Clinical Psychology Commons^™

Influence Of Self-Stigma, Distress Disclosure, And Self-Compassion On Post-Traumatic Stress Reactions In Deployment Veterans, June Marie Ashley

Electronic Theses and Dissertations

Military deployments can contribute to significant changes among the service members who experience them. Particularly regarding traumatic or highly stressful deployment experiences, the potential exists for posttraumatic stress reactions with both detrimental outcomes and beneficial influence. The present study explored this spectrum of reactions through the lenses of posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG). Given the well-researched presence of stigma within military culture toward psychological distress, consideration was given to how stigma may influence severity of PTSD and degree of PTG. Rather than focusing on public stigma, the present study explored the possible influence of internalized stigma, known …

Lesbian Couple Dynamics And Heterosexist Stressors: Building A Foundation For Culturally Competent Relationship Interventions, Shelby B. Scott

Electronic Theses and Dissertations

Lesbian relationships are severely underrepresented in the couples and family literature (Hartwell, Serovich, Grafsky, & Kerr, 2012). The current study sought to expand the basic science on lesbian couples with the overarching goal of informing evidence-based relationship interventions. The first aim of this study was to examine processes found to be important to relationship success in previous studies of couples in general, including communication, external support, household tasks, intimacy, and sex, as these processes are typically targeted in relationship interventions. The second aim was to examine the role of factors more specific to lesbian couples and related to heterosexist stressors …

Predictors Of Emerging Psychopathology Among Toddlers And Preschoolers Of Mothers With Childhood Abuse Histories, Rebecca Lynne Babcock Fenerci

Electronic Theses and Dissertations

The purpose of this study was to elucidate cognitive and behavioral mechanisms involved in the intergenerational transmission of trauma from abuse-survivor mothers to their toddler/preschool-aged children. This study investigated whether maternal trauma-related cognitions, i.e. child abuse-related appraisals (betrayal, self-blame, fear, anger, shame, alienation), disorganized memory and intrusive memory for abuse were associated with toddler internalizing and externalizing symptoms, and whether mother-child dysfunctional interactions mediated these relationships among a sample of 113 mothers who survived child abuse. When controlling for maternal trauma symptoms, maternal child abuse-related appraisals, disorganized memory, and trauma symptoms predicted toddler internalizing symptoms, whereas maternal intrusive memory and …

Risk For Engagement In Nonsuicidal Self-Injury In Children And Adolescents, Andrea Lee Barrocas Gottlieb

Electronic Theses and Dissertations

Although NSSI engagement is a growing public health concern, little research has documented the developmental precursors to NSSI in longitudinal studies using youth samples. This study aimed to expand upon previous research on groups of NSSI engagement in a population-based sample of youth using multi-wave data. Moreover, this study examined whether chronic peer and romantic stress, the serotonin transporter gene (5-HTTLPR), parenting behaviors, and negative attributional style predicted the NSSI group membership as well as the role of sex and grade. Participants were 549 youth in beginning in the 3^rd, 6^th, and 9^th grades at …

The Impact Of Prefrontal Cortex "Warm Up" On Immediate Cognitive Reappraisal Ability In Older Adolescents With Elevated Symptoms Of Depression, Emma L. Peterson

Electronic Theses and Dissertations

Cognitive Reappraisal (CR) is a central component of Cognitive Behavioral Therapy for adolescent depression. Yet, previous research indicates that a brain region highly associated with successful CR in adults, the Prefrontal Cortex (PFC), is not fully developed until early adulthood. Thus, there is growing concern that CBT interventions directed at building CR abilities in depressed teens might be constrained by PFC immaturity. However, CR is an effective strategy for regulating affect. The current study evaluated an intervention aimed at enhancing CR performance through PFC “warm up” with a working memory task. Additionally, the study examined moderators of intervention response, as …

The Caregiver–Child Relationship, Youth Mental Health, And Placement Stability In A Child Welfare Sample, Laura A. Rindlaub

Electronic Theses and Dissertations

Objective: Healthy relationships between adolescents and their caregivers have been robustly associated with better youth outcomes in a variety of domains. Youth in contact with the child welfare system are at higher risk for worse outcomes including mental health problems and home placement instability. A growing body of literature points to youth mental health problems as both a predictor and a consequence of home placement instability in this population; the present study aimed to expand our understanding of these phenomena by examining the interplay among the caregiver-child relationship, youth mental health symptoms, and placement change over time. Method: The sample …

