Clinical Psychology Commons^™

Relationship Satisfaction And Coparenting Over The Transition To Parenthood: Depression, Division Of Labor, And Child Temperament As Moderators, Jessica Block

Psychology Theses & Dissertations

The transition to parenthood is a uniquely important time in the human experience. New parents must reorganize their patterns of behavior and respective roles in order to include and care for a new child. Parents’ ability to navigate this process has great implications for child adjustment and healthy development. The purpose of the present study was to evaluate the association of relationship satisfaction over the transition to parenthood and early coparenting interactions. The archival data utilized were collected as part of a longitudinal study of first time parents funded by the National Institute of Child Health and Human Development (NICHD) …

A Latent Profile Analysis Of Drinking Patterns Among Nonstudent Emerging Adults, Cathy Lau-Barraco, Abby L. Braitman, Amy L. Stamates, Ashley N. Linden-Carmichael

Psychology Faculty Publications

Research indicates that nonstudent emerging adults, as compared to their college-attending peers, are at higher risk for experiencing alcohol-related problems, including alcohol use disorders. The present study sought to extend the limited research on nonstudent drinking by (1) identifying sub-groups of nonstudent drinkers based on their drinking patterns and (2) determining the extent to which social-cognitive between-person factors related to drinking (i.e., social expectancies, perceived drinking norms, social drinking motivations) distinguish these sub-groups. Participants were 195 (65.1% men) nonstudent emerging adult heavy episodic drinkers recruited from the community. Mean age was 21.88 (SD = 2.08) years and 45.4% were unemployed. …

Mand Training: An Examination Of Response-Class Structure In Three Children With Autism And Severe Language Delays, Erik Drasgow, Christian A. Martin, Laura C. Chezan, Katie Wolfe, James W. Halle

Communication Disorders & Special Education Faculty Publications

Our primary purpose in this study was to examine the structure of a response class when new members are acquired through mand training. To do this, we replaced existing mands (e.g., reaching) in three children with autism with two new functionally equivalent mands. Next, we examined their responding under immediate- and delayed-reinforcement conditions. Then, we assessed generalization to novel social partners. We employed a reversal design to examine the effectiveness of mand training and to assess responding under both immediate- and delayed-reinforcement conditions. Our results suggest that all children acquired the new mands and that two of the children emitted …

Initiation And Retention In Couples Outpatient Treatment For Parents With Drug And Alcohol Use Disorders, Abbly L. Braitman, Michelle L. Kelley

Psychology Faculty Publications

The focus of the current study was to identity mental health, relationship factors, substance use related problems, and individual factors as predictors of couples-based substance abuse treatment initiation and attendance. Heterosexual couples with children that met study criteria were invited to attend 12 sessions of outpatient behavioral couples therapy. Men were more likely to initiate treatment if they had a higher income, had greater relationship satisfaction, were initiating treatment for alcohol use disorder only, were younger when they first suspected a problem, and had higher depression but lower hostility or phobic anxiety. Men attended more treatment sessions if they reported …

Standardized Patient Encounters Periodic Versus Postencounter Evaluation Of Nontechnical Clinical Performance, T. Robert Turner, Mark W. Scerbo, Gayle A. Gliva-Mcconvey, Amelia M. Wallace

Psychology Faculty Publications

Introduction: Standardized patients are a beneficial component of modern healthcare education and training, but few studies have explored cognitive factors potentially impacting clinical skills assessment during standardized patient encounters. This study examined the impact of a periodic (vs. traditional postencounter) evaluation approach and the appearance of critical verbal and nonverbal behaviors throughout a standardized patient encounter on scoring accuracy in a video-based scenario.

Methods: Forty-nine standardized patients scored either periodically or at only 1 point in time (postencounter) a healthcare provider's verbal and nonverbal clinical performance during a videotaped standardized patient encounter. The healthcare provider portrayed in this study was …

Donepezil’S Effect On Cardiac Function In Patients With Alzheimer’S Disease Through An In Vivo, Non Invasive Measure Of Cardiac Autonomic Function, Lewis P. Hackett

Psychology Theses & Dissertations

The aim of the current study was to explore the effects of the medication Donepezil (Aricept®) on cardiac autonomic function for individuals diagnosed with mild to moderate (probable) Alzheimer’s disease (AD). Using age (± 3 years) and gender matched controls, differences in heart rate variability (HRV) among individuals with Alzheimer’s disease were compared to healthy controls over a period of six months (session 1 [baseline], session 2 [3 months], and session 3 [6 months]) in both supine and standing positions. HRV was obtained through frequency-domain (Low Frequency Power, High Frequency Power, RMSSD, LF/HF Ratio) and time-domain (six minutes) measures using …

