Clinical Psychology Commons^™

Noncontingent Parental Attention Leads To Independent Play And Is Preferred By Toddlers Over Screen Time, Kristen Newell

LSU Doctoral Dissertations

Caregivers often rely on screen media to occupy young children during periods when caregiver attention is unavailable, despite evidence linking early screen exposure to adverse developmental outcomes. An alternative approach is to provide high-quality, noncontingent attention (NCA) during play prior to independent activity. Although NCA reduces attention-maintained challenging behavior, the optimal duration of NCA and children’s preference for caregiver interaction relative to screen time remain unclear. This study evaluated the effects of varying durations of caregiver-delivered NCA on young children’s independent play, attention-seeking behavior, and preference for NCA compared to screen time. Three caregiver–child dyads participated in a multielement design …

Comparing The Effects Of Suicide Stigma Reduction Interventions On Adult Help-Seeking Intentions: An Experimental Investigation, Max Stivers

LSU Master's Theses

With relatively few individuals who experience suicidal thoughts and/or behaviors (STB) engaging in formal treatment, one critical aspect of bridging the treatment gap is to reduce barriers to their seeking help (WHO, 2014). Stigma regarding suicide and mental health help-seeking has been identified as a barrier to care, inspiring development of interventions and public health campaigns targeting stigma reduction as a means of increasing help-seeking attitudes, intentions, and behavior (Corrigan et al., 2004). However, because efforts focusing specifically on reducing stigma may fail to address other logistical and psychosocial barriers to engaging with treatment, their broader impact in promoting help-seeking …

Setbacks And Stigmas: The Career Consequences Of Mental Health Treatment For Soldiers In Combat Roles, Micah Mark Marchand

LSU Master's Theses

This study examines how potential career consequences, perceived stigma, and confidentiality concerns influence mental health help-seeking among United States Army Soldiers, with particular attention to differences across Military Occupational Specialty (MOS) categories. Despite the availability of behavioral health services, many service members delay or avoid treatment due to fears that seeking care may negatively impact their careers, including risks to promotion, deployment eligibility, and retention. Guided by Systems Theory, this research explores how interconnected military structures, policies, and cultural norms shape these perceptions and behaviors.

Using a confidential survey design, data were collected from current service members and recently separated …

Testing The Utility Of The Three Good Things Intervention For Cannabis Misuse Among College Students, Paige Morris

LSU Doctoral Dissertations

College students experience high rates of cannabis use and use-related problems. Existing brief online interventions for cannabis misuse among college students do not significantly reduce cannabis use and use-related problems relative to control conditions. This may be due to limited consideration of the role of affect, given that cannabis is frequently used for managing affect, especially among individuals with greater depression and social anxiety. The present study sought to improve the efficacy of brief online interventions for cannabis misuse among college students by testing the efficacy of the Three Good Things (3GT; Seligman et al., 2005) intervention, a daily exercise …

Anxiety's Impact On Autism Spectrum Disorder Symtomology: An Investigation Into The Relationship Between Two Comorbities, Michaela Brown

LSU Doctoral Dissertations

Autism spectrum disorder (ASD) has been found to be frequently comorbid with many medical and psychological disorders, one of which is anxiety disorders. Research has shown that, when anxiety is present within ASD, various areas of the child’s functioning may be impacted, such as ASD symptom severity, emotional regulation skills, adaptability, social skills and daily living skills. The current study aimed to investigate this relationship of anxiety and ASD. First, within a sample of children and adolescents with ASD, the magnitude of the correlation between specific ASD symptoms parent-reported anxiety was compared to determine if certain ASD symptoms were more …

The Virtual Kitchen Challenge: Psychometric Validation In Cognitively Healthy And Impaired Older Adults, Ross M. Divers

LSU Doctoral Dissertations

Decline in everyday functioning is core diagnostic criteria for mild cognitive impairment (MCI) and dementia. While historically, MCI was considered a stage of generally persevered everyday functioning, it is now widely accepted that subtle though clinically meaningful changes in everyday function can be observed and are predictive of increased risk of future decline and conversion to dementia. Despite this, self and informant report questionnaires of everyday function largely fail to capture this subtle decline in those with MCI, while performance-based measures that may be able to capture this decline are rarely administered clinically due to their laborious administration. Performance-based measures …

