Clinical Psychology Commons^™

Serial Position Effect Profiles And Their Neuroanatomical Correlates: Predictors Of Conversion To Alzheimer's Disease, Isabelle K. Avildsen

Dissertations, Theses, and Capstone Projects

The current study was designed to determine whether targeted, premorbid, neuropsychological measures of the serial position effect (SPE) can detect and explain risk for later development of Alzheimer’s disease (AD). The study tested the utility of SPE measures in healthy controls (HC) and individuals already diagnosed with mild cognitive impairment (MCI) or AD. Aim 1 was to determine whether these sensitive, valid neuropsychological measures can explain disease risk. SPE of list-learning are highly sensitive cognitive markers that capture important elements of both linguistic and amnestic mechanisms of encoding, learning, and retrieval. Using the Rey Auditory Verbal Learning Test (RAVLT), we …

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

Publications and Research

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

Identification Of Sexual Grooming Behaviors In Male And Female Perpetrators, Stephanie Mignogna

Student Theses

It is estimated up to 12% of all sexual abuse is perpetrated by females. However, little is known regarding the tactics that women use to perpetuate the abuse. There is evidence that almost all cases of child sexual abuse involve grooming and that female perpetrators may also engage in sexual grooming to perpetrate the abuse. Identification of sexual grooming behaviors can prevent abuse before it occurs however, previous research has found that individuals are poor at identifying sexual grooming behaviors before they occur. Using an experimental vignette design, this study compared the ability to identify sexual grooming behaviors when the …

Stigma Related To Criminal Justice History: The Role Of Offense Type, Mental Health Treatment, Mental Illness, And Race From Formerly Incarcerated Persons’ Perspective, Lindsey Ryan-Jones

Student Theses

Research has shown that offenders perceive stigma and anticipate stigma once they are released from incarceration, especially regarding employment and housing (LeBel et al., 2012). However, there is limited information about offense type, mental health treatment, mental illness and race affect how formerly incarcerated persons perceive, anticipate and experience stigma. While research has shown that those with mental illness are more likely to have recidivate and sex offenders are viewed negatively by the public, there are gaps in understanding reasons why this occurs (Bureau of Justice Statistics, 2017; Sample & Bray, 2006; Levinson et al., 2007; Rade, Desmarais & Mitchell, …

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

Publications and Research

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

Making Sense Of Pre-Symbolic Trauma: A Qualitative Study On The Lived Experiences Of Adults Who Were Born Extremely Prematurely, Noia Efrat

Dissertations, Theses, and Capstone Projects

The psychological experiences of adults (n=5) who were born at or before the threshold for extreme prematurity (weeks) was examined using Interpretive Phenomenological Analysis (IPA) (Smith, Flowers & Larkin, 2009). Subjects were interviewed to learn about how their extreme prematurity has become organized and integrated on the levels of fantasy, identity and personality. Results showed that dysregulation and the propensity to self-contain on both somatic and affective levels were common themes across cases, supporting current research connecting the ongoing impacts of prematurity to the context of overstimulation and fundamental absence in the first months of life in the NICU. Despite …

Reducing Fear Overgeneralization With Safety Learning: Attention Bias As A Moderator, Boyang Fan

Dissertations, Theses, and Capstone Projects

Anxiety disorders are the most prevalent mental health condition and affect one out of nine individuals around the world. Fear generalization is a neurocognitive mechanism thought to maintain and exacerbate anxiety, and thus is an important target of therapeutic interventions. Yet, intervention research and practice place relatively little emphasis on its importance. Given that a significant proportion of individuals do not respond to extant treatments of anxiety disorders, a strengthened focus on fear generalization may inform the development and personalization of new treatment approaches. Recent notions have linked fear generalization to failures in distinguishing between signals that predict the occurrence …

