Clinical Psychology Commons^™

The Effect Of Parent-Child Relationships On Healthcare Utilization Among Children With Chronic Medical Health Concerns, Karina Guerra-Guzman

Theses and Dissertations

Parents of children with chronic health complaints are more likely to utilize healthcare services for their child, and are prone to experiencing increased stress and anxiety related to their child’s compromised health status. As these parents navigate managing their child’s health and integrating parenting behaviors, they are dealt with unique stressors that are likely to impact their parenting styles, anxiety, and use of healthcare services. However, most studies that have examined HCU in the context of parent-child relationships have neglected children with chronic health concerns (CHCs). This study examined the relationship between parenting styles across parents of children with a …

Does What Doesn’T Kill You Make You Stronger? Examining The Effects Of Resilience And Functional Outcomes On Post-Traumatic Growth In Adults With Acquired Disability, Dominique Renee Ghirardi M.S.

Theses and Dissertations

Disabilities acquired in adulthood are often unexpected and disruptive because a loss of functioning can affect one’s ability to maintain employment, pursue their interests, and participate in social activity without assistance or accommodation. This is especially true for those who experience a life-altering injury or develop a chronic health condition between the ages of 18 and 64, as they likely have not planned for the financial and social adjustments that life with a disability involves. However, factors such as post-traumatic growth can reveal the extent to which someone experiences personal growth and improvement in the wake of a traumatic and …

The Relationship Between Parental Trauma History And Perceptions Regarding Their Child’S Healthcare And Utilization Of Healthcare Services, Krishna Patel

Theses and Dissertations

Abstract

TITLE: The Relationship Between Parental Trauma History and Perceptions Regarding Their Child’s Healthcare and Utilization of Healthcare Services

Adverse child events (ACEs) have been associated with a number of physical and mental health problems and have also been linked to increased health care utilization. While parents who have an ACE history may tend to seek healthcare services for themselves, limited studies have examined the impact of their trauma history on seeking healthcare services for their child. Healthcare utilization may also depend on the parents’ level of health anxiety, as well as their anxiety about their child’s health status. This …

A Comparison Of Defensiveness In Mmpi-2-Rf Profiles Of Male Sex Offenders And Child Custody Litigants, Kyla M. Jones

Theses and Dissertations

Clinical evaluations have had a long-standing role in criminal and civil legal proceedings due to the intersection between various legal criteria and aspects of psychological functioning. The Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1943) and its subsequent versions have been among the most commonly utilized and empirically supported measures of personality and psychopathology in assessing forensic populations. One application for which MMPI instruments have been particularly useful is in the evaluation of sex offenders. This is in part due to the tests’ built-in validity scales, as MMPI underreporting scales are found to be effective in assessing sex offenders’ …

Sun Protection Behaviors And Skin Cancer Risk Among Children Of Color, Williana Magloire

Theses and Dissertations

Sun protection is beneficial for children of color as it decreases the risk for sunburns, hyperpigmentation, and most importantly, skin cancer. Invasive melanoma is commonly seen in children of color due to inadequate sun protection. Parental and caregiver modeling of sun protection behaviors may decrease the likelihood of skin cancer among children of color. The American Academy of Pediatrics (AAP, 2011) has suggested that pediatricians adopt the role of informing parents about the benefits of using sun protection products for their young children. They recommended that providers discuss sun protection behaviors with both the parent/child beginning at the age of …

Development Of Optimal Cut Scores For Within-Normal-Limits Mmpi-2-Rf Profiles Of Sex Offenders, Ilona Iikhtman

Theses and Dissertations

Alleged and convicted sex offenders are generally required to undergo forensic evaluations that frequently include a psychological assessment to answer a wide range of psycho-legal questions. A critical component of the psychological assessment of sex offenders is the evaluation of personality and psychopathology. The Minnesota Multiphasic Personality Inventory (MMPI) and its subsequent editions have been the most widely used personality assessment measures in forensic evaluations, including sex offender evaluations, and in research conducted with sex offenders. The previous literature demonstrates that a subgroup of sex offenders often produce test scores reflective of the general population, which is referred to as …

An Examination Of Mmpi-3 Score Patterns Of Sex-Trafficked Women, Edleen De Jesus-Sanchez

