in rural areas, the relationship between technology use and willingness to access pediatric mental health services via videoconferencing, and this relationship within the context of other critical variables linked to service uptake. Data were collected at 2 pediatric primary care clinics. While no significant relationship was found between technology use and willingness to use videoconferencing, a significant relationship emerged between previous service seeking …
Therapists' Attitudes Toward Forgiveness: The Relationship Between Forgiveness Conceptualizations And Predicted Likelihood To Assist Clients To Forgive During Treatment, Cameron F. Cannon
Therapists' Attitudes Toward Forgiveness: The Relationship Between Forgiveness Conceptualizations And Predicted Likelihood To Assist Clients To Forgive During Treatment, Cameron F. Cannon
Electronic Theses and Dissertations
Research supports the use of forgiveness in psychotherapy; however, little is known about how this process is integrated into treatment. Views on the utility of forgiveness appear to be mixed. Differences in conceptualization appear to exist between interventionists who promote its use and those who argue against it. This study explored the potential relationship between therapists' conceptualization of forgiveness, categorized as either agreeing with popular interventionists or not, and their predicted assistance of client forgiveness, as well as relationships between attitudes toward forgiveness and other potentially related variables Two hundred sixty nine participants recruited from practice-focused graduate training institutions completed …
Acculturation, Marianismo Gender Role, And Ambivalent Sexism In Predicting Depression In Latinas, Andreana T. Jezzini
Acculturation, Marianismo Gender Role, And Ambivalent Sexism In Predicting Depression In Latinas, Andreana T. Jezzini
Electronic Theses and Dissertations
This study explores acculturation, the Latina gender role of marianismo, and ambivalent sexism in predicting depression in a community sample of Latinas. A review of existing literature regarding these variables reveals that all three constructs can be both risk factors as well as protective factors. Since marianismo and ambivalent sexism may share similar traits, both may be self-protective coping mechanisms by Latinas in the context of a patriarchal environment with structured gender roles and strong gender disparities. One hundred and thirteen adult Latina participants from various ancestries of origin were solicited from the community using an Internet survey tool. …
Social Media And Relationship Development, Gretchen Kelmer
Social Media And Relationship Development, Gretchen Kelmer
Electronic Theses and Dissertations
The present study examined the use of social media to represent romantic relationships among a diverse, national sample (N=831) of Facebook users aged 20-37. Taken together, results from this study indicate that relationship representation via Facebook is associated with various aspects of commitment, including couple identity, prioritization of one’s relationship, and commitment to the future, and was also associated with stability of the relationship over time. Social media relationship representation was also found to be associated with lower levels of sexual infidelity, alternative partner monitoring, and partner’s jealousy, as well as higher levels of perceived social pressure from friends and …
Emotion Processes In Cognitive Behavioral Therapy For Adolescent Depression, Patrice Siapno Crisostomo
Emotion Processes In Cognitive Behavioral Therapy For Adolescent Depression, Patrice Siapno Crisostomo
Electronic Theses and Dissertations
Although cognitive behavioral therapy (CBT) is an efficacious treatment for adolescent depression, recent findings indicate that positive treatment effects are reduced among youth with a history of childhood interpersonal trauma (CIT). The processing of emotionally-difficult content has been previously emphasized in therapeutic models for the treatment of depression, as well as post-traumatic stress disorder. The present study evaluated the impact of emotion processes on treatment outcomes in two forms of psychotherapy (CBT and usual care treatment) for adolescent depression. This study observationally coded client emotional involvement, specifically during discussions of trauma-related content, as a potentially critical mechanism of change in …
Empathy And Threatened Egotism In Men’S Use Of Violence In Intimate Relationships, Jessica H. Turner
Empathy And Threatened Egotism In Men’S Use Of Violence In Intimate Relationships, Jessica H. Turner
Electronic Theses and Dissertations
