Clinical Psychology Commons^™

The Role Of Self-Esteem, Perceived Social Support, And Coping Strategy In The Escalation Of Depressive Symptomatology During The First Year Of College, Catherine Lee

Master's Theses

The first year of college is a significant life transition that can be a particularly stressful experience, which may lead to the development or exacerbation of depressive symptoms. Due to the considerable negative outcomes that are associated with depressive symptoms across the lifespan, it is important to understand the mechanisms and pathways through which such symptoms arise. This prospective study examines how self-esteem, perceived social support, and coping strategies are associated with the development of depressive symptoms during the transition to college. The findings of this longitudinal study indicate that self-esteem may affect both perceived social support and disengagement coping …

Toward The Development Of The Stereotypical Roles Of Black Young Men Scale, Amber Hewitt

Dissertations

There is a significant amount of literature on identity development in general, but there is a dearth of research focusing on identity development in relation to how other processes and constructs influence the identity development of African American young men. One such construct is the presence of stereotypical roles. The primary purpose of this study was to create a reliable and valid measure of the stereotypical roles of African American young men. This study explored the relationship between the endorsement of stereotypical roles, stigma consciousness, and masculinity of African American young men. African American young men (n = 164) between …

Neuropsychological, Psychological, And Injury Variables Associated With Post-Traumatic Stress Disorder In Individuals Who Suffered An Electrical Injury, Jana Wingo

Dissertations

Electrical injury (EI) represents a major form of trauma that can greatly impact the individual cognitively, physically, and emotionally. EI can lead to a variety of cognitive impairments affecting attention, processing speed, motor skills, and memory. Furthermore, EI can lead to a variety of physical impairments from burns to cardiac injury. In addition to other psychiatric disorders, individuals who suffer an EI can eventually develop Post-Traumatic Stress Disorder (PTSD).

This study examined a clinical sample of 143 individuals (86.0% male, 85.3% Caucasian, 44.1% diagnosed with PTSD) who have experienced an EI to determine the factors associated with the development of …

Social-Environmental Predictors Of Health-Related Quality Of Life In Youth With Spina Bifida, Caitlin Beth Murray

Master's Theses

Health-related quality of life (HRQOL) is a multidimensional construct including an individual's physical and mental health and psychosocial well-being (De Civita et al., 2005), and the measurement of HRQOL has been recognized as a key marker of health outcomes in pediatric populations (Eiser & Jenney, 2007). Due to medical and technological advances, an increasing number of individuals with chronic illnesses are living longer. As such, research that investigates improvements in HRQOL in youth with chronic illnesses has become essential. Indeed, the number of studies examining HRQOL in pediatric populations has increased markedly; spina bifida (SB) is one among several chronic …

The Relation Of Executive Functions To Active Coping Strategies And Internalizing Symptoms In A Community Sample Of African-American Youth, Arie Zakaryan

Master's Theses

The purpose of this study is to examine the relations between stressor appraisals, active coping, executive functions, and internalizing symptoms in a community sample of low-income African-American youth. There is a dearth of studies assessing how executive functions influence the connection between coping and internalizing symptoms, notably in community and minority populations. When faced with distressing, uncontrollable settings straining the capacity to self-regulate, youth with executive functioning deficits may encounter greater challenges in coping with stressors. Yet, since typically adaptive active coping strategies do not benefit some youth and can result in negative outcomes, it is important to identify what …

Social Cognitive Functioning And Social Competence In Children And Adolescents With Spina Bifida And Hydrocephalus: Social Cognitive Neuroscience As A Model, Caitlin Reid Roache

Dissertations

The purpose of the current study was to examine social cognition in children with spina bifida and congenital hydrocephalus (SBH) and to determine whether deficits in these domains are associated with poor social competence, utilizing concepts from social cognitive neuroscience. To build upon extant literature, multi-method assessments, multi-informant data, and a developmental, biopsychosocial perspective were utilized. Distinct aspects of social competence, as defined by social performance, social skills, and social adjustment, were considered.

