Clinical Psychology Commons^™

Investigating The Impact Of Affect In Suicide-Specific Attentional Biases, Beverlin Rosario-Williams

Dissertations, Theses, and Capstone Projects

Objective: Biased processing of suicide-related information has been implicated in risk of future suicidal thoughts and behaviors. Although previous studies have classified this biased processing, the tasks used to examine these biases cannot definitely specify which attentional processes are related to risk for suicidal thoughts and behaviors. Therefore, via two independent studies, this dissertation sought to distinguish suicide-specific attentional engagement and disengagement biases from other forms of cognitive processing, such as accessibility of suicide-related stimuli and threat bias toward and away from socially threatening stimuli. Additionally, this dissertation investigated under which affective conditions suicide-specific engagement and disengagement biases emerged. …

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

Dissertations, Theses, and Capstone Projects

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

Association Of Autistic Traits And Psychiatric Symptoms In Children With A Fragile X Premutation Allele: The Neurodevelopmental Profile, Ariel Zucker

Dissertations, Theses, and Capstone Projects

Throughout the lifespan, approximately 14% of males and 5% of females with a fragile X premutation (PM) (defined as 55-200 CGG repeats on the X-linked FMR1 gene) are diagnosed with Autism Spectrum Disorder (ASD). For individuals that do not meet diagnostic criteria for ASD, autistic traits (ATs) are often present in this population and have been shown to have a subtle and sub-clinical presentation of social communication and interaction deficits. While less is known about the phenotype of children with a PM, studies have found increased rates of ASD and ATs in adults with a PM allele compared to controls. …

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

Dissertations, Theses, and Capstone Projects

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

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

Dissertations, Theses, and Capstone Projects

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

Computerized Cognitive Training In The Treatment Of Depression: Individual Differences And Perceptions Of Cct, Sophie Schiff

Dissertations, Theses, and Capstone Projects

Major Depressive Disorder is a serious mental health disorder that affects 8% of adults in the United States. Adults aged 18-29 are at an elevated risk with a prevalence of 12%. Depression is most often characterized by mood symptoms, however, individuals with depression often also present with cognitive weaknesses on objective neuropsychological measures across several domains. These deficits are not only associated with mood symptoms, but significantly interfere with treatment and have been found to persist even with successful treatment of affective symptoms. Research into interventions directly targeting cognition has increased in recent years. While traditional first-line treatments for depression, …

Enhancing The Accuracy Of The Mild Cognitive Impairment Diagnosis In Community-Based, Racially/Ethnically Diverse Older Adults, Katherine H. Chang

Dissertations, Theses, and Capstone Projects

Mild cognitive impairment (MCI) is thought to represent an intermediate stage of cognitive impairment that is often, but not always, a transitional phase between normal aging and dementia. Diagnostic criteria for “MCI” and international consensus criteria have been developed and refined over decades beginning in the 1990s, but the definition is still debated. Moreover, the operationalization and measurement of one of the criteria for MCI (i.e., subjective cognitive concerns, SCC), which is included in most classification approaches, is highly variable and there is great inconsistency across the literature. Some research efforts even support the removal of this criterion on the …

The Effect Of Working Memory Performance Under Stress On The Relationship Between Trauma History, Ptsd Symptoms, And Intimate Partner Violence, Gabriella Robinson

Dissertations, Theses, and Capstone Projects

Background: Over 12 million people annually experience intimate partner violence (IPV) in the United States. Emerging adulthood has the highest rates of IPV across the lifespan. While many theories attempt to explain why IPV rates are markedly increased during this age period, researchers call for more empirical studies to understand processes occurring during this period that result in increased IPV perpetration. Of the studies that assess IPV perpetration, samples generally consisted of male batterers that perpetrated severe IPV. Trauma history and PTSD symptoms have been seen as risk factors for IPV perpetration. Cognitive risk factors for IPV perpetration, such as …

Intimate Partner Violence And Negotiation During Covid-19: Stressors, Resources, And Perception, Victoria P. Diamond

Dissertations, Theses, and Capstone Projects

Intimate partner violence (IPV) is a serious public health concern that affects millions across the globe. The COVID-19 pandemic created unforeseen stress, and necessitated safety policies that required social isolation, often extended exposure to one’s intimate partner, and an inability to access stress-reduction resources. These factors, along with many others, lead to an abrupt increase in IPV in many couples. Using the couple-adapted family stress model (ABCX), the current study examines both previously defined (e.g., emotional dysregulation, stress, unemployment, communication issues) and COVID-19 specific risk (e.g., quarantine, unprecedented social isolation, fear of contracting COVID-19) and protective factors (e.g., meaning in …