Internet Delivery Of Prep-Based Relationship Education For Older Couples, Benjamin A. Loew

Electronic Theses and Dissertations

Healthy marriage has been associated with increased longevity and better health in later life. At the same time, many older couples will confront age-related stressors that may result in relationship distress, such as declining health, decisions about retirement, and caring for elderly parents and/or adult children. Yet empirical knowledge of relationship dynamics among older couples is limited, and there appears to have been little development, provision, or assessment of research-based relationship services for this population.

In the current study, 93 individuals representing 61 older-adult couples participated in a randomized, waitlist-controlled trial of an online version of the Prevention and Relationship …

Therapists' Attitudes Toward Forgiveness: The Relationship Between Forgiveness Conceptualizations And Predicted Likelihood To Assist Clients To Forgive During Treatment, Cameron F. Cannon

Electronic Theses and Dissertations

Research supports the use of forgiveness in psychotherapy; however, little is known about how this process is integrated into treatment. Views on the utility of forgiveness appear to be mixed. Differences in conceptualization appear to exist between interventionists who promote its use and those who argue against it. This study explored the potential relationship between therapists' conceptualization of forgiveness, categorized as either agreeing with popular interventionists or not, and their predicted assistance of client forgiveness, as well as relationships between attitudes toward forgiveness and other potentially related variables Two hundred sixty nine participants recruited from practice-focused graduate training institutions completed …

Acculturation, Marianismo Gender Role, And Ambivalent Sexism In Predicting Depression In Latinas, Andreana T. Jezzini

Electronic Theses and Dissertations

This study explores acculturation, the Latina gender role of marianismo, and ambivalent sexism in predicting depression in a community sample of Latinas. A review of existing literature regarding these variables reveals that all three constructs can be both risk factors as well as protective factors. Since marianismo and ambivalent sexism may share similar traits, both may be self-protective coping mechanisms by Latinas in the context of a patriarchal environment with structured gender roles and strong gender disparities. One hundred and thirteen adult Latina participants from various ancestries of origin were solicited from the community using an Internet survey tool. …

Social Media And Relationship Development, Gretchen Kelmer

Electronic Theses and Dissertations

The present study examined the use of social media to represent romantic relationships among a diverse, national sample (N=831) of Facebook users aged 20-37. Taken together, results from this study indicate that relationship representation via Facebook is associated with various aspects of commitment, including couple identity, prioritization of one’s relationship, and commitment to the future, and was also associated with stability of the relationship over time. Social media relationship representation was also found to be associated with lower levels of sexual infidelity, alternative partner monitoring, and partner’s jealousy, as well as higher levels of perceived social pressure from friends and …

Emotion Processes In Cognitive Behavioral Therapy For Adolescent Depression, Patrice Siapno Crisostomo

Electronic Theses and Dissertations

Although cognitive behavioral therapy (CBT) is an efficacious treatment for adolescent depression, recent findings indicate that positive treatment effects are reduced among youth with a history of childhood interpersonal trauma (CIT). The processing of emotionally-difficult content has been previously emphasized in therapeutic models for the treatment of depression, as well as post-traumatic stress disorder. The present study evaluated the impact of emotion processes on treatment outcomes in two forms of psychotherapy (CBT and usual care treatment) for adolescent depression. This study observationally coded client emotional involvement, specifically during discussions of trauma-related content, as a potentially critical mechanism of change in …

Attentional Processes Associated With Victimization History And Posttraumatic Symptomatology In Women Exposed To Intimate Partner Violence, Ryan B. Matlow

Electronic Theses and Dissertations

Exposure to intimate partner violence (IPV) puts women at risk for severe and chronic physical and mental health consequences, including elevations in IPV-related psychopathology and increased risk for future victimization. Previous research has examined attention as one of the key information processing mechanisms associated with elevated psychopathology and risk for victimization; however, the nature of attentional processing in response to IPV-related information in women exposed to IPV is poorly understood. Therefore, the current study aimed to further understanding of associations between attentional processing, IPV exposure, and related distress using measures of eye movement and subjective interpretations of IPV-related information. A …