Theses and Dissertations

Sex trafficking is a hidden crime that affects many vulnerable groups such as women and children. Prior research has demonstrated that individuals currently or formerly engaged in sex trafficking experience heightened levels of depression, anxiety, posttraumatic stress disorder (PTSD), and other mental health concerns. Most of these studies relied on structured interviews and, to date, no empirical studies have evaluated the psychological difficulties of sex trafficking victims with an empirically valid measure. The Minnesota Multiphasic Personality Inventory-3 (MMPI-3; Ben-Porath & Tellegen, 2020a) is a personality assessment measure widely used to assess sexual abuse survivors, substance abusers, and various inpatient and …

The Effect Of Non-Offending Caregiver Substance Use On Posttraumatic Stress Symptoms In Survivors Of Child Sexual Abuse, Katelynn Robison Jones

Theses and Dissertations

Prevalence rates for child sexual abuse and substance use have often been difficult to determine. The Centers for Disease Control and Prevention (2022) estimated that one in four girls and one in thirteen boys experience childhood sexual abuse (CSA) in the United States. Similarly, the Substance Abuse and Mental Health Services Administration (2021) estimated that 58.7% of individuals over the age of 12 have used a substance in the last month. Despite the identification of both of these experiences as relatively common societal concerns, the impact of parental substance use on children and families has primarily been evaluated in a …

Trauma And Linguistic Markers For Symptom Severity In Prolonged Exposure For Primary Care, As Observed Through The Use Of Narrative Review, Robert Alexander Ryan

Theses and Dissertations

Traditional trauma therapies used in the primary care setting (e.g., hospital, medical clinic, etc.) have posed challenges to patient success because they are not designed for the shorter duration treatment that is typical in primary care settings. One alternative solution is the Prolonged-Exposure for Primary Care protocol (PE-PC) that utilizes prolonged exposure using a brief take home assignment and several journaling prompts that are processed using principles from Cognitive Processing Therapy (CPT). Still in its early stages of development, the PE-PC protocol can provide symptom relief in as little as four, 30-minute sessions and reflects one of the first trauma …

Perceptions Of Quality Of Healthcare Using A Trauma-Informed Care Perspective Among Trauma Survivors, Jane Axelle Komen

Theses and Dissertations

Trauma is an all-too-common occurrence with the potential for several farreaching, deleterious effects both mentally and physically. Several studies have found an association between exposure to trauma and cardiovascular, immune, and musculoskeletal system complications. It has also been linked to chronic pain, cancer, and obesity, in addition to several functional and structural neurological effects. Trauma survivors have also been found to utilize healthcare services at a higher rate than those who have not reported experiencing trauma. Trauma-informed care is a relatively novel concept that has been introduced to increase the sensitivity with which these individuals are treated when attending healthcare …

The Effects Of Introversion And Treatment Delivery Modality On Therapeutic Outcomes In A Community Mental Health Clinic, Maria Olga Consbruck

Theses and Dissertations

Objective: The present study examines the effectiveness of teletherapy services for individuals with varying levels of introversion. This study also investigates the comparability of teletherapy to in-person services provided by clinicians in training. Introduction: Virtual platforms, such as teletherapy, have exponentially increased in use by clinicians and community members due to the Covid 19 pandemic. The pandemic has illuminated surprising secondary benefits of teletherapy. Research has shown that teletherapy results in greater accessibility, feasibility, and acceptability of treatment. Teletherapy platforms can reach remote and rural communities, and better address financial and time barriers. Current research indicates that teletherapy services are …

The Relationship Between Hallucinations And Visuospatial Impairment Among Individuals With Dementia, Ruta Sohoni

Theses and Dissertations

Objective: This study examines the neuropsychological functioning, specifically using the Hooper Visual Organization Test (VOT), to understand the impact of hallucinations on the level of impairment in the visuospatial domain.