The current study was undertaken to explore the relationship between self-esteem, narcissism, and empathy with intimate partner violence perpetration among men in 2 samples: college students and inmates. The sample was analyzed both as an aggregate and separately. A negative relationship was hypothesized between intimate violence perpetration and both self-esteem and empathy. A positive relationship was expected between intimate violence perpetration and narcissism. A 2-way interaction was examined between self-esteem and narcissism as a test of threatened egotism, defined as high self-esteem coupled with high narcissism, which was not expected in the current study. Empathy was hypothesized to moderate the …
Autobiographical Memory And Theory Of Mind In Schizotypy, Andrew Deptula
Autobiographical Memory And Theory Of Mind In Schizotypy, Andrew Deptula
Electronic Theses and Dissertations
Individuals with schizophrenia exhibit marked impairments on tasks assessing theory of mind (ToM) and autobiographical memory (AM) qualities, and preliminary research has indicated a positive link between these abilities. This study is the first to systematically explore this relationship in the related personality trait of schizotypy. In a study of 47 undergraduate students (23 males) reporting a wide continuous range of schizotypy, we found that females, but not males, exhibited a negative correlation between ToM and schizotypy, and an unexpected positive correlation between AM qualities and schizotypy. Factor score analysis within females indicated that disorganized schizotypy was the strongest correlate …
Is Experiential Avoidance A Factor In Maternal Overprotection?, Melissa Nieves
Is Experiential Avoidance A Factor In Maternal Overprotection?, Melissa Nieves
Electronic Theses and Dissertations
The current study examined experiential avoidance (EA) as an explanation for parental overprotectiveness, a behavior often found among parents of anxious children. EA parenting theory posits that parents engage in overprotective behaviors in order to reduce their own anxiety. In order to test the theory, mothers’ electrodermal activity (EDA) and blindly-coded overprotective behaviors were examined when a child with SAD was engaged in a reading performance task. In line with EA theory, it was hypothesized that EDA levels would increase before an overprotective behavior (OB) occurred and decrease afterwards as a result of decrease in anxiety. The sample consisted of …
Does Virtual Reality Elicit Physiological Arousal In Social Anxiety Disorder, Maryann Owens
Does Virtual Reality Elicit Physiological Arousal In Social Anxiety Disorder, Maryann Owens
Electronic Theses and Dissertations
The present study examined the ability of a Virtual Reality (VR) public speaking task to elicit physiological arousal in adults with SAD (n=25) and Controls (n=25). A behavioral assessment paradigm was employed to address three study objectives: (a) to determine whether the VR task can elicit significant increases in physiological response over baseline resting conditions (b) to determine if individuals with SAD have a greater increase from baseline levels of physiological and self-reported arousal during the in vivo speech task as opposed to the VR speech task and (c) to determine whether individuals with SAD experience greater changes in physiological …
Hyperactivity In Attention-Deficit/Hyperactivity Disorder (Adhd): Testing Functional Relationships With Phonological Working Memory Performance And Attention, Dustin Sarver
Electronic Theses and Dissertations
Excessive gross motor activity is currently considered a ubiquitous and disruptive feature of attention-deficit/hyperactivity disorder (ADHD); however, an alternative model challenges this premise and hypothesizes a functional relationship between activity level, attention, and working memory. The current study investigated whether, and the extent to which, particular forms of gross motor activity are functionally related to children’s attention and phonological working memory performance. Objective observations of children’s gross motor movements and attention by independent observers were conducted while children with ADHD (n = 29) and typically developing children (n = 23) completed multiple counterbalanced tasks entailing low and high phonological working …
Social Skills And Social Acceptance In Childhood Anxiety Disorders, Lindsay Scharfstein
Social Skills And Social Acceptance In Childhood Anxiety Disorders, Lindsay Scharfstein
Electronic Theses and Dissertations