"A Fallen Woman": The Use Of Metaphor In Psychoanalysis, Matthew Schneider

Dissertations, Theses, and Capstone Projects

This study sought to understand the use of a central metaphor in a psychoanalytic treatment and its relationship to the process of change for the analysand. In linguistics, a metaphor is a word, phrase or idea that stands in for another idea. In psychoanalysis the relationship between conscious and unconscious conflictual material can share similar metaphorical connections as conscious thoughts or behavior often stands in for an unconscious wishes. The presence of a word or phrase that appears in speech in the context of particular affective moments in an analysand’s experience could be understood to be linked to unconscious processes …

“I Knew These Marvelous People”: Gay Men’S Experiences Of Long-Term Hiv/Aids Survival, Ilana J. Sichel

Dissertations and Theses

The gay and bisexual men who were diagnosed with HIV/AIDS before the pharmaceutical breakthroughs of the mid-1990s were given what was expected to be a death sentence. Instead, the majority of those who began the newly available treatments outlived not just their initial prognoses but their lovers, friends, and community members who had already perished. This study used grounded theory analysis of semi-structured interviews with a sample of 10 self-identified gay men who are long-term HIV/AIDS survivors to explore experiences of trauma, loss, and mourning in relation to current psychological wellbeing. Qualitative thematic analysis indicated that despite demographic variance among …

Early Risk Factors For School-Age Adhd And Irritability: The Roles Of Prenatal Risk, Intrusive Parenting Style During Preschool And Caregiver-Child Attachment Quality., Ashley M. Rainford

Dissertations and Theses

ADHD is a highly impairing neurodevelopmental disorder and the family context provides a critical early environment where children’s risk for the disorder may be heightened or reduced. A parent’s style, that is their approach to interacting and guiding the child may provide children with warmth and security, or elicit fear, distrust and disappointment, both of which in turn impact behavior. However, the parent-child relationship is not unidirectional; it is dynamic. Children with high ADHD-like behaviors have greater difficulty relating to and interacting with their caregivers, while caregivers become increasingly stressed and show greater hostility and less warmth in their parenting. …

Loneliness, Interpersonal Sensitivity And The Mechanisms Through Which The Dimensions Of Trait Emotional Intelligence May Protect Against Clinical Depression, Eva H. Leighton

Dissertations and Theses

Reducing the prevalence of loneliness and depression are important public health objectives. This dissertation aims to contribute to these objectives by improving our understanding of the relationship between loneliness and depression. Specifically, we assessed three additional constructs known to be strongly associated with loneliness and depression –-perceived social support, emotional intelligence, and interpersonal sensitivity –- with the aim of showing how these three constructs influence the relationship between loneliness and depression. Previous research that jointly examines all five constructs has not been identified by the author in an extensive search of prior literature.

Specifically, this dissertation tested the following hypotheses: …

Identification Of Adhd And Comorbid Disorders In Children: The Potential Role Of Minority Group Membership, Rachel H. Tayler

Dissertations and Theses

Identification of ADHD and Comorbid Disorders in Children: The potential role of minority group membership

by

Rachel Tayler, MSc, MA

Advisor: Sarah O’Neill, PhD

Attention-Deficit/Hyperactivity Disorder (ADHD) affects six million US children. Females, Latinx, and possibly Black children have lower rates of diagnosis than their Male and White non-Latinx peers. ADHD is behaviorally defined, and as such, clinicians' perceptions of symptoms and determination of diagnoses may be influenced by demographic factors such as race, ethnicity and sex.

This vignette study examined whether clinicians' implicit ethnic, racial, and sex biases affect diagnosis of ADHD and comorbid conditions. Psychiatry trainees and pediatricians …

Being Black & Blue: Sex As A Moderator Between Adverse Childhood Experiences And Depressive Symptoms Among Black Emerging Adults, Wynta C. Alexander

Dissertations and Theses

Adverse Childhood Experiences (ACEs) have been linked to adult mental health consequences (e.g., depressive symptoms). Black people are disproportionately affected by ACEs, and factors related to ethnic subgroups and/or sex may produce differential depressive outcomes. The current study examined the moderating role of sex in the association between adverse childhood experiences and depression symptoms using a life course of health approach among a sample of Black emerging adults. Participants (n = 159) of the current study were Black (e.g., African – American) and Black Caribbean (e.g., Jamaican) undergraduate students (18 – 59 years old; 72.3% female) attending a large, public …

