Clinical Psychology Commons^™

Examination Of Performance Validity And The Relationship To Cognition And Symptoms In Schizophrenia Spectrum Disorders, Erick A. Rogers

UNLV Theses, Dissertations, Professional Papers, and Capstones

Approximately one-in-five individuals with psychotic disorders (i.e., schizophrenia spectrum disorders [SSD]) fail performance validity indicators (PVIs) during neurocognitive testing. Ensuring the validity of neurocognitive test results is necessary if the test scores are to be of use for diagnostic consideration, intervention selection and planning, predicting outcomes, and following changes in cognition over time in response to intervention, spontaneous recovery, or disease progression. PVIs are designed to require only a minimum level of engagement with the evaluation, which means nearly everyone is expected to “pass,” even those with moderate to severe brain damage. Traditional interpretations of PVI failure suggest a noncredible …

Measurement Invariance Of Impact In Bilingual And Monolingual High School Athletes, Hana Cecilia Kuwabara

UNLV Theses, Dissertations, Professional Papers, and Capstones

Given the reported negative consequences of sport related concussion (SRC), establishing the validity of concussion management tools is essential if they are used to determine the severity of concussion, track recovery or decline, implement effective interventions, and assist in return-to-play decision making. Previous research has found cognitive and symptoms differences on ImPACT, the most widely used SRC assessment measure, between monolingual and bilingual student athletes. Before further investigation of these differences can occur, measurement invariance of ImPACT must be established to ensure that differences are not attributable to measurement error. The current study has two aims: 1) to replicate a …

Identifying Clinical Profiles In A Community Sample Of Youth With Selective Mutism, Melanie Rede

UNLV Theses, Dissertations, Professional Papers, and Capstones

Selective mutism (SM) refers to a consistent failure to speak in social situations that have an expectation for speaking, despite fluent speech in other situations (American Psychiatric Association, 2013). Recent researchers describe SM as a heterogeneous disorder not always characterized by anxiety (Driessen et al., 2020). Specifically, some have argued that SM may be better explained as a neurodevelopmental rather than an anxiety disorder (Kearney & Rede, 2021). The aim of the present study was to find unique classes for anxiety, oppositional, and communication difficulties among youth with SM. Participants included 129 caregivers of youth with SM aged 6–14 years …

Sports Wagering In The United States: What We Do And Don't Know, Joshua B. Grubbs, Shane W. Kraus

International Conference on Gambling & Risk Taking

Abstract

In the wake of the Murphy vs. NCAA decision by the Supreme Court of the United States, over 30 states now permit sports betting and a majority of Americans now have access to this activity. Even so, much remains unknown about the effects of widespread access to sports betting in the U.S. The present work reports interim results of multi-year data collection efforts in the U.S. In April of 2022, a U.S. nationally representative sample of 2,806 Americans and an additional sample of 1,553 sports wagering people were recruited by YouGov opinion polling, with follow up data collected in …

Does Gambling-Focused Treatment Affect Mental Health And Quality Of Life? A Systematic Review And Meta-Analysis, Shelby King, David P. Forman, Meredith K. Ginley, Samuel C. Peter, Nicholas W. Mcafee, James Whelan Ph.D, Rory A. Pfund

International Conference on Gambling & Risk Taking

Abstract: Cognitive-behavioral (CB) techniques have received substantial empirical support for reducing gambling disorder symptoms and behavior. What has not been established is whether gambling-focused treatment reduces psychological problems and improves quality of life. Individuals experiencing gambling-related harms report that sustained recovery involves changing both gambling behaviors and psychological problems and building a meaningful life. The current systematic review and meta-analysis aimed to examine the effect of CB techniques targeting gambling harms on nontargeted outcomes such as psychological problems and quality of life.

Following PRISMA guidelines, a systematic article search was conducted to locate published studies of randomized controlled trials of …

Differences In Positive Play Among Specific Sports Wagering Behaviors, Alexander Connolly, Shane W. Kraus, Joshua Grubbs

International Conference on Gambling & Risk Taking

Presentation Abstract:

Since the U.S. Supreme Court decision in Murphy vs. NCAA, a majority of states have legalized and launched sports gambling. With the increased prevalence of sports wagering, there are many concerns about possible increases in problem gambling and the effects of specific wagering behaviors (e.g., in-game bets vs. pre-game bets; money-line wagers vs. parlay cards) on problem gambling outcomes. More generally, while the literature surrounding sports gambling is increasing, little is known about specific wagering practices. Similarly, little is known about how responsible gaming practices (i.e., as measured by the Positive Play Scale) might be related to specific …