Method: Archival data obtained over three years from a total of 73 patients from the Health First Memory Disorder Clinic was used in this study. Participants were included in the study if they endorsed experiencing hallucinations, were given the VOT during their brief neuropsychological evaluation, and were diagnosed with dementia or unspecified neurocognitive disorder. The patient’s electronic medical record was used to retrospectively gather additional details regarding their hallucinations and …

How Well Do Your Family Members Know You? The Relationship Between Informant Report And Cognitive Performance Of Older Adults, Mairy Yousif

Theses and Dissertations

Introduction: Given the clear impact and prevalence of dementia on the aging population, there is a need for greater research and understanding in this area. As the dementia progresses, medical providers rely heavily on caregiver and family member reports of the patient’s functioning and other aspects of their care. Therefore, it is important to know how accurate caregivers and family members are in judging their loved ones’ cognitive and physical strengths and weaknesses. This study aims to expand upon these previous studies by comparing caregiver/collateral reports of cognitive and functional status on the DSRS to neuropsychological tests and an objective …

The Effects Of Neuroticism And Treatment Delivery Modality On Therapeutic Outcomes In A Community Mental Health Training Clinic, Michelle Elizabeth Sibol

Theses and Dissertations

The onset of the novel Coronavirus Disease 2019 (COVID-19) two and a half years prior to this writing resulted in shifts in everyday life, as individuals worldwide were required to shelter-in-place and abide by social distancing guidelines to slow the spread of the disease. This resulted in a marked increase in the utilization of virtual platforms (“teletherapy”) by mental health care providers, including training clinics, to continue providing therapy services to the community at large. Although the pandemic restrictions have lifted, adaptations made during shelter-in-place mandates remain, including provision of services via teletherapy platforms. The pandemic shed light on the …

Headache Disorders And Neurocognitive Performance Pre- And Post-Concussive Injury, Kaci Gorres

Theses and Dissertations

Objective: The aim of this study is to examine the relationship between pre-existing headache disorders, such as headache or migraine, and neurocognitive testing obtained before and after college-athletes sustain a concussion. Method: A total of 1129 NCAA Division II college athletes from Florida Tech were included in the present study. Participants were included in this study if they completed baseline and/or post-trauma neuropsychological evaluations that included the Sports Concussion Assessment Tool – Fifth Edition (SCAT-5) and Immediate Post-Concussion Assessment and Cognitive Tool (ImPACT). Athletes’ headache and/or migraine history was self-reported at baseline and indicated their position in headache history or …

The Influence Of Language On Thematic Apperception Test Assessment Of Defenses In International Spanish-Speaking College Students, Ilenia Perez-Palen

Theses and Dissertations

Cultural influences, including the use of language, have been shown to affect personality development and are also likely to impact personality assessment results. The influence of language is particularly relevant in story-telling measures such as the Thematic Apperception Test (TAT; Morgan & Murray, 1935). The purpose of this study was to analyze TAT narratives delivered in English and Spanish to assess the application of defense mechanisms based on the Defense Mechanism Manual (DMM; Cramer, 1991) among Hispanic international students. No study to date has provided insight into Hispanic individuals’ use of language with the TAT, specifically on scores for the …

Helpful Or Harmful: The Impact Of Shame And Guilt On Concealment In Adulthood Following Childhood Trauma, Xiomara Vanessa Senior

Theses and Dissertations

The current study aimed to examine the moderating role of shame and guilt in the associations between types of childhood maltreatment and levels of self-concealment. Childhood maltreatment has been linked to emotions such as shame and guilt that elicit schemas of self-doubt, incompetence, and failure (Cohen et al., (2011). When an individual internalizes these thoughts and emotions, they may act in maladaptive ways such as avoidance, fear, dissociation, and possible concealment within adulthood (Dorahy & Clearwater, 2012, Smetana et al., 2019). De Seve et al. (2020) recently found that shame proved to be a mediator in the relationship between self-concealment …

An Examination Of Minnesota Multiphasic Personality Inventory-3 (Mmpi-3) Profiles Of International Saudi Arabian College Students, Emily Alyssa Leonard

Theses and Dissertations

Research has shown that culture can contribute to differences in personality and shape the way individuals perceive and function in the world. International students are among those affected by cultural differences as they arrive in a new country and go through a period of adjustment. Saudi Arabian students currently make up a large proportion of international students in the United States. Due to wide-spread prejudiced American beliefs about Middle Easterners, they may be exposed to higher levels of discrimination, which can contribute to adjustment problems and increased levels of distress. As a result, some of these students may seek out …

Examining Executive Dysfunction In Dementia: Vascular Etiology As A Contributor To Greater Impairment, Julianne Szemko

