Clinical Psychology Commons^™

Drinking Group Injunctive Norms: An Event-Level Examination, Karolina Kazlauskaite

Psychology Theses & Dissertations

College students are at increased risk for negative alcohol-related outcomes. Theoretical and empirical support suggest that peer groups play a crucial role in college student alcohol use, in part because they establish normative values and behaviors (i.e., norms) that members follow. Research indicates that those who identify more strongly with a group are more likely to embody that group’s values—particularly regarding drinking. Notably, injunctive norms, or perceptions of peer permissibility toward drinking, predict individual drinking outcomes, such that perceiving one’s peers as more approving confers additional risk for personal drinking. However, prior examinations of injunctive norms have not assessed perceptions …

Switches And Witches: Exploring The Relationships Between Religious Struggles, Spiritual Beliefs, And Well-Being, Emma J. Trierweiler

Psychology Theses & Dissertations

This study examined the mechanisms between interpersonal and doubt-related struggles and well-being outcomes in a formerly religious sample. The focus of this dissertation was to analyze the mediating roles of disengagement from God and perceived social support. Approach toward God was also examined as a control but not specified to be connected to the well-being outcomes given the emphasis on formerly religious individuals’ experiences. This was a retrospective study, where participants were asked to consider their responses as they relate to the time they were pulling away from religion. Three measures of well-being were explored using structural equation modeling. Positive …

Examining The Relationships Between Apathy Subdomains, Heart Rate Variability And Cognitive Performance, Yasmin Bahai Nabulsi

Psychology Theses & Dissertations

Apathy, defined as a reduction in motivation and goal-directed behavior, is a multidimensional neuropsychiatric syndrome encompassing behavioral, executive, and emotional components. Although heart rate variability (HRV) has been linked to depression and executive functioning, its relationship with apathy remains unexplored. The present study examined associations between apathy subtypes, resting HRV, HR and HRV reactivity, and cognitive performance. A sample of 116 healthy young adults completed self-reported measures of apathy, depression, fatigue, reward sensitivity, and attentional control. Electrocardiography (ECG) was used to assess resting HRV, followed by continuous recording during cognitive tasks, which included the Digit Span Test and a verbal …

From Invisible Injury To Measurable Impact: Exploring Associations Between Peripheral Biomarkers Of Neuroinflammation And Mental Health Outcomes After Mtbi, Lauren Leggett Smith

Psychology Theses & Dissertations

Mild traumatic brain injury (mTBI), often referred to as a “silent epidemic,” accounts for the majority of traumatic brain injuries worldwide and is increasingly linked to persistent psychiatric outcomes. Despite its prevalence, mTBI remains understudied due to diagnostic challenges, underreporting, and misperceptions of its clinical significance. The present study examined whether peripheral biomarkers of neuroinflammation and astroglial injury—tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and glial fibrillary acidic protein (GFAP)— mediate associations between mTBI history and psychiatric symptom severity, including depression, anxiety, and posttraumatic stress disorder (PTSD). Participants were 138 traumaexposed adults recruited from an urban university and surrounding community, with …

Ptsd Symptoms And Cannabis Use Among College Students: Examining The Role Of Trauma-Related Cannabis Use To Cope, Christopher T. Latourrette

Psychology Theses & Dissertations

Individuals with posttraumatic stress disorder (PTSD) are more than four times as likely to develop cannabis use disorder (CUD) as those without PTSD. This common co-occurrence is often interpreted through a self-medication framework in which cannabis is used to manage PTSD symptoms. Prior work has relied heavily on veteran samples, includes measures of cannabis coping that are not specific to PTSD, and has most commonly examined total PTSD symptom severity, limiting precision in understanding how discrete symptom clusters relate to cannabis outcomes. The present study sought to examine associations between individual PTSD symptom clusters and cannabis use severity and to …

Objectification And Discrimination Among Bi+ Women: Body Image Outcomes And The Moderating Role Of Relationship Type And Partner Gender, Kaitlyn E. Ryan

Psychology Theses & Dissertations

Objectification theory posits that being sexually objectified by others leads to a greater likelihood of engaging in body surveillance behaviors, which in turn is associated with higher body shame (Fredrickson & Roberts, 1997). Prior research has identified both objectification and anti-bisexual discrimination as significant predictors of body surveillance and body shame among bi+ women (i.e., bisexual, pansexual, queer) (Brewster et al., 2014; Salim et al., 2024). No studies, however, have considered the unique experiences of romantically partnered bi+ women, including the potential moderating effects of partner gender and relationship type. The present study examined whether romantic relationships are protective for …