Examining The Alliance-Outcome Relationship: Reverse Causation, Third Variables, And Treatment Phase Artifacts, John Paul M. Reyes

Electronic Theses and Dissertations

Psychotherapy research reveals consistent associations between therapeutic alliance and treatment outcomes in the youth and adult literatures. Despite these consistent findings, prospective associations are not sufficient to support the claim that the alliance is a change mechanism in psychotherapy. The current study examined the direction of effect of the alliance-outcome relationship, the contribution of early symptom change in treatment to the development of therapeutic alliance, and the potential for pretreatment interpersonal functioning characteristics to be third variables that account for the association between alliance and outcome. Participants were adolescents with depression and a history of interpersonal trauma that presented to …

Cognitive Reappraisal Ability As A Protective Factor: Resilience To Stress Across Time And Context, Allison S. Troy

Electronic Theses and Dissertations

Emotion regulation is crucially involved in individuals' psychological health. For example, the frequent use of cognitive reappraisal, or changing the way one thinks about an emotional event, is positively associated with psychological health. Recent cross-sectional findings have shown that the ability to use cognitive reappraisal (cognitive reappraisal ability; CRA) is associated with lower depression in the context of high stress. However, two important questions about CRA remain unexamined: 1) Does CRA predict long-term adjustment to stress? 2) Do the protective effects of CRA depend upon the type of stress encountered? To examine these questions, a community sample of men and …

Molecular Genetic Basis Of Opposite Gene By Environment Interactions In Reading Disability And Attention Deficit/Hyperactivity Disorder, Jennifer Rosenberg

Electronic Theses and Dissertations

The goal of this study is to better understand the genetic basis of Reading Disability (RD) and Attention Deficit Hyperactivity Disorder (ADHD) by examining molecular G x E interactions with parental education for each disorder. Research indicates that despite sharing genetic risk factors, RD and ADHD are influenced by different types of G x E interactions with parental education - a diathesis stress interaction in the case of ADHD and a bioecological interaction in RD. In order to resolve this apparent paradox, we conducted a preliminary study using behavioral genetic methods to test for G x E interactions in RD …

Re-Examining The Stop-Signal Task To Test Competing Theories Of Ad/Hd, Laura E. Santerre-Lemmon

Electronic Theses and Dissertations

The current study tested two competing models of Attention-Deficit/Hyperactivity Disorder (AD/HD), the inhibition and state regulation theories, by conducting fine-grained analyses of the Stop-Signal Task and another putative measure of behavioral inhibition, the Gordon Continuous Performance Test (G-CPT), in a large sample of children and adolescents. The inhibition theory posits that performance on these tasks reflects increased difficulties for AD/HD participants to inhibit prepotent responses. The model predicts that putative stop-signal reaction time (SSRT) group differences on the Stop-Signal Task will be primarily related to AD/HD participants requiring more warning than control participants to inhibit to the stop-signal and emphasizes …

The Impact Of Shyness On Loneliness, Social Anxiety, And School Liking In Late Childhood, Charity M. Walker

Electronic Theses and Dissertations

Shyness is associated with several emotional, social, and academic problems. While there are multiple difficulties that often accompany shyness, there appear to be some factors that can moderate negative effects of shyness. Research has demonstrated that certain parenting factors affect the adjustment of shy children in early childhood, but there is minimal research illuminating the effect of parenting factors in older age groups. The first purpose of this study was to examine relationships between shyness and loneliness, social anxiety, and school liking. The second purpose was to investigate whether the quality of the relationship between a parent and a 10- …

Relationship Education For Low Income Couples And Individuals: New Research Directions, Lindsey Einhorn

Electronic Theses and Dissertations

The current study implemented and evaluated an adapted version of the Within Our Reach program called FRAME. Participants were 173 low-income couples in committed relationships and caring for at least one child together. Participating couples were randomly assigned to one of the four study conditions (couples group, female group, male group, or control group). The impact of the program was investigated on a range of relationship and mental health outcomes. The present findings suggest that the FRAME workshop was helpful in reducing negative communication and improving positive bonding for our sample. Couples were able to benefit in some areas when …