Brain Injury And Psychosocial Trauma: Outcomes Among Justice-Involved Individuals, Mahathi D. Kosuri

Dissertations, Theses, and Capstone Projects

Justice-involved individuals experience disproportionately high rates of both traumatic brain injuries (TBI) and psychosocial traumas. However, these traumas have yet to be conceptualized together, leaving a chasm of research on how they interact and influence this population. The current study was the first to measure the effects of TBIs as well as psychosocial trauma among justice-involved men, within the context of executive functioning, history of justice involvement, and recidivism. A sample of men (N=95) from a private correctional facility were given the Ohio State University Traumatic Brain Injury Questionnaire (OSU-TBI-ID), the Lifetime Stressor Checklist- Revised (LSC-R), along with …

Resting-State Eeg Microstate Features For Major Depressive Disorder Classification, George M. V. Quinn

Dissertations, Theses, and Capstone Projects

Neuroimaging studies have revealed consistent abnormalities in functional connectivity within specific neural networks that may serve as biomarkers for major depressive disorder (MDD). It is important to find inexpensive, non-invasive techniques that target these biomarkers to make diagnosis easier and more objective. EEG microstates are quasi-stable potential topographies that are thought to reflect the quasi-stable network activity of the underlying neural generators. MDD has been shown to alter features of the four canonical EEG microstates (A, B, C, D) with some conflicting results. The most consistent network abnormalities in MDD are found in the anterior default mode network, and this …

Original Vs. Simplified Miranda Rights: The Impact On Miranda Rights Comprehension And Subsequent Waiver Decisions, Sydney Baker

Dissertations, Theses, and Capstone Projects

Youths’ developmental immaturity negatively impacts their ability to meaningfully understand and appreciate their Miranda rights, raising questions about the validity of their waiver decisions. Moreover, most Miranda warnings are long, written at advanced reading levels, and contain complex sentence structure and vocabulary, which further hinders comprehension. In response, several jurisdictions have begun to use developmentally informed Miranda warnings for youth. However, research has yet to determine whether this improves youths’ ability to make informed Miranda waiver decisions. As such, the current research study explored whether simplified Miranda warnings increased youths’ comprehension of their rights, whether Miranda comprehension was related to …

Relationship Interventions For Autistic Children And Their Non-Autistic Siblings, Susan Vanessa Mchugh

Dissertations, Theses, and Capstone Projects

Relationships between children with autism and their non-autistic siblings are often characterized by great warmth, empathy, and affection. However, because of core deficits in social-emotional reciprocity, autistic children and their siblings often experience difficulties with communication, play, and associated mental health problems. Interventions aimed at improving relationships in these sibling dyads historically have involved teaching non-autistic children to behave similarly to interventionists for autistic siblings, and support groups for children with broad chronic illnesses. More recent interventions have shifted focus to improvement of play between siblings, and support groups for siblings of children with autism spectrum disorder. Some are naturalistic …

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

Dissertations, Theses, and Capstone Projects

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

Mental Health Stigma Related To Depression And Suicidal Behavior In Korean-Americans, Soo Min Kim

Student Theses

Despite the surge of the Korean population within the United States, the Korean-American population is significantly underrepresented in research when observed separately from other Asian groups. The Republic of Korea has had the highest suicide rate within the OECD nations for well over a decade (Organization of Economic Cooperation and Development), and evidence suggests that the risk of suicidality may extend to Koreans living abroad (Kung, 2018). There is also evidence of high prevalence of depressive symptoms in Korean-Americans (Bernstein et al., 2011). In addition, Koreans are consistently demonstrated to hold stigmatizing beliefs about mental illness, however, very little research …

An Investigation Of Continued Contact Between Victim And Perpetrator After Sexual Violence, Maria Bates

Student Theses

Given the prevalence of sexual violence and child sexual abuse (CSA) it is imperative to accurately conceptualize victim experience following sexual violence. Rape myths do not provide an adequate understanding of victim behavior post-abuse/assault (e.g., Denne et al., 2013; Harsey & Freed, 2023; Romero-Sanchez et al., 2018; Russel & Hand, 2017), such as prescribing that victims of sexual violence would never hold contact with a perpetrator post-abuse/assault (e.g., Maurer, 2015; Shepp et al., 2019; St. George et al., 2022; Smith, 2023). Since research shows that many victims, particularly CSA victims, know the perpetrator, (e.g., Basile, 2020; Gewirtz-Meydan & Finkelhor, 2020; …

Family Fragments: Pressure And Proximity In First-Episode Psychosis, Cassandra B. Seltman

Dissertations, Theses, and Capstone Projects

This study explores the value of assuming a position that decenters the identified patient in families with a member with schizophrenia. Instead, a systemic view of the family is taken, as subject to pressures from without and within, and utilizing observable processes for the management and discharge of tension. It attempts the difficult balance of thinking dynamically without sacrificing scientific rigor, considering the social without discounting the biological, and exploring the functionality of the family without collapsing into blame, reductive cause-and-effect thinking, and the search to prioritize one true origin.