Joint Laughter Between Patient And Therapist: Exploring The Function Of These Moments And Their Relationship To The Working Alliance In Short-Term Psychotherapy, Molly Rappaport

Dissertations and Theses

Laughter emerges in infancy and reflects mutually aroused and regulated positive affect within the caregiver-infant relationship and repeated cycles of shared, co-regulated positive arousal have been shown to play a critical role in fueling secure attachment bond formation and laying the groundwork for the infant’s capacity for affect regulation (Schore, 2003). Throughout life, laughter continues to function as an attachment behavior with the possibility of promoting interpersonal closeness or creating distance. Attitudes toward the role of laughter in psychotherapy vary among psychodynamically-oriented clinicians and research has mostly focused on the kinds of humor and interventions that provoke laughter rather than …

From Burnout To Occupational Depression: Recent Developments In Research On Job-Related Distress And Occupational Health, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

Job-related distress has been a focal concern in occupational health science. Job-related distress has a well-documented health-damaging and life-threatening character, not to mention its economic cost. In this article, we review recent developments in research on job-related distress and examine ongoing changes in how job-related distress is conceptualized and assessed. By adopting an approach that is theoretically, empirically, and clinically informed, we demonstrate how the construct of burnout and its measures, long favored in research on job-related distress, have proved to be problematic. We underline a new recommendation for addressing job-related distress within the long-established framework of depression research. In …

Who Needs To Be “Burned-Out”? Time For A New Approach To Job-Related Distress, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout is a popular indicator of job-related distress, notably in research on the ill-being of medical professionals. The burnout construct is, however, plagued by definitional and measurement problems. Often unnoticed, these problems undermine findings and conclusions emanating from burnout research. The definitional and measurement problems affecting the burnout construct hamper knowledge growth, waste resources, and impede our ability to make informed decisions and take effective action to support personnel. It is time for occupational health specialists to abandon the idea of burnout and focus on occupational depression.

Advanced Psychopathology, Comfort Asanbe

Open Educational Resources

This syllabus is designed for a graduate course in the study of abnormal psychology, also known in some institutions as Psychopathology. The course is required for new students who are starting their program in clinical mental health counseling (CMHC). The syllabus provides information on required resources for optimal performance in the class. These resources include; electronic DSM-5 book through the CSI library e-resources, digital interactive learning resource (MindTap), instructional movies through Wikipedia, and links to relevant mental health organizations. The resources are mostly open education resources (OER), with a few that are not free (MindTap).

Barriers And Bridges To Intimacy: A Constellation Of Same-Sex Female Couples’ Experiences, Struggles And Strengths, Jenna K. Bennett

Dissertations, Theses, and Capstone Projects

Intimacy is central to romantic relationships, however, this aspect of experience has been largely unstudied in female couples. Further, few studies have looked at how minority stress and internalized homophobia impact these women’s experiences of intimacy. With a sample of 19 women, through self-report measures and a semi-structured interview, experiences of intimacy, the factors that impact intimacy, barriers to intimacy, and how couples bridge these barriers were explored. Quantitative analysis revealed an association between internalized homophobia and relationship satisfaction. Qualitative thematic analysis indicated that this group of women had a robust range of explicit and implicit experiences of intimacy. Further, …

Semantic Network Activation Contributes To The Relationship Between Mood And Inhibition, James S. Maniscalco

Dissertations, Theses, and Capstone Projects

Prior research has identified several relationships between mood and executive functions. Very broadly, these findings generally suggest that positive moods are associated with enhanced cognitive performance, particularly in working memory and learning. However, recent studies note that there are some instances in which negative moods may benefit select executive skills, such as those involved in divided attention and inhibition. In sum, these findings indicate that positive moods favor top-down, heuristic, or relational processing, whereas negative trait moods favor bottom-up, detail-oriented processing. However, a clear mechanism by which these effects occur has yet to be identified.