Measurement Models Matter: How Retrospective Calendar Versus Global Reports Yield Different Estimates Of Treatment Outcome, Margaret L. Paul Bs, Maria E. Meinerding Ms, Jeremiah Weinstock Phd, Meredith K. Ginley, James P. Whelan Phd, Rory A. Pfund

International Conference on Gambling & Risk Taking

Abstract: Retrospective reports are less accurate than objective measures of behavior and must be interpreted with consideration of the amount of distortion and error introduced by this methodology. The Gambling-Timeline Followback (G-TLFB) method is the gold standard retrospective assessment tool that is designed to minimize such error by asking for a specific recall of precise gambling behavior day-by-day using recall aids as compared to a global summation over time (e.g., how many gambling days in last month, how much money gambled in the last month). It remains an empirical question whether this difference in measurement format, G-TLFB versus global reports, …

Transdiagnostic Prevention And Intervention Efforts Are Needed To Address Executive Dysfunction, Maria E. Meinerding Ms, Margaret L. Paul Bs, Trinity N. Zweifel, Michael L. Mathews, Jeremiah Weinstock Phd, Rory A. Pfund Phd

International Conference on Gambling & Risk Taking

Abstract: Executive functioning (EF) is a multi-faceted construct important to activities of daily living, emotion regulation, and higher-order thinking and is often impaired in individuals with gambling disorder and/or alcohol use disorders. Deficits in EF are associated with poor treatment engagement, psychiatric comorbidities, and relapse. The present study examined EF in college students (N = 832) aged 18-24 (M= 19.23, SD=1.37, 76.5% Women) in relation to gambling and hazardous drinking. The Barkley’s Deficits in Executive Functioning was used to assess for global EF and 5 facets of EF: Time Management, Organization/Problem Solving, Self-Restraint, Self-Motivation, and Emotion-Regulation. Bivariate correlation …

Symptom Clusters In Individuals Seeking Treatment For Gambling Disorder, Blaine Stiglets

International Conference on Gambling & Risk Taking

The fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) presents the criteria for Gambling Disorder (GD) as a unidimensional construct where each additional symptom corresponds to increased severity. Research has found that many individuals experience addiction symptoms in specific symptom clusters, with membership to one profile of symptoms or other better-representing disorder severity than raw symptom counts. This study sought to explore if similar patterns of symptom clusters exist among adults seeking treatment for gambling harms. The sample included 487 adults (M_age= 44.95) who completed the DSM-5 criteria for GD at intake. Latent …

Predicting Psychotherapy Session Attendance Among Individuals Experiencing Gambling-Related Harms, Hannah G. Mitchell, Meredith K. Ginley, James Whelan Ph.D, Rory A. Pfund Ph.D

International Conference on Gambling & Risk Taking

Almost 2 in 5 individuals experiencing gambling-related harms will initiate treatment and then prematurely discontinue. However, studies have proven unsuccessful in identifying a consistent set of variables that predict discontinuation. The absence of consistent findings may be attributed to 1) disparate definitions of discontinuation and 2) the focus on demographic variables rather than personal history variables that might impact the receipt of treatment. The present study intends to improve upon existing research by focusing on treatment participation (i.e., number of sessions attended) rather than discontinuation and examining a broader set of variables that are specific to an individual’s gambling and …

Examining The Interaction Between Financial Gambling Motives And Socioeconomic Status In Predicting Gambling In A U.S. Nationally Representative Sample, Christopher G. Floyd, Shane W. Kraus, Joshua B. Grubbs

International Conference on Gambling & Risk Taking

Presentation Abstract:

There is still much unknown about the socioeconomic (SES) roots of Problem Gambling (PG), especially given recent evidence that SES should be understood both in objective and subjective terms. Further, the motivation to gambler for financial gain has been identified as a key factor in the transition from recreational gambling to problem gambling. A such, there is a need for research seeking to understand how SES and perceived financial deprivation influence the relationship between motivations for gambling—particularly financial motives—and outcomes of gambling. Using a weighted, nationally representative sample of adults in the U.S. (N = 2,806), as …

Does Twitter User Activity Promote Gambling-Related Content?, Marcos Lerma, Rory A. Pfund Ph.D, Adrianna J. Valencia, E. Halle Smith, James Whelan Ph.D

International Conference on Gambling & Risk Taking

Social media has provided gambling operators with access to millions of individuals and novel ways to promote gambling. Research has suggested that exposure to gambling advertisements on social media platforms is associated with increased gambling in individuals at-risk for problem gambling. These findings bring into question whether social media platforms are sensitive to differences in user account activity (e.g., tweets, likes, accounts visited) when displaying advertisements and gambling-related content.