The current study was designed to investigate: (1) differences in social cognition between children and adolescents with SBH and the general population, (2) potential neuroanatomical predictors of …

The Relationship Between Infant Crying And Father Well-Being, Leslie Katch

Dissertations

Infant excessive crying and fussing has been linked to adverse maternal outcomes such as increased depression and stress, and decreased feelings of parenting self-efficacy. Infant crying has also been identified as the number one trigger caregivers report prior to an abusive action, placing infants who cry excessively at risk. Fathers and male caregivers have been identified as the primary offenders in the majority of infant abuse cases, suggesting a particular risk between fathers and infants who cry excessively. However, the relationship between excessive crying and fathers has not been explored to the same extent as mothers. In an effort to …

The Direct And Indirect Impact Of Pain Intensity, Weight Status, And Activity Involvement On Social Competence Outcomes In Children And Adolescents With Spina Bifida, Bonnie S. Essner

Dissertations

The purpose of this study was to test a mediated effects model in which youth with spina bifida who have greater pain, are more overweight, or have worse motor control were expected to have fewer friends and to display worse social performance in part because their higher degree of condition severity interferes with their involvement in developmentally-appropriate activities.

Data for the current study were drawn from the first wave of a larger, longitudinal study of psychosocial adjustment of children and adolescents with spina bifida. The sample was comprised of 108 children and adolescents with spina bifida and shunted hydrocephalus, ages …

Measures Of Executive Functioning And Their Relation To Functional Outcomes In A Sample Of Youth With Attention-Deficit/Hyperactivity Disorder (Add), Amy Marie Lyons Usher

Dissertations

The current study examined two commonly used neuropsychological assessments of executive functioning in a sample of children and adolescents with attention-deficit/hyperactivity disorder (ADHD). The Test of Everyday Attention for Children (TEA-Ch) is a performance-based, objective measure of executive functioning, and the Behavior Rating Inventory of Executive Functioning (BRIEF) is a subjective, parent-report measure. Confirmatory factor analysis (CFA) was used to establish the factor structures of these measures to determine their appropriateness with a sample of youth with ADHD. The association of these assessment tools with functional outcomes (academic achievement, social functioning) was examined to establish their ecological and incremental validity. …

Neuropsychological Functioning, Parenting Behaviors, And Healthcare Behaviors Among Youth With Spina Bifida, Lauren Kelly O'Hara

Dissertations

Objective This study was designed to examine whether neurocognitive functioning (attention and executive functions) and parenting behaviors (acceptance, behavioral control and psychological control) are associated with medical adherence and autonomy among preadolescents and adolescents with spina bifida. Methods Questionnaire and observational data were collected from a sample of 8 to 15 year olds with spina bifida (n = 139) and their mothers, fathers, and teachers. Youth also completed neuropsychological testing. Results Youth with spina bifida demonstrated impairment on measures of attention and executive function, based on questionnaire and test data. Attention, executive function, and parenting behaviors were associated with medical …

A Mediational Model Predicting Adjustment In Affluent Adolescents: The Role Of Parental Perfectionism, Perceived Parental Pressure, And Organized Activity Involvement, Edin Randall

Dissertations

The current cross-sectional study evaluated the relative contributions of parental perfectionism (i.e., self-oriented, other-oriented, and socially prescribed), perceived parental pressure, and organized activity involvement (i.e,. intensity) on depressive symptoms, anxiety, substance use, and life satisfaction in a sample of affluent adolescents. Findings indicated that parental perfectionism, and specifically other-oriented and socially prescribed perfectionism, is an important contextual factor negatively influencing affluent adolescent adjustment. Additionally, perceived parental pressure was found to have robust associations with adolescent adjustment and to explain the link between parental perfectionism and adolescent adjustment. Furthermore, the current study revealed a synergistic association between intensity of organized activity …

Exposure To Community Violence And Social Maladjustment Among Urban African American Youth: The Role Of Emotion Dysregulation, Devin Colleen Carey

Master's Theses

The goal of the present study was to further previous research that has focused on the detrimental outcomes of violence exposure by identifying the mechanisms that influence children's psychosocial vulnerabilities. Specifically, it examined emotion regulation as a possible mediator of community violence exposure to social adjustment. Moreover, because of the evidence that children living in inner city communities are chronically exposed to violence, this study longitudinally explored the reciprocal and perpetuating relationship between exposure to violence and child social maladjustment. Participants were 268 African American students (M age = 11.65 years, 40% males and 60% females) from six inner city …