A Daily Diary Investigation Of Discrimination And Binge Eating Among Lesbian Women, Tyler Mason

Psychology Theses & Dissertations

Lesbian women may experience discrimination because of their gender and their sexual orientation termed sexism and heterosexism, respectively. Both sexism and heterosexism are associated with increased psychological distress and negative affect among lesbian women. Furthermore, preliminary evidence suggests that heterosexism is associated with binge eating among lesbian women. However, the relationship between discrimination and binge eating has received limited empirical examination. This study examined associations between sexism and heterosexism, negative affect, and binge eating using a daily diary methodology. Participants were recruited online through social media and LGBT organizations after completing an online eligibility survey with measures of demographics, binge …

Examining The Measurement Invariance Of The Minnesota Multiphasic Personality Inventory-2-Restructured Form Internalizing Specific Problem Scales In African- American And Caucasian Men, Megan Anne Brokenbourgh

Psychology Theses & Dissertations

Test bias has long been an area of investigation in the personality assessment literature, including the MMPI-2-RF. Research on previous versions of the MMPI and MMPI-2-RF has pointed to mixed results. The current study aims to examine test bias on the MMPI-2-RF’s nine Internalizing Specific Problem Scales by examining measurement invariance using MIMIC modeling and investigating differential item functioning (DIF). After removal of invalid protocols, the first sample consisted of 2,980 protocols from various settings requested from Pearson (255 African American and 2,755 Caucasian protocols). The second sample consisted of 1,379 valid protocols from psychiatric inpatient settings (1,245 Caucasian and …

Effects Of Varying Degrees Of Fixed And Random Responding On The Validity Of Score Interpretation For The Sp And Psy-5 Scales Of The Mmpi-2-Rf, Joseph Brooks Minifie

Psychology Theses & Dissertations

The Minnesota Multiphasic Personality Inventory – 2 Restructured Form (MMPI-2- RF; Tellegen & Ben-Porath, 2008/2011) is a widely used self-report measure of psychopathology and personality. However, the self-report format of the MMPI-2-RF suggests that interpretation of its scales and the clinical recommendations that follow are vulnerable to invalid response styles. This dissertation builds upon previous research (Handel, Ben-Porath, Tellegen, & Archer, 2010) to examine the effect of random and fixed responding, as measured by the VRIN-r and TRIN-r Scales, on the 28 SP and PSY-5 Scales. A computer simulation procedure was used to insert increasing degrees of inconsistent responding into …

Moderating Effects Of Coping Self-Efficacy And Coping Diversity In The Stress Health Relationship In African American College Students, Carol Frances Bonner

Psychology Theses & Dissertations

The present study examined the roles of coping self-efficacy and coping diversity in moderating the harmful effects of stress in a sample of African American undergraduate college students. An additional purpose of the study was to explore alternative methods of measuring coping diversity. Data were obtained from 162 participants who attended a southeastern Historically Black College/University. Hierarchical multiple regression analyses were performed to detect main effects and interaction effects of perceived stress and the two moderator variables, coping self-efficacy and coping diversity, on physical and mental health. Correlational analyses were used to assess the reliability of an alternative measure of …

Defining And Characterizing Differences In College Alcohol Intervention Efficacy: A Growth Mixture Modeling Application, James M. Henson, Matthew R. Pearson, Kate B. Carey

Psychology Faculty Publications

Objective: While college alcohol misuse remains a pervasive issue, individual-level interventions are among the most efficacious methodologies to reduce alcohol-related harms. Growth mixture modeling (GMM) was used as an exploratory moderation analysis to determine how many types of college drinkers exist with regard to intervention efficacy over a 12-month period.

Method: Data from 3 randomized controlled trials were combined to yield a sample of 1,040 volunteer and mandated college students who were given 1 of 3 interventions: a brief motivational intervention, Alcohol Edu for Sanctions, or Alcohol 101 Plus. Participants were assessed at baseline, and 1, 6, and 12 months …

Protective Effects Of Social Support And Self-Esteem On Sexual Minority Young Adults' Mental Health, Sara Bock