To assess for these differences, four Twitter accounts were created and assigned to send out tweets containing pro-wagering versus safe-wagering-related messages. Additionally, one of each account was assigned to interact with …

The Push And Pull Of Nostalgia: Sentimental Longing In A Fundamental Component Of The Behavior Change Process, Michael J. A. Wohl, Mackenzie Dowson, Isabelle Bossom, Responsible Gambling Council, Nassim Tabri

International Conference on Gambling & Risk Taking

Abstract: Behavior change is hard, and the recovery process is equally as challenging. Yet a paucity of research has been conducted on factors that motivated and undermine sustained behavior change. In this talk, we will discuss a growing body of work that suggests nostalgic reverie (i.e., sentimental longing) is a critical factor in both the behavior change and recovery process among people living with a gambling disorder. First, we will report the results of research (Study 1) that demonstrates nostalgic reverie for life before one’s problematic gambling behaviour facilitates behaviour change. We will then report the results of new research …

High Illusion Of Control Adolescents: A Moderated Mediation Analyses Of The Effects Of Forms Of Counterfactual Thinking And Gender In Problem Gambling And Gaming, Larry Okechukwu Awo Dr., George Nzeadi Duru Mr.

International Conference on Gambling & Risk Taking

Abstract

Three studies (Study 1, N = 322 male adolescents, Study 2, N = 401 male and female adolescents, and Study 3, longitudinal, N = 56 male and female adolescents) analyzed the effects cognitive and psychographic variables in the relationships among illusion of control (IC), problem gambling and problem gaming. Moderated mediation analyses results using PROCESS macro in the three studies confirmed: (1) the positive mediating effect of upward CFT in the association between IC and problem gambling and problem gaming; (2) the negative mediating effect of downward CFT in the association between IC and problem gambling and problem gaming; …

Motivations For Loot Box Engagement In Video Games And Related Characteristics, Will Shead, Breanna Huggan

International Conference on Gambling & Risk Taking

Presentation Abstract: Loot boxes are features of some video games that contain random gameplay-enhancing or cosmetic items. Players may purchase loot boxes with real-world currency which has led to growing concern that loot boxes are a form gambling without regulations and age restrictions. Previous research has found associations between loot box purchases and problem gambling but limited work has examined possible factors involved in this relationship. One hundred and forty-four participants completed an online questionnaire assessing relationships between loot box use, problem gambling and gaming, and video game streaming behaviors. Bivariate correlations revealed no significant associations between risky loot box …

Psychosocial Characteristics Of Gambling Addicts – Does It Matter When They Start Their Treatment?, Neven Ricijas Phd, Dora Dodig Hundric Phd, Sabina Mandic Ma, Sanja Radic Bursac Ma, Davor Bodor Phd

International Conference on Gambling & Risk Taking

Abstract:

Gambling disorder is well known as a hidden addiction and therefore is subjected to a prolonged time in seeking treatment. During the development of addiction, the psychosocial functioning is more openly or covertly disrupted, and gambling addicts manifest various problems and risky behaviors. At the same time, motivational mechanism for seeking professional help are complex and influenced by different individual circumstances.

This study was conducted with N=315 patients in the Daily Clinic for Gambling Addiction. The psychosocial functioning of the patients is assessed at the beginning of the treatment, while a specific aim of this paper is to explore …

Developmental Differences In School Climate Predictors Of Chronic School Absenteeism, Michael Fensken

UNLV Theses, Dissertations, Professional Papers, and Capstones

School attendance problems (SAPs) represent a critical developmental challenge for youth. SAPs represent a spectrum from difficulties attending school despite complete school attendance to complete absence. Ongoing SAPs can lead to chronic absenteeism, which may be defined as missing 8.3–10.0% (15–18 days) of school in an academic year. However, debate exists over the utility of a demarcation for chronic absenteeism. A shortcoming of cutoffs to defining problematic chronic absenteeism is that demographic, academic, symptom, and family variables are not delineated clearly. Yet, the present intervention frameworks (e.g., multi-tiered systems of supports models; MTSS) rely on clear delineations of such variables …

An Examination Of The Association Of Religiosity, Purity Culture, And Religious Trauma With Symptoms Of Depression And Anxiety, Kaelyn R. Griffin