An Examination Of Resilience And Food And Alcohol Disturbance: How Black & White Women Measure Up, Jaye I. Brayboy, Alicia M. Moulder, Audrey L. Bell, Melissa N. Manning, Cathy L. Lau-Barraco

Knowledge and Creativity Expo

Food and alcohol disturbance (FAD) combines dieting behaviors and alcohol use for alcohol enhancement (AE-FAD) or calorie compensation (CC-FAD). Though unclear whether racial differences exist in FAD engagement, research suggests strong ethnic identity protects Black Americans from FAD while strengthening risk in White Americans. Resilience (i.e., the ability to recover from adversity) is positively associated with body image amongst Black women; however, resilience has not been examined in relation to FAD. This study evaluated whether associations between resilience and FAD differed by race amongst college women, hypothesizing that resilience would be negatively associated with AE-FAD and CC-FAD for Black and …

Does The Use Of Protective Behavioral Strategies Moderate The Relationship Between Perceived Peer Cannabis Use And Personal Use?, Mia Forsythe, Erica E. Mcdonald, Melissa N. Manning, Audrey L. Bell, Alicia Moulder, Cathy Lau-Barraco

Knowledge and Creativity Expo

The perception that close friends frequently use substances (i.e., descriptive norms) has been shown to increase personal use frequency and subsequent negative consequences. Within alcohol literature, protective behavioral strategies (PBS), actions aimed at reducing negative consequences of substance use (e.g., avoiding use before work), have been shown to moderate the effect of this relationship. However, this relationship in cannabis use remains unexplored. Thus, the current study examines PBS use as a moderator between descriptive norms and cannabis use frequency. We hypothesize that a positive association between descriptive norms and cannabis frequency will be weakened by greater PBS use. Undergraduate past-month …

Under Pressure: Associations Between Discrimination, Expressive Suppression, And Coping Drinking Motives Among Sexual Minority Women, Erica E. Mcdonald, Mia Forsythe, Audrey L. Bell, Melissa N. Manning, Alicia Moulder, Cathy Lau-Barraco

Knowledge and Creativity Expo

Within Minority Stress Theory, heterosexist discrimination has been linked to drinking to cope (DTC) motives, or drinking as a way to manage negative emotions. DTC motives are associated with heightened negative consequences from drinking. Prior research has found that high levels of expressive suppression (i.e., inhibition of ongoing emotion-expressive behavior) confer risk for coping motivated drinking. Given sexual minority women’s (SMW) elevated risk for DTC motives, examining expressive suppression and discrimination as correlates may address an important gap in literature. Thus, the current study examined expressive suppression as a factor impacting the relationship between external discrimination and coping motives among …

Examining Social And Intrapersonal Factors Among Youth Crisis Line Volunteers, Sunday Hull

Psychology Theses & Dissertations

Crisis lines provide a free crisis response service that is highly accessible to individuals who are at elevated risk of suicide and may not be otherwise connected with care. In order to best tailor crisis line interventions to youth populations, a number of youth-to-youth crisis lines invite youth callers to connect with trained youth volunteers. While prior research has examined adult crisis lines workers’ experience and well-being and identified key factors that predict positive and negative volunteering outcomes, far less is known about similar determinants of experience and well-being among adolescent volunteers on youth-to-youth crisis lines. The purpose of this …

Observed Parenting, Parent-Child Aggression, And Intimate Partner Violence As Predictive Of Family Dysfunction, Paige Munshell

Psychology Theses & Dissertations

Family systems theories contextualize violence as occurring across multiple levels of the family, yet much of the existing literature focuses on a single family member’s outcome (i.e., the child) and neglects to include data collected from fathers. This study examined the associations between indicators of functioning at the dyadic-level in the family system—observed parenting, Intimate Partner Violence (IPV) perpetration, and Parent-Child Aggression (PCA) risk—and later overall family dysfunction. Participants were 180 mothers and 144 of their male partners evaluated when their child was 18 months old and re-evaluated at 4 years old. Measures of observed parenting, IPV perpetration, and PCA …

Identifying Alcohol Intervention-Relevant Constructs For Greek Life: Examining Across Greek Membership And Gender Among College Students, Emily Susan Renzoni