The most compelling theories that …

The Relationship Of Pathological Narcissism To Empathic Functioning, Antonia M. Mcmaster

Dissertations, Theses, and Capstone Projects

This study examined the relationship of pathological (grandiose and vulnerable) expressions of narcissism to empathic functioning by comparing performance-based and self-report assessments of empathy. Current research suggests that narcissism is related to more impairments in affective than cognitive empathy, and that narcissistic individuals over-report their empathic capabilities overall on self-report measures because empathy is a socially-desirable trait, and they may wish to appear more empathic in order to manage the positive impression of others. Hierarchical regression analyses were conducted in an undergraduate college sample of eighty-nine participants using a cross-sectional study design. It was hypothesized that self-reported pathological (grandiose and …

How Frustration Impacts The Relationship Between Potential For Child Physical Abuse Perpetration And Emotion Processing, Amanda L. Zwilling

Dissertations, Theses, and Capstone Projects

Research conducted over the past 20 years has substantiated the serious, long-lasting impacts of child physical abuse (CPA) has on individuals, families, and society. Research has also suggested several appreciable risk factors for perpetration of CPA. Intergenerational transmission of abuse, described as the personal experience of abuse or neglect during childhood, is prominent in the literature as a predictor of subsequent perpetration of CPA. However, the majority of individuals who experience abuse in childhood do not subsequently engage in perpetration of child abuse as adults. As such, the literature has sought to investigate risk factors that mediate the relationship between …

A Comparison Of Simulated Schizophrenia In Mental Health Experts And Genuine Schizophrenia In Psychiatric Patients, Amanda Rosinski

Dissertations, Theses, and Capstone Projects

Malingering includes the intentional feigning of psychiatric symptoms combined with motivation for external gain (American Psychiatric Association, 2013). Malingering is likely to occur in the justice system in both criminal and civil contexts, as there is increased opportunity for secondary gain in these settings. When individuals successfully malinger, it can be very costly for the United States. For example, if an individual successfully malingers, it can delay their criminal proceedings, allow them to inappropriately use resources associated with psychiatric or medical treatment, allow them to gain access to unneeded medications or financial assistance, or allow them to avoid work (Chafetz …

Youth Bystander Intentions To Intervene In Peer Intimate Partner Violence: The Co-Influence Of Perceived Perpetrator Race And Perceived Culpability, Nana Amoh

Dissertations, Theses, and Capstone Projects

In recent years, bystander intervention programs that focus on addressing violence have notably become more popular and prevalent on college campuses. Bystander intervention programs serve to help college students identify and intervene in emergency situations like intimate partner violence. Despite advances in the bystander intervention literature, there is a dearth of research that has examined bystander intentions to intervene in situations of intimate partner violence among youth who have witnessed violence between peers. This study examined bystander intentions to intervene among young adults who witnessed peer male-to-female physical intimate partner violence and whether intentions to intervene varied depending on perpetrator …

Pilot Study Of The Effects Of Mobile Based Resonant Frequency Breathing On Cognitive Performance In Healthy Young Adults With Elevated Stress, Daniel Saldana

Dissertations, Theses, and Capstone Projects

Objective: Prior research has shown a bidirectional relationship between breathing, emotions, behavior, and cognitive functions thought to be mediated by the autonomic nervous system (ANS). Studies have shown that deep or diaphragmatic breathing interventions are associated with improved affect and decreased stress levels, but little attention has been paid to the effects of breathing training on cognition. The few studies that have looked at this have shown improved attention, memory, and executive functioning as a result of breathing interventions. While suggestive of positive benefits, these studies used control groups that are either inactive or inappropriate for determining their respective mechanisms …

The Effect Of Psilocybin On Personality, Ravital Labua

Dissertations, Theses, and Capstone Projects

As classic psychedelics are increasingly legalized and reintroduced into the psychotherapeutic frame, a deeper understanding of their effect on personality and overall wellbeing - as well as their clinical contraindications and potential pitfalls - will prove essential. As a result, this study represents a preliminary investigation into the effect of psilocybin exposure on a range of personality constructs.