Theses and Dissertations

Objective: The present study examines executive functioning and overall neuropsychological functioning within a memory disorder clinic population with a specific focus on examining performance on the Modified Wisconsin Card Sorting Test (M-WCST) among individuals with and without cerebrovascular disease. Method: This study utilized test data collected between 2018-2022 from the research database at the Health First Memory Disorder Clinic (HFMDC) in Melbourne, Florida. Participants were included if they completed a brief neuropsychological evaluation (BNE) at the HFMDC with the M-WCST, Trail Making Test - Form B (TMT-B), and Color/Word subtest of the Golden Stroop as part of their battery and …

Use Of The Social Cognition And Object Relations Scale-Global To Evaluate The Impact Of Parental Divorce On College Students’ Interpersonal Functioning, Rachel Davenport

Theses and Dissertations

Research has shown parental divorce to have long-term impacts on various domains of children’s interpersonal functioning, extending into young adulthood and beyond. The purpose of this study was to assess the potential impacts of parental divorce in college students using the Social Cognition and Object Relations Scale-Global (SCORS-G) with narratives derived from the Thematic Apperception Test (TAT). SCORS-G variables of interest included composite, factor, and dimension scores. Two additional measures of rejection sensitivity, which has been shown to be impacted by parental divorce, and perceived social support, which may mitigate maladaptive outcomes in interpersonal functioning, were also examined. The primary …

What's Hope Got To Do With It? The Role Of Hope In Sexual Abuse Treatment, Marian Kay Amundsen

Theses and Dissertations

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment approach for children suffering from trauma-related symptoms (; Cohen et al., 2018 Cohen et al., 2022; de Arellano et al., 2014; Slalom et al., 2022). Throughout treatment, the primary focus is to reduce the negative symptoms after experiencing a traumatic life event (Child Welfare Information Gateway, 2012). The role of hope in the aftermath of trauma survivors has been supported as a strength contributing to the well-being of the individual (Munoz et al., 2020). However, research has not yet examined the role of hope as a predictor of completing trauma-focused treatment. …

The Role Of Internalized Homophobia On Conflict Resolution In Same-Sex Couples, Micaela Dawn Magee

Theses and Dissertations

A majority of LGBTQ+ members experience sexual minority stress on a near daily basis (Sue et al., 2007). These stressors may foster higher rates of internalized shame towards one’s sexual orientation, commonly known as internalized homophobia (Frost & Meyer, 2009; Khaddouma et al., 2015; Meyer, 2013). Internalized homophobia has been found to negatively impact both mental health outcomes and relationship satisfaction in same-sex couples (Frost & Meyer, 2009; Totenhagen et al., 2018). Higher rates of internalized shame about one’s sexuality may in turn increase relational conflict (Frost & Meyer, 2009; Mohr & Fassinger, 2006). Despite the growing amount of research …

Comparison Of The Gad-7 And Impact Symptom Cluster Scores In Measuring Anxiety Among College Athletes, Robert Steven Cruz

Theses and Dissertations

Assessing the needs of mental health among college athletes is important given the prevalence rates, stigma, and complications that may arise after experiencing a concussion. Utilizing the General Anxiety Disorder- 7 (GAD-7) as an independent measure of anxiety at concussion baseline evaluation was explored among Division II collegiate athletes (n=568), which also included the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) symptom clusters. ImPACT symptom clusters can be divided into four cluster (affective, cognitive, physical/somatic, and sleep) encompassing a 22-item self-report questionnaire. Simple linear regressions revealed that GAD-7 total score was significantly predicted by all four ImPACT symptom clusters. The …

Impact Of Covid-19 Pandemic On Women Interpersonal Violence Survivors, Melissa Fernandez

Theses and Dissertations

Women have a significant risk of experiencing interpersonal violence over the course of their lifetime. There has been some suggestion that this risk has been exacerbated by the isolation experienced during the COVID-19 pandemic. The proposed study will evaluate levels of stress associated with interpersonal violence during the COVID-19 pandemic. Depression, coronavirus anxiety, Posttraumatic symptoms, and COVID-19 stress levels will be evaluated. It is hypothesized that participants who experienced interpersonal violence (childhood abuse, physical assault, unwanted sexual experiences, and/or intimate partner violence) will endorse higher levels of COVID-19 stress, Posttraumatic symptoms, depression. These outcomes would be mediated by experiential avoidance. …