UNLV Theses, Dissertations, Professional Papers, and Capstones

While no consistent definition yet exists for religious trauma, religious abuse is typically defined as a misuse of authority by a spiritual leader to coerce, control, or exploit those under their leadership, which may in turn lead to the experience of religious trauma. Numerous studies suggest that experiencing abuse within a religious environment is a both global phenomenon and common experience. The impact of religious abuse has recently gained greater media attention, specifically related to the social and psychological impact of leaving high-cost religious groups (i.e., those with rigid rules or groups from which departure leads to isolation and rejection …

Recruitment Of Young Black Men Into Trauma And Mental Health Services Research: Recommendations And Lessons Learned, Alexandria G. Bauer, Jannette Y. Berkley-Patton

Journal of Health Disparities Research and Practice

Young Black/African American men are more likely to experience repeated trauma that escalates throughout young adulthood, compared to young White men. Exposure to trauma has impacts on mental health outcomes, but young Black men face substantial barriers to mental health care. In order to begin to address these disparities, it is imperative to increase understanding of the needs, preferences, and priorities of young Black men for mental health care services following trauma. Yet, young Black men are often underrepresented in mental health services research. The purpose of the current study was to describe strategies for recruitment of young Black men …

Beliefs About Race Differences In Pain Vs. Actual Race Differences In Pain: An Experimental Investigation., Lauren E. Mehok, Samantha M. Meints, Megan M. Miller, Leslie Ashburn-Nardo, Adam Hirsh

Journal of Health Disparities Research and Practice

Objective: Race differences in pain are consistently reported, but the underlying mechanisms are not well understood. This study examined how beliefs about race differences in pain are related to actual differences in experimentally induced pain between Black and White individuals.

Methods: Black and White participants completed questionnaires (demographics, pain-related beliefs, pain coping, and mood) and a cold pressor task (CPT) in the laboratory. Beliefs about race differences in pain were tested as potential moderators of the relationship between race and pain tolerance on a CPT.

Results: Participants reported beliefs that White people are more pain sensitive (i.e., less pain tolerant) …

Disentangling Instrumental And Reactive Aggression In The Competitive Reaction Time Task And Their Associations With Factors Of Meanness In Psychopathy, Ashley Michelle Poston

UNLV Theses, Dissertations, Professional Papers, and Capstones

Aggression is often subtyped into reactive and instrumental aggression. Reactive aggression occurs in response to some form of provocation and is often accompanied by anger. Instrumental aggression is not provoked and is relatively unemotional. Existing aggression paradigms primarily measure reactive aggression, and the laboratory measurement of instrumental aggression has proved challenging. This study modified the competitive reaction time task to include an entire block of instrumental aggression trials, in addition to the standard block of reactive trials, in effort to create a single paradigm within which both reactive and instrumental aggression can be measured in the laboratory. Psychopathy is a …

Examination Of The Relationship Between Loneliness And Binge Eating Symptoms, Kimberly Stevens

UNLV Theses, Dissertations, Professional Papers, and Capstones

Loneliness is implicated in several mental health conditions and may also be linked to eating pathology, like binge eating symptoms (e.g., loss-of-control eating). However, the pathways by which loneliness might be associated with binge eating symptoms are less well understood. Preliminary evidence suggests perceived stress may be a key explanatory pathway. Specifically, perceived stress mediates the impact of loneliness on other mental health outcomes and is associated with increased risk of binge eating symptoms. This study investigated relationships between loneliness, perceived stress, and binge eating symptoms and tested whether heightened levels of binge eating was accounted for by increases in …

How Medical Students Use Social Support To Cope With Burnout: A Grounded Theory Approah, Michelle Nicole I. Janeo

UNLV Theses, Dissertations, Professional Papers, and Capstones

Medical education to become a physician is a rigorous training process resulting in high rates of burnout in medical students. Research on burnout in human service providers results in negative impacts on professionalism, well-being, and the future healthcare workforce. Previous research investigating strategies to combat burnout has demonstrated that resilience is a dominant explanation for recovery from burnout. There is limited data exploring how social support is used by medical students as a resource to cope with the demands of training. Considering that social support is one primary factor that contributes to resilience, it is important to understand the process …

Stability Of Neurocognitive Abilities In Heterogeneous Subgroups Of Schizophrenia, Megan L. Becker Wright

UNLV Theses, Dissertations, Professional Papers, and Capstones

Considerable work has been devoted to characterizing the latent structure of cognition in schizophrenia (SZ) to understand important clinical outcomes associated with generalized or specific deficits but findings are limited in a number of ways. Previous work has not assessed bifactor and other complex models of cognition in SZ, which might provide a better understanding of the structure of cognitive abilities. It is also unclear whether the latent structure of cognitive abilities is similar between men and women with SZ or whether the latent structure of cognitive abilities is stable over time with repeated assessment. These limitations must be addressed …