Methods: Data was collected through a collaboration with The Psychedelic Society, an organization that legally administers psilocybin truffles in the Netherlands to self-selecting retreat attendees who have been screened for mental health disorders in accordance with Johnson et al.’s (2008) widely accepted …

Treatment, Diagnostic, Demographic, And Historical Factors Affecting Mental Health Diversion Outcomes, Amanda L. Reed

Dissertations, Theses, and Capstone Projects

The deinstitutionalization movement, which began in the 1950s and culminated in the closure of most psychological institutions by the 1980s, promised to usher in a new era of community mental health (Torrey et al., 2010). While the movement, which began largely due to advances in psychological treatment and the exposure of widespread abuses in asylums, was well-intentioned, it ultimately created new problems for people experiencing mental illness. Many of the programs designed to handle the influx of newly-released patients were never fully funded or well-received (Human Rights Watch, 2003). The criminal justice landscape also changed dramatically around the same time, …

A Randomized Controlled Trial Of Psychological Outcomes Of Mobile Guided Resonant Frequency Breathing In Young Adults With Elevated Stress During The Covid-19 Pandemic, Al Amira Safa Shehab

Dissertations, Theses, and Capstone Projects

Deep breathing practices have shown promise in reducing stress, anxiety, and depression in different populations, including young adults. Specifically, resonant frequency breathing can exert an impact on stress response systems through the vagus nerve and the hypothalamo-pituitary-adrenal (HPA) axis. This may induce reductions in stress and improvement in emotion regulation. Young adults, including college students, tend to be at a higher risk for psychological distress, as they face several psychosocial challenges. The COVID-19 pandemic has imposed new and unique stressors that resulted in higher levels of stress and emotional symptoms and it has been shown that this may have placed …

Childhood Adhd, Impulsivity, And Alcohol-Related Impairment Among Diverse College Students, Mariely Hernandez

Dissertations, Theses, and Capstone Projects

Aims: We examined (1) if students with high childhood ADHD symptoms, and at high risk for alcohol use disorder (AUD) reported greater alcohol-related impairment (ARI) than their low childhood ADHD peers who had comparable rates of alcohol use; and (2) whether alcohol-related problems were more severe for those with high childhood ADHD and high AUD risk when their trait impulsivity was high.

Method: 18-to 25-year-old (N=81), racially/ethnically diverse, college students completed a two-part study. An online survey assessed childhood ADHD symptoms (Wender Utah Rating Scale) and past-year alcohol use (Alcohol Use Disorders Identification Test). Laboratory assessment comprised neuropsychological and self-report …

Stigma Towards Treatment Amongst People With Mental Illness, Haya M. Khan

Student Theses

There is evidence for the persistence of stigma towards people diagnosed with mental illness, as well as that endorsement of stigma is associated with reluctance to seek treatment. However, the process by which self-stigma impacts treatment choice amongst people with mental illness is not well understood. This study examined the impact of self-stigma on one’s decision to take medication or undergo psychotherapy; as well as the impact of stigma on choice of individual or group therapy. Surveys were administered through CloudResearch to 128 participants from the U.S, who reported a disorder diagnosed by a professional. The SSMIS-SF and ISMI-9 estimated …

Disinhibition And Persistent Maladaptive Behavior, Angela T. West

Student Theses

Objective: There is an urgent need to reduce overpopulation in U.S. prisons, which are inundated with individuals needing substance use treatment. Research on both substance use and antisocial behaviors highlight maladaptive beliefs and behaviors, while also implicating disinhibition as an important factor. Disinhibition is a dynamic trait that can be targeted with therapeutic interventions. The current study explored the relationships between neurocognitive disinhibition, substance use, and recidivism among incarcerated men. The study hypothesized that disinhibition would be associated with history of substance use, history of antisocial behavior, and institutional misconduct, as well as predicting recidivism over and above history of …