Revalidation Of The Child Routines Questionnaire: Preschool, Christian Olivia Ledet

LSU Doctoral Dissertations

The implementation of consistent, structured routines is considered a positive parenting practice that enhances child development and is a protective factor for developing externalizing behavior problems, particularly for preschool-age children as they learn to regulate their behavior. In recent years, electronic media consumption has increased among children of all ages, and excessive use is related to negative outcomes for children. Thus, a measure assessing routines of preschool children with items related to electronic media routines is important to further understand how routines affect children’s emotional and behavioral regulation and their interactions with their parents. The purpose of the current study …

Distinguishing Primary And Secondary Anomalous Self-Experience Using Momentary Variability, Michael D. Masucci

LSU Doctoral Dissertations

Schizophrenia is associated with significant decreases in functioning and costly psychiatric hospitalization. However, it is frequently misdiagnosed due to phenotypic overlap with other disorders, and misdiagnosis can contribute to its functional and economic cost. Schizotypy and psychosis risk syndrome frameworks have been used to predict who will eventually develop schizophrenic psychosis, but accurate prediction caps at about 30% for individuals who are identified as “at risk” by these frameworks. Anomalous Self Experience (ASE), an alternative framework for understanding psychosis risk developed by phenomenological psychiatry, proposes that identifying fundamental alterations to sense of self are specific to schizophrenia and distinguish those …

Autism And Down Syndrome: An Examination Of The Baby And Infant Screen For Autism Traits In Toddlers With Down Syndrome, Celeste Tevis

LSU Doctoral Dissertations

Current research suggests that children with Down Syndrome (DS) are at an increased risk for autism spectrum disorder (ASD) compared to the general population. Detecting ASD early in children with DS is crucial to providing access to additional treatment services and supports that may be necessary. Despite a critical need to identify ASD as early as possible, diagnoses of ASD are often delayed in individuals with DS. It can be especially difficult for clinicians to differentiate between symptoms attributed to intellectual developmental disorder (IDD), a primary feature of DS, and possible ASD symptoms. Only two research studies have evaluated the …

Gatekeeper Training As A Form Of Suicide Prevention: An Evaluation Of Applied Suicide Intervention Skills Training (Asist), Sarah E. Pardue-Bourgeois

LSU Doctoral Dissertations

Applied Suicide Intervention Skills Training (ASIST) is the most widely used gatekeeper training (McAuliffe & Perry, 2007) and the literature examining its effects shows strong support for self-reported changes in attitudes and knowledge regarding suicide, and confidence to intervene with a person with thoughts of suicide (Gould et al., 2013; Shannonhouse et al., 2017a; Shannonhouse et al., 2017b; Shannonhouse et al., 2019). However, no research currently exists that investigates whether individuals trained in ASIST can provide the suicide-specific intervention skills post-training. Thus, the current study sought to extend the current literature by broadly investigating the following aims. Study aims investigated …

Intersectionality And Experiences With Mental Health Care: Transgender And Gender Diverse Autistic Adults, Megan Callahan

LSU Doctoral Dissertations

Current prevalence rates of autism spectrum disorder (ASD) in transgender and gender diverse (TGD) populations range between 4 and 13% (Thrower et al., 2020). Studies into autistic TGD individuals’ experiences with healthcare have primarily collected qualitative data, identifying themes including barriers to healthcare, invalidation of both autistic and TGD identities, difficulty finding competent providers, limited support and resources, and refusal of care (Cooper et al., 2022; Maroney & Horne, 2022; Hall et al., 2020). N = 3094 self-identified TGD adults completed the 2017 TransLifeline Mental Health Survey, a collaborative effort between the National LGBTQ Task Force and the TransLifeline, which …

Exploring The Benefits Of A Virtual Reality Positive Psychological Intervention For Older Adults In Senior Living Communities, Christopher Reed

LSU Doctoral Dissertations

The majority of psychological research has followed a disease model focusing on how we reduce factors associated with psychopathology. In the last few decades there has been a push to explore positive psychological traits as an avenue for intervention by fostering traits we already possess. Most of these interventions have targeted mental health across the life span with fewer examining their efficacy on cognitive change with even fewer utilizing immersive technologies like virtual reality. By 2050 over 20% of the world’s population will be over the age of 60 and with this aging population rates of neurocognitive disorders will increase. …

