Clinical Psychology Commons^™

Disordered Eating Treatment Programs For Adolescents And Emerging Adults: A Meta-Analytic Review Of Treatment Effectiveness And Moderators Of Treatment Success, Alexandra Kirsch

Dissertations

This meta-analysis systematically reviewed interventions for disordered eating in the adolescent and young adult population. A systematic search identified 30 interventions that could be compared to controls and 88 specific interventions that could be compared to other specific interventions. An in-depth analysis of the current state of the literature is provided. Results indicated that eating disorder interventions were effective overall when compared to control for both eating disorder and non-eating disorder outcomes, with differential effects across diagnoses, outcome categories, and outcome source, as well as some maintenance of effects at follow-up. Additionally, multiple moderators of treatment effectiveness for eating disorder …

The Effects Of Parental Functioning And Socioeconomic Status On Initial Child Psychopathology Symptoms And Treatment Outcomes Following A Brief Trauma Focused Cognitive Behavioral Therapy Group, Anna Ros Ros

Master's Theses

The present study will investigate the impact of parental psychopathology and socioeconomic status on the severity of child PTSD and depression symptoms at baseline, in addition to the impact on treatment effectiveness. First, the study will examine how the presence of parental PTSD, depression and hostility act as proximal risk factors for the baseline severity of child PTSD and depression symptoms. Further, the study will investigate how these proximal parental factors affect symptom reduction following intervention for these children. Additionally, the current study will examine how low socioeconomic status affects baseline severity of child PTSD and depression symptoms as well …

The Impact Of Chronic Stress On Childhood Obesity And The Protective Effects Of Parental Warmth, Laura M. L. Distel

Master's Theses

Mexican American children have the highest rates of obesity in the U.S. Mexican American children may experience chronic stress, which has been linked to child obesity. Hair cortisol accumulation has been implicated as a mechanism for this association. Highly sensitive parenting may buffer the harmful effects of chronic stress and hair cortisol on obesity. Thus, the aims of this project were to 1) identify the direct and indirect effects of chronic stress and hair cortisol on children's zBMI and 2) examine the protective effects of parental warmth. This study examined hair cortisol levels, zBMI and chronic stress of children ages …

Coping With Exposure To Community Violence: Assessing The Role Of Avoidance In Reducing Delinquency And Aggression In Low-Income Urban Adolescents, Cara Marie Diclemente

Master's Theses

Exposure to community violence has disabling effects on the mental health of youth in the US, with high rates of exposure for African American adolescents from underserved, urban communities. Past literature suggests that avoidant coping, specifically behavioral avoidance, may be most useful for youth exposed to uncontrollable stress. The current study assessed the utility of coping strategies in reducing aggression and delinquency in 267 sixth through eighth grade African American youth. First, confirmatory factor analyses revealed a three-factor structure of coping: cognitive approach, behavioral approach, and avoidance. Next, moderated moderation findings showed that for boys, avoidance and approach strategies increased …

Impact Of Visitation With Incarcerated Fathers On Behavioral Adjustment Among Children In The Foster Care System, Lauren Ashley Hindt

Master's Theses

This study sought to examine whether in-person visitation with incarcerated fathers related to less behavioral problems among children in foster care. The sample consisted of 282 youth (M = 10.18, SD = 2.36 years). Data were collected from the Illinois Department of Children and Family Services. Hierarchical Generalized Linear Modeling revealed paternal incarceration was associated with increased externalizing slope trajectories (ß1515 = .18, p = .025), but not internalizing. African American youth had lower externalizing slope trajectories compared to the remainder of the sample (ß20 = -.14, p = .032). The association between paternal incarceration and externalizing was attenuated …

Fear Of Missing Out: A Moderated Mediation Approach To Social Media Use, Brynn M. Huguenel

Master's Theses

This study explores whether fear of missing out (FOMO) mediates the relation between social networking site (SNS) use and negative mental health outcomes, with moderators of Facebook activities and individual-level characteristics included. Short-term longitudinal data was collected from undergraduate students (N=296). Mediation analyses indicated that intensity of Facebook use did not predict anxiety or depression, as mediated by FOMO. Further, Facebook activities did not moderate the relation between intensity of Facebook use and FOMO, and social comparison and social connectedness did not moderate the relations between FOMO and negative mental health outcomes. Post-hoc analyses showed that social connectedness moderated the …