Psychology Theses & Dissertations

Among college populations, students who are members of social Greek life organizations (i.e., social fraternities and sororities) drink more and experience higher rates of negative alcohol-related consequences than their non-affiliated peers. Although there has been success of alcohol interventions in general college populations, research has shown that college drinking interventions that are delivered to students in Greek life are not efficacious in reducing alcohol consumption or related consequences. It is meaningful to investigate if the content commonly addressed in these interventions, although well-documented as being linked to drinking in the general college population, has the same associations for students who …

Exploring The Impact Of Identity-Based Bullying On Suicidal Thoughts And Behaviors Among 6th-12th Grade Youth In Virginia, Camille N. Johnson

Psychology Theses & Dissertations

Suicidal thoughts and behaviors (STBs) are a growing public health concern among youth. Bullying victimization is a robust risk factor for STBs and identity-based bullying (IBB) or bullying that occurs due to a person’s actual or perceived social-identity/identities that is ingrained in discrimination, prejudice, or bias, has been found to be more strongly associated with STBs compared to bullying that was unrelated to identity. The current study used data from the Virginia School Survey of Climate and Working Conditions (N=399,493) to examine associations between general bullying, adult-perpetrated bullying, and IBB with depression and STBs among 6th-12th grade youth. This study …

Drinking To Compensate: Expanding Upon The Motivational Model Of Alcohol Use, Douglas J. Glenn

Psychology Theses & Dissertations

The motivational model of alcohol use identifies four key drinking motives – coping, conformity, social, and enhancement – as important proximal antecedents of problematic drinking. However, applications of this model have been inconsistent in explaining drinking outcomes. Specifically, it is unclear under which conditions each drinking motive can be a risky or benign indicator of drinking behaviors. The current study theorized that a problematic drinking to compensate behavior could emerge across all drinking motives when alcohol is used to counteract a psychosocial (i.e., nondrinking) deficit. It was hypothesized, at the cross-sectional and daily level, that the associations between each drinking …

Testing An Ironic Process Model Of Emotion Expression In Daily Life, Laura B. Kenneally

Psychology Theses & Dissertations

Expressive suppression, or suppressing the expression of an emotion, is a common emotion regulation approach that has been found to have substantial negative implications for one’s mental health, physical health, and relationship functioning. However, expression of emotion, and of negative emotion in particular, has not consistently been found to be beneficial for mood or relationships. Moreover, the social expression of emotion that is culturally valued among Black-identifying Americans is different in White-identifying Americans, particularly in regard to expression of negative affect. However, it is unknown whether this cultural context mitigates the potential consequences of expressive suppression and emotion expression.

Expressive …

Exploring The Relationship Between Cannabis Use Motives And Readiness To Change Among Young Adult College Students, Emma Kathryn Rawls

Psychology Theses & Dissertations

Cannabis use among young adult college students has risen steadily over the past decade, raising concerns about the associated health, academic, and psychological consequences. While cannabis use motives and readiness to change have each been linked to use patterns and outcomes, limited research has examined how these factors interact. The current study investigated whether readiness to change, based on the Transtheoretical Model (TTM), moderates the relationship between cannabis use motives and cannabis-related consequences as well as past-30-day use frequency. A sample of 100 college students 18-25 years old (M_age = 20.08, SD = 2.12; 67% female; 55.0% Black or …

Examination Of An Experimental Paradigm Of Impaired Control Over Alcohol Use, Emily K. Junkin

Psychology Theses & Dissertations

Alcohol use disorders peak during young adulthood with nearly 27% of individuals aged 18 to 30 meeting diagnostic criteria. Impaired control, or difficulty limiting alcohol use, has been identified as one of the earliest symptoms of an alcohol use disorder and is predictive of alcohol use severity. Despite the relevance of impaired control for identifying and preventing hazardous drinking behaviors, there is a dearth of research that exists on this critical risk factor. The current study tested an experimental paradigm of impaired control whereby participants self-administered alcohol following guidelines to limit consumption to a low level. It was hypothesized that …

Intimate Partner Violence Among College Students: The Influence Of Gender, Sexual Orientation, Race/Ethnicity On Bystander Intention, Brooke M. Puharic

Psychology Theses & Dissertations

Intimate partner violence (IPV) among college students is an issue across gender, sexual orientation, and race/ethnicity. The present study highlights the sociodemographic characteristics that influence physical IPV involvement among college students by reporting past year prevalence and frequency rates of physical IPV involvement by gender, sexual orientation, and race/ethnicity. Additionally, the current study builds on research about bystander intention to intervene by exploring the influence of these sociodemographic characteristics on participants intentions to intervene, as well as their preferred type of intervention.