The present study examined the social skills and social acceptance of children with SAD (n=20), children with GAD (n=18), and typically developing (TD) children (n=20). A multimodal assessment paradigm was employed to address three study objectives: (a) to determine whether social skills deficits are unique to children with SAD or extend to children with GAD, (b) to assess whether skills vary as a function of social context (in vivo peer interaction Wii Task versus hypothetical Social Vignette Task) and (c) to examine the relationship between anxiety diagnosis and social acceptance. Parent questionnaire data indicated that both youth with SAD and …
Evaluating The Utility Of A Virtual Environment For Childhood Social Anxiety Disorder, Nina Sarver
Evaluating The Utility Of A Virtual Environment For Childhood Social Anxiety Disorder, Nina Sarver
Electronic Theses and Dissertations
Objective: Two significant challenges for the dissemination of social skills training programs are (a) the need to provide sufficient practice opportunities to assure skill consolidation and (b) the need to assure skill generalization (i.e., use of the skills outside the clinic setting). In the case of social anxiety disorder, virtual environments may provide one strategy to address these issues. This investigation describes the development of an interactive skills-oriented virtual school environment and evaluated its utility for the treatment of social anxiety disorder in preadolescent children (Study 1). This environment included both in-clinic and at-home solutions. In addition, a pilot replication/extension …
Multicultural Personality And Psychological Functioning, Lauren Trottier
Multicultural Personality And Psychological Functioning, Lauren Trottier
Electronic Theses and Dissertations
As the U.S. becomes increasingly diverse, individuals will need to interact effectively with a wide range of people. The theory of multicultural personality refined by Ponterotto (2010) proposes that some individuals may be better suited than others to adapt to the changing demographic landscape. Individuals with a multicultural personality are theorized to have the ability to interact effectively within a wide range of contexts and draw on diverse experiences and resources to solve everyday problems in multiple ways as well as seek out diversity in their lives. Because of their skills and disposition, Ponterotto (2010) suggests that those with a …
Do Programs Designed To Train Working Memory, Other Executive Functions, And Attention Benefit Children With Adhd? A Meta-Analytic Review Of Cognitive, Academic, And Behavioral Outcomes, Sarah Orban
Electronic Theses and Dissertations
Children with ADHD are characterized frequently as possessing underdeveloped executive functions and sustained attentional abilities, and recent commercial claims suggest that computer-based cognitive training can remediate these impairments and provide significant and lasting improvement in their attention, impulse control, social functioning, academic performance, and complex reasoning skills. The present review critically evaluates these claims through meta-analysis of 25 studies of facilitative intervention training (i.e., cognitive training) for children with ADHD. Random effects models corrected for publication bias and sampling error revealed that studies training short-term memory alone resulted in moderate magnitude improvements in short-term memory (d= 0.63), whereas training attention …
A Randomized Trial Of Attention Training For Generalized Social Phobia: Does Attention Training Change Social Behavior?, Brian Bunnell
A Randomized Trial Of Attention Training For Generalized Social Phobia: Does Attention Training Change Social Behavior?, Brian Bunnell
Electronic Theses and Dissertations
The use of attention training protocols for the treatment of generalized social anxiety disorder (SAD) is undergoing increased examination. Initial investigations were positive but more recent investigations have been less supportive of the treatment paradigm. One significant limitation of current investigations may be over-reliance on self-report. In this investigation, we expanded on initial investigations by using a multimodal assessment of patient functioning (i.e., including behavioral assessment). Patients with a primary diagnosis of SAD (n = 31) were randomly assigned to eight sessions of attention training (n = 15) or placebo/control (n = 16). Participants were assessed at pre- and post-treatment …
Evaluation Of A Digitally Enhanced Expectancy Challenge Alcohol Literacy Curriculum (Ecalc) For Use With Mandated College Students, Abigail Fried
Evaluation Of A Digitally Enhanced Expectancy Challenge Alcohol Literacy Curriculum (Ecalc) For Use With Mandated College Students, Abigail Fried
Electronic Theses and Dissertations