Children's Exposure To Violence Across Contexts: Profiles Of Family, School, And Community Witnessing And Victimization, Catherine Mary Rice

Master's Theses

Children residing in low-income, urban neighborhoods are at a disproportionately higher risk of exposure to violence (ETV) across multiple contexts compared to their peers, including witnessing violence and direct victimization. The many negative effects of ETV are compounded when youth experience ETV across multiple settings and when these experiences are chronic. Despite this, much of the research on ETV during childhood focuses on a single form of violence (e.g., family victimization or witnessing community violence). The current study examines patterns of frequency of ETV, including witnessing and victimization, across family, school, and community contexts, using person-centered methods to elucidate the …

Measures Of Acculturation And Relations To Weight Among Mexican-Origin Youth, Dorothy L. Mcleod

Master's Theses

Risk for obesity increases dramatically for Mexican-origin immigrants and their children among upon arrival in the United States. Many studies have shown that acculturative factors play a role in this process for adults, which suggests that this could also be the case for children and adolescents. The significance and directionality of this relation may differ based on many factors, including the multitude of methods currently used for the purpose of measuring acculturation. This study examines the relations between several measures of acculturation and child weight in a sample of 6 to 11 year old, Mexican-origin youth, cross-sectionally and longitudinally over …

The Relation Between Appearance Evaluation And Disordered Eating Attitudes Throughout College: Trajectories And Moderators, Amy Heard

Master's Theses

The college years are a time of increased risk for body image concerns and disordered eating in both men and women. Studies have shown that body image concerns may emerge in childhood, increase throughout adolescence, and become more stable in middle adulthood, but less is known about the changes that happen during the college years that may cause these concerns to level off. One of the most common ways of assessing body image is by measuring appearance evaluation, or global satisfaction with appearance. While problematic appearance evaluation and disordered eating attitudes are often associated with one another, all individuals who …

Social Skills In Youth With Spina Bifida: A Longitudinal Multimethod Investigation Of Bio-Neuropsychosocial Predictors, Christina Ehrman Holbein

Dissertations

Objective: Despite research documenting social dysfunction in youth with spina bifida (SB), little is known about the etiology of these social difficulties; most investigations identifying predictors of social deficits have concentrated exclusively on one domain. This longitudinal study examines the relative predictive power of neurocognitive (attention and executive function), family (cohesion and conflict), and health-related (body mass index, condition severity) variables on later social skills in youth with SB.

Methods: 112 youth with SB (T1 mean age = 11.19 years) and their families participated in study visits two years apart. Study variables were assessed by multiple methods (questionnaire, medical chart …

Cognitive And Neural Correlates Of Coping And Resilience In Depression, Catherine Lee

Dissertations

Depression is one of the most prevalent and devastating psychological disorders, often with a chronic or remitting/reoccurring course. The inability to effectively cope with stress and negative life events has been strongly linked to the development and maintenance of depression symptoms; yet, the cognitive and biological processes underlying the complex and multidimensional behavioral construct of coping are not well understood. Using a combination of self-report measures, computerized cognitive tasks, and scalp electroencephalography (EEG) methodologies, the present study investigated associations between specific executive function abilities (i.e., inhibition and set-shifting), underlying neural activity, coping strategy and flexibility, and depression symptoms. Results did …

Community Violence Exposure Among Urban African American Males: Understanding The “Buffering Effect” Of Adaptive Social Support Coping On Psychosocial Outcomes, Cynthia L. Pierre

Dissertations

The current study explored the moderating roles of support coping and support

quality in the predictive relationship between community violence exposure (ECV) and a

variety of psychosocial outcomes. Participants were 119 African American males (9 th –

12 th grade; mean age at baseline = 15.33). Participants completed measures of exposure to

violence, support-seeking coping, quality of support from friends and family, and a range

of psychosocial outcomes, and completed these same measures approximately one year

after baseline. Regression analyses were conducted to examine the relationships between

ECV and psychosocial outcomes, as well as the relationships between support coping and …