Gender Differences In Depressive Symptoms: The Interaction Of Cognitive Avoidance Coping And Specific Stressor Domains During Freshmen Adaptation To College, Daniel Dickson

Master's Theses

The first year of college can be a stressful experience that can lead to depressive symptoms in emerging adults. Due to the significant impairments that are associated with depressive symptoms across the lifespan, it is important to understand the elements of the first-year college experience that contribute to depressive affect. The goals of the current prospective study are to examine sex differences in the relationship between life stressors (i.e., social and achievement stressors) and cognitive avoidance coping in the development of depressive symptoms in first-year college students. The findings suggest that although cognitive avoidance is predictive of more depression, there …

Organized Activity Involvement Across The Transition To College: Multiple Dimensions Predicting Adjustment, Nicole Arola

Master's Theses

Utilizing a sample of first semester first year college students, this study examined the relation between multiple dimensions of college organized activity (OA) involvement (i.e., intensity, breadth, identity relevance, and continuity) and measures of adjustment (i.e., depressive symptoms, optimism, positive affect, and negative affect). This study also explored whether the degree of association between the OA dimensions and the adjustment variables was moderated by gender and residential status. Additionally, this study examined whether adjustment at the start of college was associated with patterns of OA involvement in college. Participants completed measures of depressive symptoms, optimism, positive affect, negative affect, and …

The Impact Of Treating Major Depression During Pregnancy On The Postpartum Phase, Jamie Kent

Dissertations

Major depression during pregnancy is a risk factor for postpartum depression (PPD). Medically acceptable treatments for depression during pregnancy and postpartum are limited and many women are turning to complementary and alternative treatments. The current project examined whether treatment of major depression during pregnancy reduced the risk for PPD and explored predictors of PPD in this high-risk sample. One hundred twenty women were clinically assessed using the Hamilton Rating Scale for Depression (HRSD17), the Beck Depression Inventory (BDI-II), and the Structured Clinical Interview for DSM-IV (SCID) at ten weeks, six months, and nine months postpartum following random assignment to one …

Professional And Personal Lives Of Psychologists: Spillover, Family Functioning, And Life Satsiafction, Pedja Stevanovic

Dissertations

Two-wave, longitudinal data from a national, web-based survey of doctoral psychologists was used to examine work life, spillover, family, and personal lives. A measure of spillover, Stressors and Enhancers for Psychologists, was also evaluated. Confirmatory factor analysis indicated two negatively correlated dimensions of work spillover: positive spillover termed family enhancers and negative spillover termed family stressors. This measure was significantly related to a widely used, more general measure of positive and negative spillover and demonstrated high temporal stability. Respondents reported a significantly higher incidence of family enhancers than family stressors at both data collection points. Consistent with previous research, the …

A Developmental Model Predicting Adjustment In Youth With Autism Spectrum Disorders: The Role Of Executive Functions, Social Impairment, And Friendship Quality, Rebecca Wasserman Lieb

Dissertations

Autism Spectrum Disorders (ASD) are pervasive developmental disorders characterized by several core deficits including social skills impairments and difficulty processing social information. Little is known about the role of contributing factors adjustment in this population. The first aim of this study was to evaluate two meditational models of youth with ASD in which social impairment and friendship quality mediated the relation between various domains of executive functions (EF) and adjustment, as well as a full developmental model in which EF contributed to compromised social skills which influenced friendship quality leading to increased adjustment difficulties in this population. The second aim …

Body Image And Body Mass Index: An Investigation Of Preadolescent Low-Income, Urban Ethnic Minority Girls, Amanda K. Ward

Master's Theses

Utilizing a sample of low-income, urban preadolescent African American and Latina girls, this study examined ethnic differences in two aspects of body image (i.e., body dissatisfaction and weight descriptions), and determined if this relation varied as a function of age. This study also examined the relation between the body image variables and self-esteem and BMI and self-esteem, and determined if these relations differed depending on age or ethnicity. Participants were recruited from 3rd through 5th grade at five Chicago Public Schools, and completed measures of body dissatisfaction, weight descriptions, self-esteem, and had their anthropometric measurements taken. Results showed that Latina …