Psychology Theses & Dissertations

Existing research has established that lesbian, gay and bisexual (LGB) youths experience higher rates of mental illness. However, fewer studies have examined what influences these disparate outcomes. Meyer's (2003) minority stress theory suggests that social factors, such as social support, and internal resources, such as self-esteem, are important potential moderators that may buffer the detrimental effects of stigma-related stress for sexual minority individuals. This study examined the potential protective effects peer support, parent support, school support, and self-esteem in adolescence in explaining mental health disparities between sexual minority and heterosexual young adults. Mental health outcomes included alcohol consumption, depressive symptoms, …

Interrelationships Between Sensation Seeking And Psychopathy, Casey S. Iwai

Psychology Theses & Dissertations

Psychopathic and sensation seeking traits are often correlated; however, sensation seeking alone is not inherently pathological. This study seeks to investigate possible moderating variables between individuals who are high on sensation seeking but low on measures of psychopathic or antisocial traits. Specifically, a positive family environment is hypothesized to be a moderating variable in the development of psychopathic traits among high sensation seekers. A college student sample assessed for psychopathy, sensation seeking, and family functioning is used to test this hypothesis. Significant relationships between all three constructs were found. Similar to previous data, sensation seeking was found to correlate with …

Substance-Abusing Mothers And Fathers' Willingness To Allow Their Children To Receive Mental Health Treatment, Michelle L. Kelley, Gabrielle M. D'Lima, James M. Henson, Cayla Cotton

Psychology Faculty Publications

The purpose of this study was to examine attitudes of substance-abusing mothers and fathers entering outpatient treatment toward allowing their children to participate in individual- or family-based interventions. Data were collected from a brief anonymous survey completed by adults at intake into a large substance abuse treatment program in western New York. Only one-third of parents reported that they would be willing to allow their children to participate in any form of mental health treatment. Results of chi-square analyses revealed that a significantly greater proportion of mothers reported that they would allow their children to participate in mental health treatment …

Profiles Of Binge Eating: The Interaction Of Depressive Symptoms, Eating Styles, And Body Mass Index, Tyler B. Mason, Robin J. Lewis

Psychology Faculty Publications

Binge eating is associated with depressive symptoms, eating styles, and obesity. However, less is known about interactions between these variables and binge eating. This study examined the relationship between depressive symptoms, eating styles, body mass index, and binge eating. Individuals with a higher body mass index, who reported more depressive symptoms and more external eating, reported the greatest binge eating. Similarly, individuals with a higher body mass index who reported more depressive symptoms and more emotional eating reported the greatest binge eating. These findings demonstrate possible profiles of individuals most at risk for binge eating and associated eating disorders. Copyright …

Counselor Demographics, Client Aggression, Counselor Job Satisfaction, And Confidence In Coping In Residential Treatment Programs, Erik Braun

Counseling & Human Services Theses & Dissertations

Counselors at residential agencies are sometimes assaulted by physically aggressive clients (Flannery & Walker, 2001, 2008). As a possible result of this professional hazard, mental health professionals typically resign from residential counseling positions after approximately 14.6 weeks (Connis, 1979). Although job satisfaction and counselor confidence in coping with client aggression have been widely studied individually in the context of residential settings, researchers have examined these variables together. The overarching purpose of this study was to examine the association between counselor demographic characteristics, agency/environmental characteristics, and crisis intervention training and job satisfaction and confidence in coping with client aggression. Data were …

A Brief Motivational Intervention For Heavy Alcohol Use In Dental Practice Settings: Rationale And Development, James A. Neff, Scott T. Walters, Abby L. Braitman, Michelle L. Kelley, Michele L. Darby, Margaret F. Lemaster

Psychology Faculty Publications

Although brief alcohol interventions have proven effective in a variety of health care settings, the present article describes the development of the first brief intervention for heavy drinkers in dental practice. Elements of motivational interviewing and personalized normative feedback were incorporated in a 3- to 5-minute intervention delivered by dental hygienists. The intervention is guided by a one-page feedback report providing personalized normative feedback regarding the patient's current oral health practices, their drinking in comparison to others, and oral cancer risk associated with current smoking and drinking. Future publications will present data regarding intervention effectiveness from an ongoing randomized trial.