Combined Effects Of Depression And Sport-Related Concussion On Neuropsychological Test Performance, Morgan Amanda Davies

Theses and Dissertations

The goal of this study was to gain a deeper understanding of the ways in which the combination of depression and sport-related concussion (SRC) impact cognitive functioning and recovery time. Neuropsychological test-score differences between concussed athletes with and without pre-existing or post-concussive depression were examined. Participants included 2238 collegiate athletes who completed baseline testing between 2015 and 2019. Of those participants, 152 sustained concussions and were further investigated. The Patient Health Questionnaire (PHQ-9) was used to screen for depression at both baseline and post-concussion. Total scores of 5 or greater on the PHQ-9 resulted in classification as depressed. Cognitive functioning …

Differences In List Learning Performance On The Moca Wordlist And Shepherd Verbal Learning Test In Cognitively Normal, Mci, And Ad Individuals, Gabrielle Montgomery Gavitt

Theses and Dissertations

Title: Differences in List Learning Performance on the MoCA wordlist and Shepherd Verbal Learning Test in Cognitively Normal, MCI, and AD Individuals Author: Gabrielle Montgomery Gavitt, M.S. Major Advisor: Anthony LoGalbo, Ph.D. Objective: The present study examines performance on the MoCA wordlist and SVLT wordlist and their association with the outcomes of healthy, MCI, and AD in a memory disorder clinic sample and community sample. Method: Archival data form 125 Health First Memory Disorder Clinic patients was utilized. Data from a community sample of geriatric individuals was also utilized. Participants were included if they were administered both the MoCA and …

Marital Satisfaction, Parental Stress, & Perceived Social Support Of Mothers Of Children With Autism Spectrum Disorders, Miriam Khiari Millan

Theses and Dissertations

The present study investigated the effects of both formal and informal social supports on mothers of children with autism spectrum disorder’s marital satisfaction and parental stress. To our knowledge, no other study has examined the relationship between various formal support types and marital satisfaction. This study aimed to fill this gap by examining the effects of both formal and informal social supports on mothers of children with ASD’s marital satisfaction and maternal stress. A sample of 151 mothers of children with ASD completed the online survey, assessing their use of formal and informal supports, their perceived effectiveness of said social …

Impact Of The Covid-19 Pandemic On Psychological Stress And Academic Motivation On Psychology Graduate Students, Symone Kierra Calhoun

Theses and Dissertations

Graduate students experience significant amounts of psychological stress in terms of academic and professional settings. In addition, academic performance can fluctuate depending on the circumstance. The COVID-19 pandemic caused significant challenges for mental health, academic motivation, substance use, and other related domains. However, the research specific to psychology graduate students and the impact of COVID-19 is limited, specifically related to performance. Therefore, the current study examined the relationship between the pandemic and its impact on psychology graduate students' psychological health related to depression, anxiety, stress, and experiential avoidance. In addition, the study examined academic motivation related to degree specific requirements …

Effects Of Cumulative Trauma, Discrimination, And Racial Trauma Among African Americans, Brittany Renee Clayton

Theses and Dissertations

In the current study, we examined the impact of cumulative trauma, racial trauma, and everyday discrimination experiences within the African American community on psychological outcomes. One hundred and nineteen participants completed a series of self-report measures that analyzed their experiences of lifetime stressors, racial trauma, frequency of everyday discrimination, current posttraumatic stress disorder, depressive symptoms, and experiential avoidance levels. It was hypothesized that increased exposure to lifetime stressors, racial trauma events or experiences, and everyday discrimination would be associated with increased psychological distress. Correlations were conducted to identify and examine these relationships. This hypothesis was supported for lifetime stressor exposure …

Health Risk-Related Outcomes Associated With Academic Burnout And Engagement, Madeline Blair Trahan

Theses and Dissertations

Research has demonstrated a connection between burnout and self-rated health and health risk behaviors, specifically substance use, mental health problems, low physical activity, and sleep difficulties. However, studies have focused primarily on job-related burnout, rather than academic burnout. Additionally, engagement (the conceptual opposite of burnout) has not been well examined in relation to behavioral health outcomes. The goal of this study was to examine the association between both academic burnout and engagement concurrently to health-risk behaviors, perceived health status, and perceived academic stress among college students. Participants were recruited through requests to professors and/or social media. Students were asked to …