Development Of A Men's Depression Inventory, Andrew Fields

Electronic Theses and Dissertations

This paper details the development of a scale to more accurately assess depression in men. It first summarizes the literature on depression, depression assessment, and current research on men and masculinity. It is argued that current conceptualizations of both depression and masculinity influence prevalence studies, which consistently find that men experience depression half as often as women. It is argued that an assessment measure that accounts for masculine variants of depression (substance use, anger, withdrawal, and emotional restriction) may identify more frequent depression in men than previously expected. Next, the paper details the development of a men's depression scale using …

Phonological Memory And Broader Language Development: Longitudinal And Etiologic Relations, Robin Leonhardt Peterson

Electronic Theses and Dissertations

The current research investigated the relationship of phonological memory (PM) to vocabulary and syntax learning in school-age children with and without language disorders. Previous research has established that PM and broad oral language skills covary, but disagreement remains about the reason for this association. Opposing theoretical viewpoints emphasize the importance of either bottom-up (PM influences vocabulary and syntax acquisition) or top-down (vocabulary growth influences PM skill) factors. In three longitudinal studies, we tested competing bottom-up and top-down explanations of the PM-broad language link. Study 1 utilized a structural equation modeling approach to understand PM and broad language relations from age …

Family Coping As A Protective Factor For Poor Children, Catherine Decarlo Santiago

Electronic Theses and Dissertations

This study examined family influences on coping and adjustment among 90 low-income Latino middle school children (46% Female; Average age = 11.38, SD = .66) and their primary caregivers (93% Female; Average age = 36.12, SD = 6.13). All participants identified as Hispanic/Latino, with 75% of families identifying as Mexican-origin Latino, 77% of parents identifying as immigrants, and 32% of children identifying immigrants. All children participating in the study were receiving free or reduced lunch, a poverty indicator. Hierarchical linear modeling analyses revealed that family reframing is related to fewer symptoms of psychopathology and that familism enhances the protective effect …

An Examination Of Love And Marital Satisfaction In Long-Term Marriages, Rebeca Isabel Estrada

Electronic Theses and Dissertations

There has been little marital research that focuses on contributing factors to successful long-term marriage and even less focus on the role that love plays in long-term marriage. As a means of furthering this research, the purpose of the current study was to examine levels of satisfaction in couples in long-term marriages and to identify contributing factors to an enduring marriage. This study also examined the significance of love and changes in love after 35+ years of marriage. Through the use of qualitative methodology five couples who were self-identified as "happy" in their marriage and who had been married at …

Trajectory Of Quality Of Life In Advanced Parkinson's Patients Receiving Bilateral Subthalamic Nucleus Deep Brain Stimulation, Karl S. Chiang

Electronic Theses and Dissertations

Quality of Life (QOL) in Parkinson's disease (PD) patients after Deep Brain Stimulation (DBS) neurosurgery generally improves between 3 to 24 months post-operatively. However, QOL beyond 2 year follow-up is generally unknown. This study examined the QOL in 16 advanced PD patients who received DBS at an average of 7.5 year follow-up with the Parkinson's Disease Questionnaire (PDQ-39). Participants had an average Disease Duration of 20.57 years (SD 5.7) and a mean Age of 63.50 (SD 8.05). Linear regression analyses suggested a constellation of changes involving Time, Age, and Disease Duration. As Time progressed since DBS intervention, the PDQ-39 Cognitions …

Marginality And Coping: A Communal Contextual Narrative Approach To Pastoral Care With Korean American Christians, Jaesang Lyu

Electronic Theses and Dissertations

Focusing on Korean American experiences of racism, sexism, and intergenerational conflicts related to the acculturation process, this dissertation examines the social reality of marginality and constructs a communal contextual narrative approach to pastoral care. Current approaches to pastoral care in the Korean American church encourage a deferring style of religious coping that maintains the status quo—the internalized status of marginality—without activating self agency for the fulfillment of one’s own selfhood within the communal life of religious communities. A communally grounded sense of self agency is described in terms of three aspects of Korean indigenous culture: 1) uri (we-ness), 2) jeong …

Gene-Environment Interactions In Attention Deficit Hyperactivity Disorder, Holly Donovan Barnard