When treating family members as discrete units around an identified …

Implementing The Reconsolidation Paradigm In Treating Misophonia, Angel Prats

Theses and Dissertations

Misophonic patients experience extreme sense of disgust when exposed to acoustic and/or visual triggers. In this longitudinal study, the reconsolidation paradigm was applied to treat 25 patients during a month. The findings reveal that reminders in a control setting did not improve maladaptive memories, but counterconditioning update ameliorated symptoms.

Suicidal Ideation Among Survivors Of Childhood Sexual Abuse: The Role Of Shame And Sexual Grooming, Aysegul Yucel

Student Theses

Childhood Sexual Abuse (CSA) is a global public health issue, with 25% of girls and 5% of boys in the U.S. reporting abuse before the age of 18. While CSA is known to increase the risk of suicidal ideation in later life, the additional psychosocial factors involved are understudied. This study investigates the impact of abuse-related shame and sexual grooming on suicidal ideation in adults with CSA histories. Data from 118 undergraduate students were analyzed using binomial logistic regression and the PROCESS macro to explore direct and indirect effects. Results show that abuse-related shame significantly predicts suicidal ideation and mediates …

A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

This study examined the psychometric and structural properties of the Polish and Ukrainian versions of the Occupational Depression Inventory (ODI). We relied on two samples of Polish employees (NSample1 = 526, 47% female; NSample2 = 164, 64% female) and one sample of Ukrainian employees (NSample3 = 372, 73% female). In all samples, the ODI exhibited essential unidimensionality and high total-score reliability (e.g., McDonald’s omegas > 0.90). The homogeneity of the scale was strong (e.g., 0.59 ≤ scale-level Hs ≤ 0.68). The ODI’s total scores thus accurately ranked individuals on a latent occupational depression continuum. We found evidence of complete measurement invariance …

Motherhood In Crisis: A Qualitative Study Of First-Time Mothers Diagnosed With Breast Cancer, Tamzin M. Baker

Dissertations and Theses

The aim of this study is to explore the psychological impact of pregnancy-associated breast cancer (PABC) on a first-time mother’s identity. What effects does life-threatening illness have on the development of maternal identity and connection? This question was explored with a sample of six mothers via semi-structured interview and self-report measure with the aim to shed light on a scarcely studied phenomenon that is predicted to affect a greater number of mothers in the future. These research questions were explored through Interpretive Phenomenological Analysis (IPA) (Smith et al., 2009) resulting in group experiential themes and three theoretical constructs: (1) a …

A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Serhii Lytvyn, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

This study examined the psychometric and structural properties of the Polish and Ukrainian versions of the Occupational Depression Inventory (ODI). We relied on two samples of Polish employees (NSample1 = 526, 47% female; NSample2 = 164, 64% female) and one sample of Ukrainian employees (NSample3 = 372, 73% female). In all samples, the ODI exhibited essential unidimensionality and high total-score reliability (e.g., McDonald’s omegas > 0.90). The homogeneity of the scale was strong (e.g., 0.59 ≤ scale-level Hs ≤ 0.68). The ODI’s total scores thus accurately ranked individuals on a latent occupational depression continuum. We found evidence of complete measurement invariance …

Identity-Focused Therapist Self-Disclosure In Matched Sexual/Gender Minority Dyads: A Longitudinal Therapy Process-Outcome Study, Brian Thomas Neff

Dissertations and Theses

Therapist self-disclosure (TSD) is a controversial clinical intervention whose benefits and drawbacks remain contested. Notably, no prior research has differentiated explicitly between self-disclosures related to the therapist’s core identities and those peripheral to identity, and qualitative studies suggest that identity-focused therapist self-disclosure (TSD-I) may be beneficial when therapist and patient share at least one marginalized identity. LGBTQ+ people, who experience significant health disparities and utilize psychotherapy more than their heterosexual and cisgender counterparts, could benefit particularly from TSD-I. The mental and physical health challenges facing LGBTQ+ individuals are predominantly explained through minority stress theory, which suggests that societal prejudice and …

Policing With A Double-Edged Sword: The Associations Between Neighborhood Deprivation, Coping & Substance Use Among Black & Latiné Families, Neil M. Allicock

