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Full-Text Articles in Clinical Psychology

Chronic Disease And Its Relationship With Elder Mistreatment, Ryan Wong Oct 2020

Chronic Disease And Its Relationship With Elder Mistreatment, Ryan Wong

Loma Linda University Electronic Theses, Dissertations & Projects

The relationship between chronic disease and elder mistreatment was investigated using a meta-analytic approach, where 48 studies were utilized for the random effects analysis of 178 effect size data. Twelve risk markers were combined into four categories: endocrine disease, heart disease, neurological disease, and other chronic diseases for comparative analysis of elder mistreatment. Neurological disease (OR = 1.51) was found to have a significantly stronger association with elder mistreatment when compared to the heart disease category (OR = 1.17) and the other chronic disease category (OR = 1.26). When specifically investigating emotional abuse, there was a significantly stronger association with …


Program Evaluation On The Kids First Program, Katherine E. Yamauchi Sep 2020

Program Evaluation On The Kids First Program, Katherine E. Yamauchi

Loma Linda University Electronic Theses, Dissertations & Projects

This study is a program evaluation of the Kids First program, an eight-week psychoeducation program, on parents and children who have experienced a divorce and/or separation. This study was conducted to assess the usefulness of specific program interventions as it relates to parental insight, co-parenting, and child adjustment. A descriptive analysis was conducted to examine results of the evaluations. Results indicated over 85% of the sample rated program satisfaction as moderately or very valuable, suggesting parents gained some knowledge and saw value in the program. Results also endorsed 95% of parents moderately or highly valued the effectiveness of the program’s …


The Development Of A Therapeutic Alliance Focused Intervention, Amanda L. Mendez Sep 2020

The Development Of A Therapeutic Alliance Focused Intervention, Amanda L. Mendez

Loma Linda University Electronic Theses, Dissertations & Projects

The therapeutic working alliance is defined as the collaborative relationship between the therapist and the patient. This relationship largely determines whether the patient experiences therapy as helpful or unhelpful in reaching their agreed upon goals. The relationship between the therapeutic alliance and psychotherapy outcome has been well documented in the literature. The therapeutic alliance is considered a “main curative component” in the interpersonal process of therapy, and is the foundation necessary for successful therapy outcomes across various orientations of psychotherapy. Still, far less research has examined the relationship between specific therapist personality characteristics and the quality of the therapeutic alliance. …


Stage 2 Outpatient Adolescent Recovery (Soar) Program Family Therapy Manual, Sarah Yelim Nam An Sep 2020

Stage 2 Outpatient Adolescent Recovery (Soar) Program Family Therapy Manual, Sarah Yelim Nam An

Loma Linda University Electronic Theses, Dissertations & Projects

Rising suicide rates among adolescents is a serious public health concern. The frequency of self-injurious thoughts and behaviors drastically increases in the transition from childhood to adolescence (Nock et al., 2008; Nock et al., 2013). Suicide was the third highest cause of death between 1999-2006 for adolescents between the ages of 12 and 19, following unintentional deaths and homicide (Miniño, 2010). Despite the growing problem of adolescent suicide, treatments that meet Level One criteria, the highest level of research support for therapy as defined by the American Psychological Association (APA, 2006), are lacking. Dialectical Behavioral Therapy for Adolescents (DBT-A), a …


The Effects Of A Polyphenol-Rich Diet In A Fruit-Fly Model Of Traumatic Brain Injury, Alexandra D. Trofimova Sep 2020

The Effects Of A Polyphenol-Rich Diet In A Fruit-Fly Model Of Traumatic Brain Injury, Alexandra D. Trofimova

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) is a leading cause of death in the United States. Inflammation and oxidative stress activated by the TBI can lead to systemic inflammation. Gastrointestinal complications are common secondary injuries to TBI and are associated with elevated levels of common pro-inflammatory cytokines and oxidative stress found across the body. Intestinal permeability after TBI has also been established in the fruit fly, Drosophila melanogaster. Pomegranate polyphenols have strong anti-inflammatory properties that may reduce brain and intestinal inflammation and improve functioning after TBI. This study examined the protective effects of pomegranate polyphenol supplementation in a Drosophila model of TBI. …


Soar (Stage 2 Outpatient Adolescent Recovery) Clinical Interview Manual, Aniel Ponce Sep 2020

Soar (Stage 2 Outpatient Adolescent Recovery) Clinical Interview Manual, Aniel Ponce