The Relation Of Exposure To Community Violence To Self- Efficacy Based On Neighborhood, Family, And School Effects In A Community Sample Of Latino-American Youth, Arie Zakaryan

Dissertations

Community violence is considered a “public health epidemic” in the US. Latino youth and families are a burgeoning population in the United States, and many of whom live in neighborhoods exposed to community violence. Multiple contexts should be assessed identifying developmental assets youth use to adjust positively when exposed to violence. This study examines how different environmental contexts, i.e., home, school, neighborhood and acculturation, influence the relationship between exposure to community violence and self-efficacy for Latino youth. The current study uses an archival dataset of a larger longitudinal study (Project on Human Development in Chicago Neighborhoods). A confirmatory factor analysis …

Parenting-Related Stress, Parental Distress, And Youth Health-Related Quality Of Life In Families Of Youth With Spina Bifida: Parenting Behaviors As Mediators, Colleen F. Bechtel

Master's Theses

Research has shown that youth with spina bifida (SB) have poorer psychosocial outcomes, including health-related quality of life (HRQOL), compared to typically developing youth. Demographic and illness-severity factors that may affect HRQOL have been identified, but modifiable factors affecting HRQOL have not yet been identified in this population. Potential modifiable factors include parent factors. In fact, in other pediatric populations, parent factors have been found to impact HRQOL above and beyond illness-severity. This impact may be especially salient for youth with SB, as these youth are more socially isolated and depend on parents for both medical and non-medical caregiving needs. …

Risk And Resilience Factors Among Low-Income Latino Adolescents: The Impact On Daily Ratings Of Mood, Stephanie Andrea Torres

Master's Theses

Given that Latino adolescents endorse more negative mood when compared to their counterparts of other backgrounds (CDC, 2012), it is especially advantageous to evaluate the impact of risk and resilience factors on mood among this population. The current study uses daily diary methodology to examine the impact that daily economic stress, daily family stress, familism, and ethnic identity commitment and exploration have on daily ratings of mood among 58 (M =13.31, 47% female) low-income Latino adolescents. Results show that daily family stress was strongly linked to daily mood while familism emerged as a salient resilience factor. Contrary to predictions, ethnic …

The Moderating Role Of Emotion Regulation On Longitudinal Associations Between Stress And Mental Health In College Students, Evan Zahniser

Master's Theses

Emotion regulation is consistently linked to subsequent wellbeing, but little research has examined the moderating role of emotion regulation in associations between mental health and other relevant factors. Patterns of gender differences in emotion regulation also remain somewhat unclear. The present study targets these gaps by examining two specific emotion regulation strategies in interaction with stress and gender in predicting internalizing symptoms among college students, a population for whom emotion regulation may be particularly important given the high-stress nature of the college transition. A large sample of students (N = 1,130) provided self-report data at three time points over their …

Profiles Of Protective Factors In Urban African American Youth Exposed To Community Violence: A Prospective Study Of Resilience, Devin Colleen Carey

Dissertations

The broad purpose of the study was to investigate the relationship between exposure to community violence and adjustment in an urban sample of African American youth living in Chicago. After years of research on community violence, there has been a call to understand the influences of all levels and systems on child adjustment, as well as to use research to promote positive outcomes and prevention of future violence (Aisenberg & Herrenkohl, 2008). With this in mind, this project used latent profile analysis to create profiles of protection based on individual, family, peer, and community factors, as well as evaluate the …

Investigating The Role Of Cognitive Biases As A Risk Factor For Depression, Daniel Aaron Dickson

Dissertations

Consistent with the combined cognitive bias hypothesis (Hirsch, Clark, & Mathews, 2006), cognitive biases in attention, memory, and interpretation have been posited as an underlying vulnerability to the maintenance and recurrence of depressive episodes. While research supports the presence of these biases during current depressive episodes, there is limited evidence that these biases persist following the remission of depression symptoms. However, there is some initial data that suggest that these biases persist in remitted depressed individuals, indicating that these biases may serve as a vulnerability factor for subsequent depressive episodes. In addition, there is little research that has evaluated these …

Predictors And Profiles Of Antiretroviral Therapy Adherence Among African-American Adolescents And Young Adult Males Behaviorally-Infected With Hiv: A Classification Tree Analysis Approach, Israel Moses Gross