Examining The Role Of Cognition And Late-Life Treatment Resistant Depression On Everyday Functioning, Ashlyn Runk

LSU Master's Theses

The capacity to complete instrumental activities of daily living (IADL) is essential to older adults maintaining their ability to age in place and is influenced by factors including depression and cognition. There is evidence to suggest that depression and cognition influence each other in their relationship with everyday functioning. However, much of this work has been done in samples with low overall levels of depressive symptoms. The goal of the current study was to examine these relationships in older adults with a history of moderate to severe treatment resistant depression and determine if the relationship between executive functioning and everyday …

A Network Analysis Of Social Determinants Of Health And Youth Suicidal Ideation And Suicide Attempts At The Neighborhood-Level In Houston, Tx, Tyler Hendley

LSU Master's Theses

Youth suicide is a complex, multi-faceted human phenomenon that has no singular cause but instead is theorized to be a result of an interplay of psychological, biological, and social risk and protective factors. To best identify youth suicide risk and possible avenues for intervention, a social-ecological model approach may prove beneficial. As community-level risk factors (i.e., social determinants of health (SDOH)) have shown to impact health outcomes, it is important to understand the association between community-level risk and youth suicide-related behaviors. Utilizing a network analytic approach, this study developed an estimated partial correlation network to understand the relationship between youth …

A Confirmatory Factor Analysis Of The Psi-4-Sf In Parents Of Children With Autism Spectrum Disorder, Paige Weir

LSU Doctoral Dissertations

The factor structure of the Parenting Stress Index - Short Form (PSI-4-SF) was evaluated among parents of children with autism spectrum disorder (ASD). Two hypotheses were tested: (1) the original PSI-4-SF model would yield an unsatisfactory fit, and (2) a three-factor alternative model would improve fit compared to the original and other models. A sample of 205 parent-child dyads was analyzed using confirmatory factor analysis (CFA) with the lavaan package in R Studio. Preliminary analyses included descriptive statistics, normality checks, and assessments of skewness and kurtosis. Results supported the first hypothesis, showing poor fit indices for the original PSI-4-SF model. …

The Collaborative Assessment And Management Of Suicdality As A Single Session Intervention For Patients Admitted To Inpatient Psychiatric Care For Suicidal Thoughts And Behaviors, D Nicolas Oakey-Frost

LSU Doctoral Dissertations

Inpatient psychiatric care is a critical contact point for individuals experiencing suicidal thoughts and behaviors (STB). The Zero-Suicide framework provides useful scaffolding for improving suicide prevention within inpatient psychiatry (i.e., Assess, Intervene, and Monitor [AIM-SP]). Available evidence suggests instruments are available for evidence informed risk assessment but are hindered by low construct validity and a limited collaborative approach. Additionally, extant interventions do not typically target STB and are not optimized for inpatient psychiatric care. The Collaborative Assessment and Management of Suicidality (CAMS) meets the criteria of the Zero-Suicide Framework and is often leveraged as a single session intervention (SSI) but …

Emotional Reactivity And Recognition Deficits In Individuals With Callous-Unemotional (Cu) Traits: A Multilevel Meta-Analysis, Emily C. Kemp

LSU Doctoral Dissertations

Youth and adults with antisocial behavior present a significant mental health concern. Elevated callous-unemotional (CU) traits, characterized by deficient empathy and remorse, distinguish clinically important subgroups of antisocial individuals who present with more severe behavior and distinct cognitive-affective characteristics that may help to explain the underlying causes of their antisocial behavior and inform more effective treatments. Specifically, two mechanisms theorized to underlie the development of elevated CU traits by way of atypical empathy development are deficient reactivity to and recognition of others’ emotions. Though a substantive literature base reports associations between CU traits and emotional processing deficits, significant inconsistencies remain. …

Factors Associated With Functioning In Older Black Adults, Katrail D. Davis

LSU Master's Theses

Activities of daily living can be simple tasks such as bathing, showering, toileting or as complex as managing finances, driving, and preparing meals. Independence in everyday functioning has been associated with successful aging and declines in functioning may be indicative of pathological cognitive decline. Social determinants of health, like economic status and access to health care, also play a role in everyday functioning. Understanding these factors are of particular importance for older Black adults who have had long-standing disparate access to care, education, and treatments. The current study aimed to evaluate social determinants of health, more specifically social engagement, as …