Evaluating The Scl-90-R For Use In Collegiate Athletes, Elena Gavrilova

UNLV Theses, Dissertations, Professional Papers, and Capstones

The present study examines psychometric properties of the Symptom Checklist 90 – Revised (SCL-90-R; Derogatis, 1994) in collegiate athletes. The SCL-90-R is one of the most widely utilized measures of broad psychiatric distress. Current literature, however, suggests its factor structure varies across populations (Ardakani et al., 2016; Bakhshaie et al., 2011; Olsen et al., 2004; Ronan et al., 2000; Sereda & Dembitskyi, 2016; Smits et al., 2014; Urbán et al., 2016). Although the SCL-90-R has been previously utilized in studies involving athletes, the psychometric properties of this scale have yet to be investigated in this population. This study examined the …

Understanding The Role Of Identity Salience In The Relationship Between Experience Of Ethnic/Racial Discrimination And Mental Health Symptomatology, Michelle Strong

UNLV Theses, Dissertations, Professional Papers, and Capstones

Ethnic identity salience is shown to be a protective factor in the negative impact of discrimination on mental well-being in BIPOC. However, the extent to which ethnic identity salience is a protective factor in specific BIPOC is unclear. The current study examined whether ethnic identity salience would be equally protective against the negative effects of discrimination on depression and anxiety symptoms in LatinX/Hispanic, Black/African American, and AAPI groups. It included N =168 ethno-racially diverse college students (e.g., AAPI n = 59, Hispanic/LatinX n = 72, and Black/African n = 37 American college students). Hierarchical regression analysis was used to determine …

Cognitive Testing For Sport Concussion: The Immediate Post-Concussion Assessment And Cognitive Testing (Impact), Julia E. Maietta

UNLV Theses, Dissertations, Professional Papers, and Capstones

Sport concussion is among the most common injuries for an athlete to experience during sport participation. Because of the complex pathophysiological process that affects the brain during and after concussion, symptoms can be heterogeneous in presence and severity. Although most acute symptoms (e.g., headache, slowed processing speed, loss of consciousness, irritability, depression, anxiety) resolve within seven to 10 days for most athletes, there is evidence that higher initial symptom burden and other genetically based differences can lead to longer symptom duration and complicated recovery post-concussion. Because structural changes that commonly occur as a result of concussion (e.g., diffuse axonal injury) …

An In-Depth Examination Of The Literature On Early Pubertal Timing And Disordered Eating In Women And Girls: A Systematic Review And Meta-Analysis, Megan Marie Shope

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Extant data indicate that earlier onset of puberty increases risk for disordered eating symptoms in girls and women. However, whether earlier pubertal timing is predictive of all disordered eating symptoms, or whether it exerts differential effects across distinct symptoms (e.g., body dissatisfaction versus binge eating), remains unclear given inconsistencies in the literature and the lack of a systematic analysis. A meta-analytic approach can overcome these limitations by providing pooled estimates of early pubertal timing on disordered eating symptoms and testing for methodological moderators (i.e., disordered eating outcome/symptom type, measurement of pubertal timing, age of sample, type of sample, study …

Family Functioning In Youth With Bipolar Disorder, Kayla Fobian

UNLV Theses, Dissertations, Professional Papers, and Capstones

Family functioning encompasses a family’s ability to maintain an environment that supports and benefits each member of the family. Among families of youth with a bipolar disorder (BD), family functioning is impaired compared to healthy controls. However, few studies have examined family functioning across psychopathology in youth. Additionally, few studies have examined which symptoms (depressive, manic, or externalizing) are most strongly associated with family functioning. Therefore, the purpose of this manuscript is to benchmark impairments in family functioning in youth with BD compared to youth with other psychiatric disorders and to examine the differential influence of depressive, manic, and comorbid …

Changes In Cognitive Networks As A Result Of Sport-Related Concussion, Grace J. Goodwin

UNLV Theses, Dissertations, Professional Papers, and Capstones

Given the high prevalence of concussion in sports, assessment of cognition has become a standard part of athletics, and results are used to inform return to play decisions. Neurocognitive measures (e.g., ImPACT) generate cognitive composite scores from individual subtests, and these scores are compared at baseline and post-concussion. Declines in scores provide evidence for concussive injury, and athletes undergo repeated assessments until their scores and symptoms improve. Recent research suggests that changes in the associations between test scores may provide important information about cognitive recovery. A network framework may help identify post-concussive cognitive changes that may not be apparent when …