Electronic Theses and Dissertations

The overall goal of this project is to advance our understanding of the multifactorial etiology of Attention Deficit Hyperactivity Disorder (ADHD) by testing a diathesis-stress model of gene x environment (g x e) interactions. Although the literature increasingly supports g x e interactions in the manifestation of ADHD, few studies have investigated multiple genetic and environmental risk factors, included direct tests of gene - environment correlations (rG-Es), explored the specificity of interactions to symptom dimensions, or attempted to minimize comparisons. Therefore, utilizing both within-family (FBAT/PBAT) and case-control methodology, this study sought to (1) explore main effects of polymorphisms in the …

Gene X Environment Interactions In Developmental Dyslexia, Lauren M. Mcgrath

Electronic Theses and Dissertations

The goal of this project was to advance understanding of the complex multifactorial etiology of developmental dyslexia, or reading disability (RD), by investigating gene x environment (G x E) interactions. This project tested for G x E interactions using molecular genetic methods and measures of psychosocial and bioenvironmental risk factors. There are two competing predictions that can be derived from existing G x E models about the expected direction of interactions in RD. There could be "diathesis-stress" interactions in which the effects of genotype are stronger in risk environments, or there could be "bioecological" interactions in which the effects of …

Multicultural Events Within Group Supervision: Minority Experiences And Supervision Satisfaction, Jacqueline Renee Moreno

Electronic Theses and Dissertations

The current investigation utilized a mixed-methods design. In Phase I, 76 ethnic minority graduate students in psychology and counseling Master's and doctoral programs completed surveys that explored their general experiences in group supervision as well as the occurrence of multicultural events, and positive and negative factors of the reported events. Surveys also assessed supervisees' perspectives of their supervisor's multicultural competence level, group supervision satisfaction, and their own racial identity and multicultural competence. In Phase II, 20 volunteers from the first phase participated in qualitative interviews that explored in more depth the multicultural event they more briefly discussed in the survey …

Perceived Closeness To The Deceased And Its Predictive Effect On The Development Of Prolonged Grief Disorder And Suicidality Among Bereaved College Students, Jeffrey Alan Rings

Electronic Theses and Dissertations

A growing percentage of college students are experiencing severe and debilitating psychological problems (Caulfield, 2000; Douce, 2004; Kitzrow, 2003). Despite being a commonly-encountered stressor among undergraduates (Currier et al., 2006), the occurrence of bereavement is addressed rarely among the college mental health literature. However, bereavement has been shown to lead to increased suicidality and other problematic mental health symptoms (Prigerson, Bridge et al., 1999). Prolonged Grief Disorder (PGD), a newly-defined mental health diagnosis, has been found to be a more accurate indicator of poorer mental health functioning among bereaved individuals than other mental health conditions (Silverman et al., 2000). Some …

Mitigating Risk For Anxiety Among Preschool-Age Children Living In Poverty: Evaluating The Impact Of Adult-Provided Social Support On Autonomic Stress Reactivity, Brian Cory Wolff

Electronic Theses and Dissertations

Poverty increases children's exposure to stress, elevating their risk for developing patterns of heightened sympathetic and parasympathetic stress reactivity. Repeated patterns of high sympathetic activation and parasympathetic withdrawal place children at risk for anxiety disorders. This study evaluated whether providing social support to preschool-age children during mildly stressful situations helps reduce reactivity, and whether this effect partly depends on children's previously assessed baseline reactivity patterns. The Biological Sensitivity to Context (BSC) theory proposes that highly reactive children may be more sensitive than less reactive children to all environmental influences, including social support. In contrast, conventional physiological reactivity (CPR) theory contends …

Role Of Perceived Partner Responsiveness On Mexican American Males' Pain Severity And Depressive Symptomatology, Carolyn M. Freedman

Electronic Theses and Dissertations

This study examined the role of cultural indicators in moderating the influence of perceived partner responses and relationship satisfaction on pain severity and depressive symptomatology among a sample of 62 married and cohabiting Mexican American men, the majority of whom were first generation Mexican Americans, with chronic back and/or neck pain. The cultural indicators were not found to act as moderators in the analyses that involved pain severity and depressive symptomatology as outcome variables. Nevertheless, this study's findings are an important initial step in understanding the relationship dynamics among an understudied population with chronic pain and raise many important questions …