The Influence Of Supportive Parenting And Racial Socialization On Internalizing And Externalizing Behaviors Among African-American Youth, Corinn Elmore

Master's Theses

The current study examined the additive and interactive effects of racial socialization on internalizing and externalizing behaviors. One hundred and thirty-six youth (mean age = 11.49, SD = 1.71) in fourth through eighth grade and parents of children these ages (n = 150) from 3 three locations of a community based family support agency reported on the youth's internalizing and externalizing behaviors, parental behavior, and racial socialization experiences. Correlational analyses were conducted to determine the relationship between study variables. Consistent with hypotheses, supportive parenting was associated with fewer maladaptive outcomes. Racial pride messages showed a trend level association to outcomes. …

Emotional Exhaustion, Work-Family Conflict, And Marital Satisfaction Among Professional Psychologists., Alisha Oscharoff

Master's Theses

While a wealth of research has examined how the occupational role affects family domain functioning, there is limited research investigating these issues among mental health professionals. Using a sample of 160 professional psychologists, this study examined the relationships between emotional exhaustion at work, work-family conflict (WFC), and marital satisfaction as well as gender differences in the strengths of these relationships. Analyses indicated that increased emotional exhaustion was associated with increased WFC and that both emotional exhaustion and WFC were negatively associated with marital satisfaction. However, WFC did not emerge as a significant mediator of the relationship between emotional exhaustion and …

Predictors Of Academic Achievement And Failure Among Low-Income Urban African American Adolescents: An Ecological Perspective, Israel Moses Gross

Master's Theses

Predictors of academic achievement among urban low-income African American adolescents have primarily been investigated by examining "main effects," or limited interactions with conventional statistical techniques. This paper adds to the literature by examining the factors that influence academic outcomes among this population within an ecological systems framework. This allowed for a comprehensive understanding of how numerous protective and risk factors, across ecological settings, interact to influence academic outcomes.

Optimal Data Analysis (ODA) was employed to create prediction models for mathematic and reading achievement. ODA allowed for the examination of a vast number of variables in one statistical model without increasing …

Towards A New Measure Of Playfulness: The Capacity To Fully And Freely Engage In Play, Rebecca Cornelli Sanderson

Dissertations

The current study involved the development and validation of a new measure of playfulness, the Project Joy Playfulness Scale (PJPS). The PJPS was designed specifically as a brief teacher-report measure for use in the preschool classroom. Playfulness was hypothesized to include four dimensions: Active Engagement, Internal Control, Joyfulness, and Social Connection. Blending academic knowledge with on-the-ground clinical experience, the measure was collaboratively developed and then tested in two separate phases of data collection.

In the first phase of the study, two hundred and twenty-two preschool students aged three to five were rated by two classroom teachers on the alpha version …

Trauma, Dissociation, And Traumatic Stress At A Trauma Center Serving Low-Income Children And Adolescents, Krista Kohl

Dissertations

Exposure to trauma continues to be a pervasive and detrimental experience in the lives of children and adolescents in impoverished, urban communities. This study explored the relationships among trauma, dissociation, and posttraumatic stress in a clinic-referred sample of children and adolescents living in urban poverty. Trauma was investigated broadly, including a range of traumatic experiences, with particular attention given to different types, chronicity, multiple exposures, and severity of trauma. Dissociation was investigated as a mediator, or mechanism of the relationships among trauma and posttraumatic stress symptoms, internalizing and externalizing behaviors. Moderators included gender, age, and adverse experiences. Results confirmed that …

Psychosocial Development, Well-Being, And Internalizing Symptoms During Emerging Adulthood: An Examination Of Mediating And Moderating Factors, Jennifer Paley Edidin

Dissertations

The current study was the second part of a longitudinal study, which sought to explore psychosocial development in an older population of emerging adults. Specifically, it examined cross-sectional and longitudinal relations between psychosocial development and internalizing symptoms, as well as between psychosocial development and well-being. Possible mediating and moderating factors were also considered. Two hundred and twelve eligible individuals from one private Midwestern University and one small private college on the East Coast, who completed measures as college seniors, were invited to participate in the second wave of the study, approximately 1½ years after graduation. Participants were asked to complete …

In Whose Best Interest? Using An Experimental Vignette To Assess Factors Influencing Placement Decisions In Child Welfare, Jeff Sieracki