Participants were 525 university students recruited from the psychology research pool. They were presented with eight hypothetical vignettes …

Supervisees’ Responsiveness In Supervision With Doctoral Student Supervisors, Zübeyde Akpakır

Counseling & Human Services Theses & Dissertations

This study explores the factors that influence the responsiveness of master’s-level counselors-in-training (CITs) to university-based supervision with doctoral student supervisors. Supervision is an important element and the requirement of CITs' professional development (Bernard & Goodyear, 2019; CACREP, 2024), and many counselor education programs educate their doctoral student to supervise master’s-level CITs (Luke, 2019). Despite its significance, there is no empirical data on how CITs engage with feedback and guidance, particularly in supervision led by novice doctoral supervisors. The study employed an exploratory sequential mixed methods design, Q methodology (McKeown & Thomas, 2013), to analyze CITs' subjective perspectives and identify factors …

Cohesive Model Of Supervision: An Empirically Based Approach, Gülşah Kemer

Counseling & Human Services Faculty Publications

Supervision models are fundamental to our supervision practices and criticized for lacking empirical support. As a data-driven approach based on research with expert supervisors, Cohesive Model of Supervision unifies existing models’ central premises in a meaningful manner and emphasizes the understated areas of supervision practice.

Psychedelic Minimalism: The Case Against Music In Psychedelic Therapy Settings, Samir A. Nader

Department of Medicine Faculty Publications

[Introduction: reframing the role of setting] In recent years, renewed attention has been given to the centrality of set and setting in psychedelic-assisted therapy. The Reporting of Setting in Psychedelic Clinical Trials (ReSPCT) guidelines reflect an evolving consensus: therapeutic outcomes are not solely pharmacologically determined but are heavily shaped by both the environment and the psychological state of the participant (2). Within this evolving paradigm, music has assumed a privileged role, framed as a therapeutic constant, typically curated to be emotionally supportive or evocative, and especially emphasized during peak psychedelic states (3). The prevailing assumption is that music facilitates safety, …

Weight Bias Internalization And Disordered Eating: Examining The Role Of Sexual Orientation In A Sample Of Women Who Binge Eat, Meredith I. Turner

Psychology Theses & Dissertations

Sexual minority women and heterosexual women endorse different rates of disordered eating symptoms. Weight bias internalization (WBI), or self-directed negative attitudes and beliefs about oneself due to their weight, is known to be associated with binge eating and other disordered eating behaviors. However, little is known about the influence WBI may have on disordered eating symptoms across various sexual orientations. Therefore, this study examined disordered eating, WBI, and the association between them among sexual minority and heterosexual women. Specifically, the study aims were to (1) compare instances of WBI and disordered eating symptoms between sexual minority and heterosexual women, (2) …

(Don’T Fear) The Factors: An Item-Level Meta-Analysis Of The Fear Of Covid-19 Scale’S Factor Structure And Measurement Invariance, William P. Jimenez, Asiye Zeytonli, Yasmine Nabulsi, Xiaoxiao Hu

Psychology Faculty Publications

The global COVID-19 pandemic saw marked research and clinical interest in evaluating pandemic-related distress, namely fear and anxiety regarding infection and death. The most widely used and earliest developed measure of COVID-19 distress is Ahorsu et al. (2022) seven-item Fear of COVID-19 Scale (FCV-19S). To investigate the factor structure and measurement equivalence of the FCV-19S, we conducted an item-level meta-analysis synthesizing 1155 effect sizes across k = 55 independent samples comprising N = 71,161 individuals. We found that a two-factor measurement model comprising a four-item Emotional factor and a three-item Psychosomatic factor exhibits better fit than the originally proposed single-factor …

A Mixed-Methods Study To Examine Protective Behavioral Strategies For Simultaneous Alcohol And Cannabis Use In College Students, Jennifer Lynn Shipley

Psychology Theses & Dissertations

State-level cannabis legalization is becoming more common in the United States. With the rise of cannabis legalization, cannabis use among college students has increased and young adults’ perceptions of the harms associated with cannabis use have decreased. Moreover, simultaneous use of alcohol and cannabis (so that their effects overlap; SAM) is prominent in the college student population. Negative consequences related to SAM use are greater than those for alcohol or cannabis single-substance use. Protective behavioral strategies (PBS) are robust predictors of reduced harm, and critical components for efficacious interventions for reducing alcohol and cannabis use and their related harms. PBS …