A Mediated Model Of Minority Stress And Binge Eating In Sexual Minority Women, Tyler Bruce Mason

Psychology Theses & Dissertations

Previous studies have shown that sexual minority women (SMW) report more binge-eating behaviors than heterosexual women. Explanations for this differentiation have not been researched adequately. SMW also experience unique stressors related to minority sexual orientation. These minority stressors include both distal stressors (e.g. discrimination) and proximal stressors (e.g. expectations of rejection). Both types of stressors have been found to be integral in the development of negative mental and physical health outcomes in SMW. The importance of mediators and moderators in the minority stress and negative outcomes association has been demonstrated in previous literature. The purpose of the present study was …

Caffeinated Alcohol Use And Anxiety Symptoms Among College Students, Ashley N. Linden

Psychology Theses & Dissertations

Recently, the combination of alcohol and caffeine (i.e., caffeinated alcohol) has been growing in popularity among college students. Consumption of caffeinated alcohol has been shown to result in negative consequences (e.g., required medical attention, engaged in driving and sexual risk behaviors). It may be important to investigate the potential risk this may have on students with mental health issues, such as those with anxiety symptoms, as they may already be at heightened risk for substance-related problems. Consequently, the purpose of this study was to explore the relationship between anxiety and caffeinated alcohol use in a college student sample. The aims …

Emotion Management Skills Of School-Age Children In The Context Of Risk: The Role Of Parent Socialization Strategies, Carla Damiani Correia

Psychology Theses & Dissertations

Exposure to risk in childhood can disrupt social and emotional processes (Leventhal & Brooks-Gunn, 2000) and lead to the development of physical and mental health issues across the lifespan (Flouri, 2008). This study sought to better understand the associations between contextual risk, parent socialization of emotion, and children's emotion regulation skills in an at-risk sample. Information about risk was obtained from U.S. Census data and a family questionnaire. Parent socialization strategies and children's ER skills were measured using self-report and interview methods. Though not to the degree that was expected, results indicate that contextual risk relates to both parent socialization …

A Comparison Of Relaxation Techniques On Blood Pressure Reactivity And Recovery Assessing The Moderating Effect Of Anger Coping Style, Catherine J. Mills

Psychology Theses & Dissertations

This study examined the relationship of anger coping style and relaxation techniques on cardiovascular reactivity and recovery in blood pressure (BP). Eighty-nine students from Eastern Virginia Medical School in Norfolk, Virginia participated. The participants were instructed to rest for ten minutes (baseline), complete a math task with harassment for 6 minutes (stressor), and engage in one of three recovery conditions (a standard control (SC), diaphragmatic breathing (DB), or mantra recitation (MR) without breathing instructions) for 10 minutes. The Spielberger State-Trait Anger Expression Inventory (STAXI) was utilized to measure trait anger coping style. Participants were compensated $25. It was hypothesized that …

The Mediating Role Of Emotion Regulation In The Relations Of Between Somatization And Internalizing Disorders In Children, Priscilla A. Khuanghlawn

Psychology Theses & Dissertations

Somatic symptoms are a common experience of childhood and research suggests that specific populations, including girls and children who are African-American, may be more likely to experience and report somatic complaints. Although seen in developmentally typical populations, somatic symptoms are also often strongly linked with general psychopathology, especially internalizing disorders. The etiology of somatic symptoms is unclear, with the current literature suggesting various contributing causes. One such contributing factor includes emotional factors such as the management of emotional arousal through emotion inhibition, coping, and dysregulation. Using an African-American sample of 136 elementary school-aged children (47% boys) and their parents (86% …

The Effects Of Combat Exposure On Post-Deployment Coping Deficits In Oef/Oif/Ond Veterans, Alex Emerson Dryden

Psychology Theses & Dissertations

As members of the United States Military return stateside from the combat zones in Iraq and Afghanistan, an increasing number of veterans exposed to combat are reporting symptoms of posttraumatic stress disorder (PTSD) as well as other significant detrimental impacts on their ability to cope with the stressful situations they experienced in the combat arena. The purpose of the current study is to ascertain the presence of posttraumatic stress disorder in veterans returning from Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF), and Operation New Dawn (OND), the potential impairment in their abilities to cope with the combat-related stress. The …

Psychometric Properties Of The Minnesota Multiphasic Personality Inventory-2-Restructured Form (Mmpi-2-Rf) Fbs-R, Fs, And Rbs Scales In A Neuropsychological Setting, Danielle M.E. Ransom

Psychology Theses & Dissertations

The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) is the most widely used self-report measure of personality and psychopathology in the United States. The recently released MMPI-2-RF (Restructured Form), meanwhile, was designed to be a shorter and more efficient version of the MMPI-2. All MMPI-2-RF items are fully contained within the larger MMPI-2 and all IVIMPI-2-RE scales may be scored from a standard MMPI-2 administration. This study sought to examine the relationship between the RBS, Fs, and FBS-r over-reporting validity scales of the MMPI-2-RF, a stand-alone measure of symptom validity/cognitive effort, and neuropsychological indicators commonly used in assessment batteries. Results of this …