Alcohol use has been a longstanding problem on college campuses. Despite the efforts National Institute on Alcohol Abuse and Alcoholism and the commissioned Task Force on College Drinking (2002), there has been a recent rise in the number of alcohol related arrests and violations on college campuses. Within the high-risk mandated student population, the most successful programs utilize motivational enhancement strategies, such as the Brief Alcohol Screening and Intervention for College Students (BASICS). Likely due to financial constraints, an important issue that has been raised is the limited availability of validated methods for alcohol prevention and intervention on college campuses. …
Bisexuality And Identity Formation, Jessica Fuoss
Bisexuality And Identity Formation, Jessica Fuoss
Electronic Theses and Dissertations
This study explores the identity development and psychological adjustment of bisexual individuals (n = 138) as compared to homosexual (n = 45) and heterosexual participants (n = 558). Undergraduate students recruited from psychology classes at a large metropolitan university in Florida (67% female, 65% Caucasian) took an online survey for course extra credit. Bisexual and homosexual participants scored higher in identity exploration than the heterosexual participants. Bisexual participants scored significantly higher in psychological symptom severity than heterosexual participants. The three groups were not significantly different in identity commitment nor in identity distress. Female bisexual participants scored more similar to the …
Measurement Of Negative Affectivity In Psychometrically Defined Schizotypy Using Facial Electromyography, Jonathan Mitchell
Measurement Of Negative Affectivity In Psychometrically Defined Schizotypy Using Facial Electromyography, Jonathan Mitchell
Electronic Theses and Dissertations
Schizotypy is a sub-threshold syndrome associated with schizophrenia. Much of the research on schizotypy concerns its component features, one of which being blunted or constricted affect. While several investigations have addressed this common “negative” symptom within the context of schizophrenia, few have focused on schizotypy directly, and none have utilized psychophysiological measurement to examine affective constriction. The present investigation uses facial electromyography (EMG) to measure patterns of affective expression within a psychometrically defined schizotypal population when presented threatening and distressing pictures from the IAPS. Twenty-eight individuals with elevated schizotypal features and 20 healthy controls were recruited for this investigation. The …
Attentional Processes Associated With Victimization History And Posttraumatic Symptomatology In Women Exposed To Intimate Partner Violence, Ryan B. Matlow
Attentional Processes Associated With Victimization History And Posttraumatic Symptomatology In Women Exposed To Intimate Partner Violence, Ryan B. Matlow
Electronic Theses and Dissertations
Exposure to intimate partner violence (IPV) puts women at risk for severe and chronic physical and mental health consequences, including elevations in IPV-related psychopathology and increased risk for future victimization. Previous research has examined attention as one of the key information processing mechanisms associated with elevated psychopathology and risk for victimization; however, the nature of attentional processing in response to IPV-related information in women exposed to IPV is poorly understood. Therefore, the current study aimed to further understanding of associations between attentional processing, IPV exposure, and related distress using measures of eye movement and subjective interpretations of IPV-related information. A …
Examining The Alliance-Outcome Relationship: Reverse Causation, Third Variables, And Treatment Phase Artifacts, John Paul M. Reyes
Examining The Alliance-Outcome Relationship: Reverse Causation, Third Variables, And Treatment Phase Artifacts, John Paul M. Reyes
Electronic Theses and Dissertations
Psychotherapy research reveals consistent associations between therapeutic alliance and treatment outcomes in the youth and adult literatures. Despite these consistent findings, prospective associations are not sufficient to support the claim that the alliance is a change mechanism in psychotherapy. The current study examined the direction of effect of the alliance-outcome relationship, the contribution of early symptom change in treatment to the development of therapeutic alliance, and the potential for pretreatment interpersonal functioning characteristics to be third variables that account for the association between alliance and outcome. Participants were adolescents with depression and a history of interpersonal trauma that presented to …