Dissertations

Adherence to antiretroviral therapy is crucial for thwarting disease progression and reducing secondary transmission, yet HIV+ youth struggle with adherence. The highest rates of new HIV infections occur in young African American men (YAAM), thus understanding reasons for non-adherence in this group is critical. Reasons for non-adherence can be complex and multifactorial, and innovative methods of exploration are needed for advancing prevention and treatment efforts. A sample of 387 HIV+ YAAM who reported currently taking HIV medications were selected from a cross-sectional assessment of 2,226 HIV+ youth from sites within the Adolescent Trials Network for HIV/AIDS Interventions (ATN) from 2009-2012 …

The Role Of Neighborhood And Parenting In The Development Of Effortful Control And Subsequent Social Competence During Early Childhood, Edna Y. Romero

Dissertations

The current study examined ecological predictors of the trajectory of effortful control (EC) across ages 4, 5, and 6 in a community sample of young children (N = 796). The specific goals of the study were to examine poor neighborhood quality as a predictor of EC development, to evaluate the moderating role of supportive and hostile parenting in relation to poor neighborhood quality and EC development, and to determine if the interaction between poor neighborhood quality and parenting predicted change in children’s social competence through the mediating role of EC. Data were analyzed using latent growth curve modeling (LGM). Results …

A Multi-Method Analysis Of Body Mass Index, Physical Activity, And Executive Functions Among Urban Minority Girls, Amanda K. Ward

Dissertations

Recent evidence suggests that the summer months represent an especially vulnerable time of year for weight gain, inactivity, and cognitive decline, particularly among adolescent girls. To explore these issues, this study examined the relations between changes in physical activity (PA), body mass index (BMI), and executive functions (EFs) among a sample of sixty-eight, 10-to 14-year-old girls participating in a four-week, community-based summer camp. Objectively measured PA data (i.e., accelerometer), BMI measurements, and EF neuropsychological assessments were conducted prior to the first week of camp and during the last week of camp. Results revealed that girls increased in all measurements of …

Development Of The Personal And Professional Self-Care Scale, Katherine Elizabeth Dorociak

Master's Theses

In recent years, there has been an increased emphasis on the importance of self- care for psychologists and other mental health professionals. However, the research on self-care is limited because of the lack of an empirically based, psychometrically sound measure of this construct. Thus, the purpose of this project was to develop a measure of personal and professional self-care. The preliminary phase involved the development of a self-care definition and a two-factor framework that divided self-care into personal and professional activities. Based on this definition and framework, self-care items were generated for expert evaluation. After incorporating the expert feedback, 52 …

The Impacts Of Family Environment And Stress Reactivity On Daily Mood For Low-Income Latino Adolescents, Stephanie K. Brewer

Master's Theses

Low-income Latino adolescents are at an increased risk for developing psychopathology, as the chronic stressors faced by those who grow up in poverty have an adverse cumulative effect, and the relationship between exposure to poverty and negative mental health outcomes is intensified for ethnic minority youth. One of the most impactful ways in which poverty causes deteriorations in adolescent mental health is through heightened levels of parent-child conflict. Another harmful result of the multiple stressors faced by poor youth is the dysregulation of the stress reactivity system. For Latino adolescents, problems with mood are a particular concern, as Latino adolescents …

Latino Youth With Spina Bifida: Psychosocial Functioning, Family Functioning, And Acculturation, Jaclyn M. Lennon

Master's Theses

Objective: Research on Latino youth with spina bifida (SB) is sparse. However, SB rates are highest in this ethnic group, and typically-developing (TD) Latino youth are at risk for poor psychosocial functioning. The aims of this study were to examine: (1) differences in psychosocial and family functioning between Latino and non-Latino Caucasian youth with SB; (2) family functioning as a predictor of youth psychosocial functioning as moderated by ethnicity; (3) the impact of acculturation on youth psychosocial and family functioning in Latino youth with SB. Methods: Participants were recruited as part of a larger, longitudinal study (Devine et al., 2012). …

Positive Peer Pressure Among Black American Youth And The Roles Of Ethnic Identity And Gender, Dakari Quimby