Dissertations and Theses

The COVID-19 pandemic has exacerbated systemic racial inequities among Black and Latiné communities, increasing daily stressors such as exposure to violence, racial discrimination, and negative perceptions of the police. Social constraints from quarantining and social distancing have weakened community relationships that previously provided relief from these stressors. Persistent poverty and racial discrimination further strain community ties and challenge the well-being of marginalized communities. Negative experiences with the police are unique stressors for Black and Latiné youth, potentially increasing their risk for substance use. The erosion of community ties may heighten psychological stress and lead to less adaptive coping methods, such …

Mentalized Affectivity And Its Role In Acculturative Adjustment And Well-Being, Bassem Barada

Dissertations and Theses

Immigration is a phenomenon that occurs on a global scale and continues to grow in prevalence to our present day. Therefore, acculturation remains an essential area of interest for the mental health field. Specifically, assessment of identification with either one’s ethnic culture or the dominant culture remains a robust way to capture acculturative adjustment (Chance, 2015). More recently, emotion regulation has emerged as an important construct in understanding wellbeing. Mentalized affectivity (MA) is an insight-based regulatory process that highlights the importance of understanding current emotional distress in the context of one’s past history (Jurist, 2005). The three dimensions of emotion …

Belonging In The Psychic Nowhere: Racial Trauma, Racial Melancholia And Related Mental Health Outcomes Amongst South Asian Immigrants In The Us, Anusha M. Kumar

Dissertations and Theses

South Asian immigrants have experienced a nuanced immigration history in the US while straddling the Black-White racial binary. Despite their growing presence, research on South Asian mental health is relatively limited and often subsumed under the broader category of "Asian Americans," which obscures unique experiences due to the model minority myth and leads to a paucity of targeted studies, particularly in the U.S. Mental health outcomes, specifically depression, self-harm and disordered eating behaviors are prevalent within this community, and are exacerbated after large-scale sociopolitical events due to increased discrimination. Limited studies examine the intersection of racism and mental health outcomes …

Making Sense Of The Space Between: A Qualitative Study Of Therapist’S Experience And Use Of Therapeutic Enactments, Paul Ballantyne Lafreniere

Dissertations and Theses

This study sought to examine a particular category of technical challenge in therapy: enactments. Enactments, broadly defined, are moments or stretches of time in therapy where both the patient and therapist cannot put their conflicts into words, and instead act them out within the therapeutic milieu. These phenomena frequently elicit shame and guilt on the part of the therapist, and can prove detrimental to treatment. Equally, however, investigation of these moments within treatment can be of considerable clinical utility. In this qualitative phenomenological study, 6 therapists were interviewed about their experiences working with enactments in clinical practice. The strategies which …

The Menstrual Cycle In Psychotherapy: Interventions, Therapist Engagement, And Blind Spots, Rozita Alaluf

Dissertations and Theses

There is a dearth of literature on psychotherapy and menstruation, except for the treatment and diagnosis of issues associated with premenstrual distress. This study aimed to bridge this gap by investigating the frequency and context of discussions about the menstrual cycle, the factors influencing therapists’ engagement with this topic, and the therapeutic approaches utilized to address the menstrual cycle within psychotherapy.

In phase 1, 118 psychotherapists from various theoretical backgrounds completed a survey on menstruation in clinical practice. The data was analyzed using descriptive statistics. In phase 2, semi-structured interviews were conducted with 7 psychotherapists, primarily identifying their theoretical orientation …

Social Determinants Of Psychosis: An Examination Of Loneliness, Stress, Discrimination, And Neighborhood Cohesion In Psychotic Disorders, Alexandria Selloni

Dissertations and Theses

This study examined social determinants in individuals diagnosed with psychotic disorders in a large, diverse, sample from the NIH-sponsored All of Us Research Program. Participants completed self-report measures of loneliness, perceived stress, everyday discrimination, and neighborhood social cohesion. Analyses showed that individuals with a diagnosis of a psychotic disorder experience significantly more feelings of loneliness, stress, everyday discrimination, and poorer neighborhood social cohesion compared to individuals without any diagnosis of a mental disorder as well as compared to individuals who may have other mental disorders other than psychosis. We further examined racial difference among individuals with psychotic disorders and found …

Divorce As A Growth Process: Marital Separation And Separation-Individuation In Adulthood, Anna Egleson

Dissertations and Theses

Research has focused on the negative effects that divorce has on divorcees, on children of divorced parents, and on society. Research has also shown however that many individuals who go through a divorce emerge happier, more content and satisfied with their choice, even though the process was a painful one. Despite this evidence, there is a gap in the research looking at positive, and growth-related experiences of those who have recently gone through a divorce. Theoretical arguments and clinical observations provide a foundation to support the idea that there is a relationship between separation-individuation in adulthood and the internal shifts …