Testing A Model Of Ethnic/Racial Discrimination, Ethnic Identity, And Adult Attachment In College Students, Kenneth L. Ayers

Psychology Theses & Dissertations

Ethnic/racial minoritized Americans encounter a disproportionate amount of discrimination throughout their lifetime that often has negative effects on their well-being and mental health. Although the impact of discrimination on symptoms of depression and substance use has been widely studied, understanding of the mechanisms through which these associations exist are still largely unknown. From the perspective of the Cultural Development and Psychopathology Framework, the effects of discrimination on psychopathology (i.e., depression symptoms and alcohol use) are likely mitigated by normative developmental processes. One such developmental outcome that has been determined to partially mediate the impact of cultural stressors (i.e., ethnic/racial discrimination) …

Body Image Dissatisfaction, Positive Body Image, And Health Behaviors During Pregnancy: A Between-Trimester Comparison, Cassidy M. Sandoval

Psychology Theses & Dissertations

Body image during pregnancy is a critical concern for maternal and fetal health, as it is associated with adverse health outcomes for mothers and neonates. Findings regarding if and how body image dissatisfaction changes during pregnancy are equivocal. A vast majority of studies examining body image during pregnancy focus on negative aspects of body image (e.g., body dissatisfaction), and there are limited studies of positive body image during pregnancy. Although the literature examining body image’s association with mental health concerns during pregnancy is well-developed, there is far less research exploring associations with physical health. Given these notable gaps, the present …

Gender Measurement Invariance Of The Minnesota Multiphasic Personality Inventory - Adolescent - Restructured Form (Mmpi-A-Rf) Internalizing And Externalizing Specific Problem Scales, Thomas Jay Augustin

Psychology Theses & Dissertations

Due to social, psychological, biological, and cultural differences in adolescent development, it is important to evaluate measurement invariance in psychological measures. Although the Minnesota Multiphasic Personality Inventory (MMPI) assessments have a plethora of research to evaluate their utility in clinical practice, few published studies have examined the measurement invariance between males and females for any of the scales in the adolescent versions (MMPI-A/MMPI-A-RF). The present study examined the measurement invariance of the MMPI-A-RF Internalizing and Externalizing Specific Problem Scales between male and female adolescents. Data were obtained from an outpatient sample and from Pearson’s mail-in service resulting in 1,622 valid …

The Impact Of Emotional Impulsivity On Emotion Regulation And Internalizing Disorders: Competing Latent Path Models, Alicia L. Milam

Psychology Theses & Dissertations

Emotion regulation has been identified as a transdiagnostic risk factor in internalizing disorders. Previous literature has attempted to classify regulatory strategies by their temporal and functional characteristics to determine how to best implement emotion regulation interventions. However, these frameworks occasionally conflict, particularly in the presence of factors impacting regulatory strategy selection such as emotional impulsivity. This project examined competing theoretical models of emotion regulation strategy classification as related to internalizing psychopathology as well as explore the association between emotional impulsivity, regulatory classification and internalizing psychopathology. A community sample of 783 adults recruited through Amazon MTurk completed online questionnaires related to …

Developmental Patterns And Social Determinants Of Adolescent Polysubstance Use Among Connecticut Youth, Jennika K. Jenkins

Psychology Theses & Dissertations

Adolescent substance use continues to be a leading health concern in the United States. Although individual substance trends have demonstrated a decrease in use, it seems as if polysubstance use is on the rise among this population. Prior research into adolescent polysubstance use patterns tends to include only commonly used substances (e.g., alcohol, cannabis, tobacco) and neglects prescription drug misuse and illicit substances. Further, subanalyses by grade are typically not completed, leaving a gap in our understanding of developmentally appropriate prevention strategies. The present study utilized 13 substance use indicator variables to estimate substance use patterns among adolescents in grades …

Associations Between Combat Exposure, Moral Injury, And Suicidality Among U.S. Military Members: The Moderating Impact Of Positive Rumination, Jeffrey M. Gabelmann

Psychology Theses & Dissertations

Numerous studies have documented the risk for suicide among recent-era veterans with combat experience. Recently, moral injury has emerged as a possible contributor to suicidality in veterans. To that end, no study has approached the combat exposure-moral injury-suicidality link with a focus grounded in positive psychology. Specifically, the present study explored whether positive rumination, or the reflection on positive emotions and moods, may buffer the deleterious effects of potentially traumatic experiences in warzones on moral injury and suicidality. This study was a secondary analysis of 250 current or former U.S. military members (M_age = 33.3 years) who had …