Master's Theses

Peer pressure is a phenomenon that affects many youth due to the importance of peer relations during adolescence (Brinthaupt, 2002). Consequences associated with negative peer pressure have been well documented, but the extant literature on positive peer pressure is sparse though it may be an untapped source of positive development (Padilla-Walker & Bean, 2009). The current study examined whether positive peer association, a form of peer pressure involving the indirect modeling of behaviors, can have a role in promoting healthy youth development longitudinally among African American adolescents living in low-income, urban, high violence neighborhoods. A sample of 316 African American …

The Hidden Costs Of Success: A Mixed Methods Approach To Examining Achievement Pressures In Affluent Youth, Lea Ventura Travers

Dissertations

Within the last ten years, researchers have begun to recognize that youth from affluent backgrounds report elevated adjustment problems (Csikszentmihalyi & Schneider 2001; Luthar & Lantendresse 2005a), yet contributing factors have rarely been investigated. The present study explored various parenting variables and their influence on adolescents from affluent communities, including two parent-focused parenting variables (i.e., parental perfectionism and parent life satisfaction) and three adolescent-focused parenting variables (i.e., perceived parental pressure, parents' future goals for their children, and parental involvement in their children's lives). Using a mixed methods approach (i.e., quantitative and qualitative data), both linear and curvilinear relations between parenting …

Sexual Behavior Problems In Child Welfare: Predictors Of Reliable Change, Anne Kathleen Fuller

Master's Theses

This study examined predictors of changes in children's sexual behaviors across two time points within a sample of youth in the child welfare system. Hypothesized predictors of increases or decreases in children's sexual behaviors included child attributes, positive parenting, exposure to sexuality and violence, maltreatment history and child welfare placement history, and treatment variables. Participants included 145 children with reported sexual behavior problems and their primary caregivers and mental healthcare providers. Children's sexual behaviors were classified as improved, worsened, or unchanged. Optimal Data Analysis (ODA) and multivariate classification tree analysis (CTA) via ODA were used to identify predictors of children's …

Examining The Moderating Role Of Specific Coping Strategies On The Relationship Between Body Image And Eating Disorders In College-Age Women, Alexandra Calvert Kirsch

Master's Theses

A sample of college age women assessed at three time points (Time 1: Baseline, assessed before college, Time 2: End of first semester, Time 3: End of first year of college) completed measures of disordered eating, coping, and body image. Results indicated that neither adaptive (problem-focused coping or social support seeking) nor maladaptive coping styles (active emotional coping or avoidant coping) as measured at Time 1 or Time 2 moderated the significant predictive relationship between body dissatisfaction at Time 1 and disordered eating attitudes at Time 3, when adjusting for disordered eating attitudes and BMI at Time 1. However, significant …

Vascular Risk, Functional Connectivity, And Episodic Memory In Older Adults, Elizabeth Regina Tuminello Hartman

Dissertations

Resting-state functional magnetic resonance imaging and functional connectivity (FC) analyses are used to explore functional brain networks underlying a diverse array of abilities. Functional networks are composed of regions throughout the brain whose activity is closely linked to form a coherent network. One functional network, the "default mode network" (DMN), is thought to subserve self-referential thought and autobiographical memory. DMN regions include the ventromedial prefrontal cortex, inferior parietal lobe, hippocampus, and the primary "hub" of this network, the posterior cingulate cortex (PCC). For reasons yet unknown, DMN FC declines in aging, which is associated with memory impairment. Vascular risk may …

Profiles Of Neuropsychological Functioning In Children And Adolescents With Spina Bifda, Rachel Wasserman

Dissertations

The current study examined neuropsychological performance among children with spina bifida (SB) to determine if there are distinct subgroups or "profiles" of cognitive functioning. 96 children with SB myelomeningocele (ages 8-15) completed a brief assessment battery. Hierarchical and non-hierarchical cluster analyses were used to identify and confirm a cluster solution. Hypothesized predictors of cluster membership included lesion level, number of shunt surgeries, history of seizures, age, ethnicity, socio-economic status, family stress, and family environment. Outcomes included independence, academic success, expectations for the future, and quality of life.

Ward's cluster method indicated a 3-cluster solution, and was replicated with 2 other …