The Impact Of Social Stress And Alcohol Intoxication On Cognitive Processes Among College Students With Heavy Episodic Drinking, Caroline R. Scherzer

LSU Master's Theses

College students with high social anxiety and heavy episodic drinking appear to consume alcohol more frequently and at greater quantities, presumably because individuals with higher trait social anxiety may be more responsive to the stress-response dampening effects of alcohol in social contexts due to appraisal disruption and activation of implicit social cognitions. However, little work has tested this hypothesis within a controlled lab-based setting. The current study tested whether the sequence of alcohol intoxication and induction of an anticipatory social stressor interacts with trait social anxiety to predict changes in anticipatory social anxiety, craving, implicit drinking identity, and implicit self-esteem. …

Evaluating The Relationship Between Parent-Adolescent Communication, Social Media Use, And Psychological Well-Being In Adolescents, Johannah Smith

LSU Doctoral Dissertations

Adolescents, particularly teenage girls, use social media substantially more than any other age group (Boneva et al., 2006; Gross, 2004; Padilla-Walker et al., 2020). Greater social media use has been linked to internalizing and externalizing problems; however, specific social media behavior and the relation to internalizing and externalizing problems is unknown. Additionally, how parent-adolescent communication impacts the relationships has not been explored. This is concerning as specific social media behavior, such as ruminating with peers and general social media addiction, has been linked to adolescents’ psychological well-being. (Sarmiento et al., 2020; Shensa et al., 2017; Nesi et al., 2020). The …

Sexual Abuse: A Multi-Faceted Problem, Marcus Venable

LSU Doctoral Dissertations

On average, US citizens have experienced approximately 400,000 sexual assaults per year, which results in enormous immediate and long-term consequences for individuals, as well as society in general.

In the U.S., the principal method of combatting this crime has been the creation of Sex Offender Registries used to notify the public of the identity and location of convicted sex offenders who may be living in proximity to their residence. In addition to the Registry, laws have been passed forbidding convicted sex offenders from residing within buffer zones around areas of high child concentration [schools/parks/etc.].

The efficacy and consequences of these …

The Association Between Problematic Drinking And Ends Use In College Students: The Role Of Alcohol Expectancies, Nina Glover

LSU Master's Theses

Electronic nicotine delivery system (ENDS) use and alcohol use are prevalent among young adults and college students. Recent data indicate that ENDS use is significantly associated with alcohol consumption and hazardous drinking behavior (e.g., binge drinking). Given the perceived benefits students report that are common across ENDS and alcohol use (e.g., tension reduction), it is important to examine the role these beliefs play in the co-use of alcohol and ENDS, as both behaviors are associated with risks. In the present study, we investigated the relationship among ENDS use, alcohol use, ENDS use motives, and alcohol expectancies in undergraduate college students …

Problem Recognition In Culturally Diverse Parent Mental Health Help Seeking, Grace Chen

LSU Doctoral Dissertations

There is evidence of a disparity between mental health prevalence rates in children and service utilization. Thus, many children are not receiving support for their mental health needs despite prevalent symptoms and high levels of psychopathology. This disparity is even greater for children from culturally diverse families who face unique stressors in comparison to their White peers. Given the known positive and preventative effects of early intervention, this places culturally diverse children at disproportionate risk for adverse mental health outcomes. Parents are gatekeepers responsible for responding to their child’s mental health needs. Thus, it is necessary to study the unique …

Measurement Invariance And The Influence Of Psychosocial Factors In Reporting Subjective Cognition Across Race/Ethnicity, Erika A. Pugh

LSU Doctoral Dissertations

The detection of cognitive decline is crucial for early intervention and management. However, there is a lack of research on detecting early cognitive decline and measuring bias in instruments among African Americans (AAs), who are at a heightened risk for dementia development. Additionally, the impact of psychosocial factors on perceived cognitive efficacy in this population is not well understood. Therefore, this study aimed to assess measurement bias in a measure of subjective memory concerns (SMC) among older AA adults, examine ethnoracial differences in the relationship between mood-related factors and SMC, and explore the impact of psychosocial variables on the report …

Defeat, Entrapment, And Suicide Desire: Analyzing The Role Of Mindfulness Using Ecological Momentary Assessment., Emma H. Moscardini