Investigating The Roles Of Time Perspective And Emerging Adulthood In Predicting Driving Behavior, Kristie L. Johnson

Psychology Theses & Dissertations

In the U.S., motor vehicle crashes are the leading cause of death for individuals 2 to 34 years of age (National Highway Traffic Safety Administration, 2009c). Of particular interest are 18 to 25 year olds or emerging adults because of their increased crash risk. The prevalence of crashes attributable to the combination of driving inexperience and risky behaviors creates the necessity to identify predictors of crash likelihoods. While there are known personality variables that predict risky driving, time perspective as an additional one was suggested. Time perspective pertains to how the past, present, and future influence an individual's actions. Zimbardo, …

The Effects Of An Online Sleep Hygiene Intervention On Students' Sleep Quality, Giuliana Farias

Psychology Theses & Dissertations

Students in college or in their first year of medical school undergo increased educational and social pressure. To cope, students may sacrifice sleep to meet demands. Poor sleep affects learning, performance, and health. Studies have been successful at improving sleep quality through the use of in-person recruitment or cognitive-behavioral therapy delivered over the internet (Trockel, Manber, Chang, Thurston, & Tailor, 2011). The purpose of the current study was to investigate whether an online sleep hygiene intervention could improve sleep quality. One hundred thirty-eight students from one undergraduate institution in Southeast Virginia completed this study. Students were divided into groups; one …

The Association Of Cognitive Function With Autonomic-Cardiovascular Reactivity To And Recovery From Stress, Sanjay Mehta

Psychology Theses & Dissertations

The contribution of stress in the development of chronic and terminal disease has garnered significant interest in contemporary research. The current study aims to look at how performance in domains of cognitive function may affect autonomic-cardiovascular reactivity and recovery to psychologically stressful tasks as such reactions, over time, may contribute to the development of cardiovascular disease.

The current study analyzed data from 209 healthy middle-age adults. This included four neuropsychological tests utilized here to represent abilities in four different cognitive domains: response inhibition, mental flexibility, verbal memory, and nonverbal memory. The participants were also introduced to three psychologically stressful tasks …

Pathways To Early Coital Debut For Adolescent Girls: A Recursive Partitioning Analysis, Matthew R. Pearson, Tatyana Kholodkov, James M. Henson, Emily A. Impett

Psychology Faculty Publications

This study examined pathways to early coital debut among early to middle adolescent girls in the United States. In a two-year longitudinal study of 104 adolescent girls, recursive partitioning (RP) analyses were conducted to examine the specific factors that were related to engaging in first intercourse by the 10th grade among adolescent girls who had not yet engaged in sexual intercourse by the 8th grade. RP analyses identified subsamples of girls who had low, medium, and high likelihoods of engaging in early coital debut based on six variables (i.e., school aspirations, early physical intimacy experiences, depression, body objectification, body image, …

Relations Of Self-Criticism And Dependency To Depressive Symptomatology: Tests Of Blatt's And Greenberg And Watson's Theories, David B. Canose

Psychology Theses & Dissertations

Two competing sets of hypotheses about the relations of self-criticism and dependency to depressive symptomatology were tested. Blatt's theory (1974, 2004) states that self-criticism and dependency are separate and distinct personality traits that predispose individuals to depression. Hypotheses from Blatt's theory were that self-criticism and dependency each explain unique variance in depressive symptomatology beyond that explained by the other. In contrast, Greenberg and Watson (2006) theorize that dependency underlies self-criticism in predisposing individuals to depression. Hypotheses from Greenberg and Watson's theory were that self-criticism and dependency are both correlated with depressive symptomatology, that self-criticism is correlated with dependency, that self-criticism …

The Effects Of Rumination, Hostility, And Distraction On Cardiovascular Reactivity And Recovery From Anger Recall In Healthy Women, Meghan K. Mclain

Psychology Theses & Dissertations

Cardiovascular reactivity and recovery following an emotional stressor may play a crucial role in mediating the relation between psychosocial factors (e.g. hostility and anger) and cardiovascular disease. Hostility has been associated with trait rumination. Trait rumination, a tendency to focus attention on negative thoughts and emotions and be prone to feelings of revenge, is not adequately captured in current measures of hostility. The current study examined whether trait rumination, indexed by the Dissipation-Rumination Scale, has an independent effect of increasing cardiovascular reactivity and prolonging cardiovascular recovery from angry events above and beyond hostility as measured by the Cook-Medley Hostility Scale. …