An Event-Related Potential Investigation Of Error Monitoring In Adults With A History Of Psychosis, Chi Chan
An Event-Related Potential Investigation Of Error Monitoring In Adults With A History Of Psychosis, Chi Chan
Electronic Theses and Dissertations
Metacognition, which involves monitoring and controlling of one’s thoughts and actions, is essential for guiding behavior and organization of information. Deficits in self-monitoring have been suggested to lead to psychosis and poor functional outcome. Abnormalities in eventrelated potentials originating from the anterior cingulate cortex (ACC), a brain region associated with error detection, have been consistently reported in individuals with schizophrenia during error monitoring tasks. This study sought to examine whether these abnormalities are present in individuals with a history of psychosis across diagnostic categories and whether they are associated with subjective appraisal of self-performance and personality traits related to psychosis. …
A Meta-Analytic Approach To Examining Psychosocial Correlates Of Risk In Hiv-Diagnosed And Hiv-Nondiagnosed Men Who Have Sex With Men, Katharine Lacefield
A Meta-Analytic Approach To Examining Psychosocial Correlates Of Risk In Hiv-Diagnosed And Hiv-Nondiagnosed Men Who Have Sex With Men, Katharine Lacefield
Electronic Theses and Dissertations
Human Immunodeficiency Virus (HIV) continues to disproportionately affect men who have sex with men (MSM). Gay, bisexual, and other MSM are estimated to account for two percent of the population, yet they constitute more than half of all individuals living with HIV in the United States (Centers for Disease Control [CDC], 2010). Collectively, both HIV-diagnosed (HIV-D) and HIV-nondiagnosed (HIV-ND) MSM report a variety of reasons for intentional and unintentional nonuse of condoms. Depending on partner status, HIV-D MSM are in the unique position of having the potential both to increase risk of infecting others with HIV and to expose themselves …
Psychopathology And Functional Impairment In Adolescents With Social Anxiety Disorder, Franklin Mesa
Psychopathology And Functional Impairment In Adolescents With Social Anxiety Disorder, Franklin Mesa
Electronic Theses and Dissertations
Although social anxiety disorder is most often diagnosed during adolescence, few investigations have examined the clinical presentation of this disorder exclusively in adolescents. Prior studies have demonstrated that some clinical features of SAD in adolescents are unique relative to younger children with the condition. Furthermore, the extant literature on daily functional impairment in this population is limited. In this investigation, multiple areas of functioning were examined in adolescents with SAD (n = 16) and normal control adolescents (n = 14): specific social skills, subjective distress and physiological reactivity during one speech performance task and one social interaction task; alcohol use …
Relations Between Alcohol Use And Migraine Among Young Adults, Rachel Davis
Relations Between Alcohol Use And Migraine Among Young Adults, Rachel Davis
Electronic Theses and Dissertations
Migraine is one of the most prevalent neurological disorders diagnosed throughout the world and can be extremely disabling, with many economic, social, physical and psychological health costs. Many environmental and physiological factors have been shown to precipitate migraine, including stress, hormonal fluctuations (in women), weather events, and changes in sleep and eating habits. In retrospective studies, a sizeable proportion of migraineurs also identify alcohol as a trigger for migraine attacks, but comparatively little research has explored the nature of alcohol consumption (frequency, quantity, type, rate, time of day) in relation to other aspects of migraine. Given limited and conflicting data …
Cyber Bullying And Social Support In A College Population, Alicia Luscomb Autry
Cyber Bullying And Social Support In A College Population, Alicia Luscomb Autry
Electronic Theses and Dissertations
Research has shown that bullying has detrimental effects for both bullies and victims. Data also indicates that bullying, especially chronic levels of bullying, during childhood may lead to lasting negative effects in adulthood. The recent introduction of bullying through electronic media has sparked interest in examining bullying with older adolescents and young adults, as early research on cyber bullying suggests that this is a growing problem in the young adult population. The purpose of this study is to examine how perceived social support influences the relationship between cyber bullying and psychological functioning cyber bullying in the college population. A sample …