LSU Doctoral Dissertations

Extant literature has indicated that the experience of defeat confers risk for experiencing conceptions of entrapment, which in turns increases one’s risk of experiencing suicidal ideation. In addition, certain cognitive processes are hypothesized to increase or decrease the likelihood of feelings of entrapment emerging when one feels defeated. One such cognitive process is mindfulness, defined as present moment awareness with an orientation of openness and acceptance. Better understanding the interplay of defeat, entrapment, mindfulness, and suicidal thinking will contribute to intervention strategies aimed at reducing the severity of suicidal thinking; however, said research should be conducted with consideration that one’s …

Autism, Comorbidities, And Adaptive Functioning: A Potential Moderator, Joshua J. Montrenes

LSU Doctoral Dissertations

Deficits in adaptive functioning and the presence of comorbid symptomatology are both commonly associated with autism spectrum disorder (ASD). Previous research has identified relationships between functional level (e.g., intellectual quotient [IQ], adaptive functioning [AF]) and comorbid symptomatology in ASD. However, further insight into the relationship between AF, comorbid psychopathology, and ASD is unclear. Specifically, how AF affects the relationship between ASD and comorbid conditions is not well understood. Whether AF moderates the relationship between autism symptom severity and comorbid symptom severity in toddlers with ASD was examined. ASD symptom severity positively correlated with comorbid symptom severity across domains and negatively …

Further Refinement Of An Asd-Subscale For The Childhood Behavior Checklist, Kimberly Ellison

LSU Doctoral Dissertations

The early diagnosis of autism spectrum disorder (ASD) is tied to receiving the earliest possible intervention services that can influence a child’s development (Filipek et al., 1999). There are different measurement tools utilized to aid in the diagnostic assessment process, including broadband behavioral rating scales. The Childhood Behavior Checklist (CBCL; Achenbach & Rescorla, 2001) is a parent/caregiver completed questionnaire about one’s child (typically or atypically developing). The CBCL is one of the most utilized broadband measures at the initial stages of a diagnostic assessment or screening to aid in understanding the symptom presentation (Hyman et al., 2020). Currently, there …

Pathways To Blunted Facial Affect In Negative Schizotypy: Social Motivation And Online Cognitive Resources, Tovah M.D. Cowan

LSU Doctoral Dissertations

Schizotypy, a range of personality traits which confer liability for schizophrenia, is associated with significantly diminished social functioning and quality of life. Social dysfunction in all forms of schizotypy, including schizophrenia, is connected to blunted affect, or diminished expressivity, particularly facial expressions which are less frequent, intense, or long than typical. However, the mechanisms and treatments for blunted affect are, as yet, poorly understood and underdeveloped. In this project, two putative mechanisms of blunted affect were explored. The first involves cognitive load capacities, which are diminished in schizotypy, causing blunted affect – individuals do not have the cognitive resources to …

Confirmatory Factor Analysis Of The Adult Coping Inventory, Kristen Ashley Hollas

LSU Doctoral Dissertations

There are few psychometrically sound measures that assess coping in adults. For example, a widely used measure of coping, the COPE, has highly unstable sub-scales and was developed using a homogenous sample (Lyne & Roger, 2000). Because of these limitations, the Adult Coping Inventory (ACI) was developed. The ACI is a 57-item measure that contains five factors including Problem Solving, Mindfulness, Maladaptive Coping, Social Support and Avoidance. Initial reliability and validity analyses demonstrate good construct, concurrent and incremental validity. The current study involved conducting a confirmatory factor analysis to confirm the factor structure of the ACI. The participant sample consisted …

Neurocognitive Models Of Anxious Apprehension And Emotion Regulation: Implications For Working Memory, Paul Spano

LSU Master's Theses

Children and adolescents with internalizing disorders, such as generalized anxiety and major depression, often experience functional impairment across multiple domains that exacerbates psychopathology. Working memory is a cognitive process that has been scrutinized for its ubiquity in daily life, its strong association with academic success, and its susceptibility to interference from internalizing symptoms, such as a depressed mood or anxious apprehension. However, the literature on the relationship between youth internalizing symptoms and working memory span is sparse, and existing research is confounded by a lack of theoretical clarity and, consequently, incomparable procedures. The present study aims to clarify this relationship …