Loma Linda University Electronic Theses, Dissertations & Projects

The SOAR (Stage 2 Outpatient Adolescent Recovery) initial interview treatment manual was developed at Loma Linda Behavioral Health Institute (BHI) to assess adolescent participants enrolled in a Dialectical Behavioral Therapy for Adolescents (DBT-A) Program and appropriately place them in a treatment group that would meet their mental health needs effectively. The interview manual was developed to address concerns regarding readiness of individuals enrolled in a Stage 1 DBT-A program in progressing into Stage 2 of treatment. In this interview manual, a clinical intake interview and four assessment measures are used to inform group placement in either the Refine and Improve …


Religious Doubt As A Mediator Of The Relationship Between Religious Identity And Well-Being, Jedd P. Alejandro Jul 2020

Religious Doubt As A Mediator Of The Relationship Between Religious Identity And Well-Being, Jedd P. Alejandro

Loma Linda University Electronic Theses, Dissertations & Projects

The successful development of an identity is related to greater well-being (Beyers & Luyckx, 2016; Crocetti, 2017; Kroger & Marcia, 2011; Luyckx et al., 2013; Ritchie et al., 2013). Identity development is likely influenced by religious doubt associated with conflicts or contradictions between religion and other domains, such as science (Cook, Kimball, Leonard, & Boyatzis, 2014; Puffer et al., 2008; Ritchie et al., 2013). The aim of the current study was to examine religious doubt as a mediator of the relationship between identity and well-being among emerging adults. Participants (N = 122) included undergraduate students who identified as Christian. Participants …


Mediators Of The Relationship Between Mindfulness And E-Cigarette Use, Denise Dao Tran Jun 2020

Mediators Of The Relationship Between Mindfulness And E-Cigarette Use, Denise Dao Tran

Loma Linda University Electronic Theses, Dissertations & Projects

E-cigarettes have increased in popularity and production over the years. Although many individuals believe that e-cigarettes are safe for use, there is increasing evidence that e-cigarette use is associated with negative health consequences. Mindfulness is negatively associated with substance use including traditional cigarette smoking. Although there is limited research on the relationship between mindfulness and e-cigarette use, research on the relationship between mindfulness and traditional cigarette smoking may serve as a guide for e-cigarette use research. The objective of the present study is to test whether mindfulness is a protective factor against e-cigarette use through its effect on variables that …


An Examination Of The Neural Basis Of Self-Reflectivity In Schizophrenia, Britan M. Heavrin May 2020

An Examination Of The Neural Basis Of Self-Reflectivity In Schizophrenia, Britan M. Heavrin

Loma Linda University Electronic Theses, Dissertations & Projects

Metacognition is a term that refers to the act of thinking about thinking. The self-reflective aspect of metacognition specifically, has been shown to be impaired in patients diagnosed with schizophrenia. The Default Mode Network (DMN) is a set of cortical regions that demonstrate coordinated activation during the resting state of the brain. The DMN has been linked with various aspects of self-awareness and has been hypothesized as a possible source of dysfunction in patients diagnosed with schizophrenia. The current study bridged these findings by using electrophysiological measures to investigate the neural basis of self-reflectivity in a psychiatric group. A Repeated …


Adverse Childhood Experiences And Depressive Symptoms: Protective Effects Of Dietary Flavonoids, Alison Tan Mar 2020

Adverse Childhood Experiences And Depressive Symptoms: Protective Effects Of Dietary Flavonoids, Alison Tan

Loma Linda University Electronic Theses, Dissertations & Projects

The Adverse Childhood Experiences (ACEs) researchers report that childhood adversity is relatively common, often co-occurs with multiple types of exposures, and has a dose-response relationship to many leading causes of morbidity and mortality in the U.S. Prolonged exposure to stress during early brain development can lead to inflammation and oxidative stress that disrupts brain functioning associated with depressive symptoms. Flavonoids may protect the brain through anti-inflammatory, antioxidant, and additional mechanisms to assist in the survival, maintenance, and growth of neurons. Thus, flavonoids may buffer depressive symptoms after ACEs exposure. In the current longitudinal study, we will examine the relationship between …


Nonsexual Boundary Crossings In Psychotherapy: Factors In Ethical Decision-Making, Katherine S. H. Wu Mar 2020

Nonsexual Boundary Crossings In Psychotherapy: Factors In Ethical Decision-Making, Katherine S. H. Wu

Loma Linda University Electronic Theses, Dissertations & Projects

Seminal ethics studies in psychology have evidenced significant variance among practitioners in their ethical attitudes toward and engagement in various nonsexual boundary crossings; they have also identified therapist and client factors that account for some of that variance (Borys & Pope, 1989; Pope, Tabachnick, & Keith-Spiegel, 1987). Boundary crossings, as defined by Gutheil and Gabbard (1993), are deviations from common clinical practices that are not necessarily unethical. Examples of traditional crossings include nonsexual touch and nonsexual multiple relationships. This study was designed to update the literature regarding nonsexual boundary crossings in light of contemporary study designs and demographic categories, significant …