Dissertations

Building on prior research that utilizes clinical vignettes to analyze child welfare placement decisions (Briar, 1963; Britner & Mossler, 2002; Donnelly, 1980; Drury-Hudson, 1999; Gold, et al., 2001; Taylor, 2006), the present study employs an experimental format to assess the relative importance that social workers place on variables related to placement decisions, and to study any differences regarding decision making that may emerge amongst the child welfare professionals themselves. The study consists of a single hypothetical vignette that will be sent to social workers in the state of Illinois. Prior to administration of the questionnaire, multiple experts in the field …

Hippocampal And Anterior Cingulate Cortex Volumes In Amnestic And Non-Amnestic Mild Cognitive Impairment, Elizabeth R. Tuminello

Master's Theses

Mild Cognitive Impairment (MCI) is a syndrome thought to fall between cognitively normal aging and dementia. Although much research has investigated the structural neuroimaging correlates of amnestic MCI, little research has been done on the imaging correlates of non-amnestic MCI. Even less research has examined the anterior cingulate cortex (ACC), a region important in executive functions (EFs), in these patients. This study attempted to address this gap by examining hippocampal and ACC volumes among amnestic and non-amnestic MCI patients and cognitively normal controls. Those with amnestic MCI were expected to have smaller hippocampal volumes than controls and those with non-amnestic …

Neuropsychological Assessment Of Executive Functioning And Its Association With Depressive Symptomology, Erica Jean Kalkut

Dissertations

The current study explored the construct of executive functioning and neuropsychological measurement techniques used to assess executive functioning (EF). Two current comprehensive measures of executive functioning include the Behavior Rating Inventory of Executive Functioning-Adult Version (BRIEF-A) and the Delis-Kaplan Executive Functioning System (D-KEFS). The BRIEF-A is a self-report questionnaire that reportedly assesses behaviors associated with EF, and the D-KEFS is a battery of tests that are objectively administered by a trained examiner to directly measure different manifestations of EF ability. This study examined the relationship between gender and general intellectual ability on EF and investigated each measure's construct validity in …

The Transition To College And Psychological Outcomes: The Effect Of Identity Development, College Stress, And Activity Involvement On Body Dissatisfaction And Disordered Eating In First-Year College Women, Ashley Marie Rolnik

Master's Theses

The first year of college is an at-risk time period for the development of body dissatisfaction and eating disorders. Thus, it is important to understand the underlying components of the first-year experience - specifically identity development, college stress, and extracurricular activity involvement - that contribute to these psychological disorders. During this developmental time period, first-year students experience many changes and challenges. The goals of the current prospective study are to examine how identity development, college stress, and extracurricular activity involvement affect the development or exacerbation of eating disorders and body dissatisfaction in first-year college women. This longitudinal study aims to …

Do Family Dynamics Mediate The Relationshp Between Early Pubertal Development And Depression For Girls With And Without Spina Bifida?, Rachel Wasserman

Master's Theses

Girls who experience premature puberty have higher levels of depressive symptoms than their peers (Rierdan & Koff, 1991; Hayward et al., 1997). However, girls with spina bifida (SB) experience different psychosocial changes during puberty. This study proposed two longitudinal, mediated moderation models to investigate whether family variables (i.e., parent-child conflict and emotional distancing) contributed to differences in the connection between early pubertal timing and depressive symptoms for girls with and without SB. 62 families (31 SB, 31typically developing) were recruited for a larger longitudinal study. Constructs were assessed subjectively and objectively with the use of questionnaire and observational data. Findings …

Youth In Substitute Care Presenting With Sexual Behavior Problems, Christopher Zaddach

Master's Theses

The purpose of the current study is to investigate the traumatic history of youths in the foster care system presenting with sexual behavior problems. Moreover, co-occurring trauma symptoms will be investigated as possibly contributing to the severity of sexual behavior problems in this population. The present study has four primary goals: (1) This study will focus on identifying traumatic experiences that are associated with sexual behavior problems in children and adolescents in the child welfare system; (2) Co- occuring levels of trauma symptoms including posttraumatic stress symptoms (PTS) and sexual concerns (SC; Briere, 1996) will be tested as possible moderators …