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Full-Text Articles in Clinical Psychology

Reevaluating Pediatric Concussion Recovery: The Need For Comprehensive Psychological Assessments, Jolie L. Slobodin Apr 2026

Reevaluating Pediatric Concussion Recovery: The Need For Comprehensive Psychological Assessments, Jolie L. Slobodin

Senior Theses

Pediatric concussions represent a significant public health concern due to their complex and often long-lasting effects on the developing brain. Although concussion is classified as a mild traumatic brain injury (mTBI), growing evidence indicates that children and adolescents experience psychological, cognitive, and academic difficulties that extend beyond physical symptom resolution. While somatic and cognitive symptoms often predominate in the acute phase of recovery, emotional and behavioral concerns frequently emerge or persist later, yet remain inconsistently evaluated in standard concussion care. This thesis examines the psychological, cognitive, and academic outcomes of pediatric concussion and evaluates whether current assessment practices capture the …


The Moderating Effects Of Community Involvement On The Association Between Witnessed Community Violence And Mental Health Outcomes Among Black Adolescents, Curtisha Tamara Shacklewood Oct 2025

The Moderating Effects Of Community Involvement On The Association Between Witnessed Community Violence And Mental Health Outcomes Among Black Adolescents, Curtisha Tamara Shacklewood

Theses and Dissertations

Black youth and adolescents are at a disproportionately high risk for experiencing community violence exposure (CVE) and the potential influence it may have on psychological functioning. Research posits that Black youth who experience community violence are at a significantly higher risk of experiencing elevated internalizing symptoms (e.g., depression) and externalizing symptoms (e.g., delinquency). Previous research has utilized the ecological model to investigate interpersonal protective factors that potentially buffer the effects of CVE, including parental support and family characteristics. However, there is little research that explores community-level factors, such as community activities (e.g., youth activities and parental perception of collective efficacy) …


Investigating The Ecology Of The Homeless Court: The Promise Of Quasi-Experimental And Statistical Learning Methods, Dylan Wong Jul 2025

Investigating The Ecology Of The Homeless Court: The Promise Of Quasi-Experimental And Statistical Learning Methods, Dylan Wong

Theses and Dissertations

Interactions with the legal system are a crucial factor in maintaining homelessness. Difficulties in addressing legal issues are barriers to accessing services and finding employment and housing. Across the United States, the homeless court is an emerging legal program that has been developed to break this cycle, but they appear to face numerous capacity and coordination problems. Few empirical and systematic investigations have been conducted on homeless court programs. Further, previous studies of homeless courts focus their process and outcome measures on the priorities of the legal system. An investigation into the ecology, or environmental context, of homeless persons would …


Between Healing And Harm: An Analysis Of Residential Treatment Centers For Youth, Virginia B. Finch Apr 2025

Between Healing And Harm: An Analysis Of Residential Treatment Centers For Youth, Virginia B. Finch

Senior Theses

Residential treatment for children and adolescents has evolved greatly. Today, a therapeutic individualized treatment approach is standard. Despite past and present improvements in care, this paper examines the persistent challenges faced by residential treatment centers (RTCs) serving youth with mental health issues. This paper argues that residential treatment, while sometimes necessary, has the potential to cause more harm than good due to systemic issues like overdiagnosis, inappropriate medication, and the troubled teen industry’s (TTI) profit-focused approach.


Examining Mental Health Providers’ Differential Sensitivity To Youth And Caregiver Treatment Engagement Problems By Studying Clinical Decision-Making Behaviors, Wendy Chu Jan 2025

Examining Mental Health Providers’ Differential Sensitivity To Youth And Caregiver Treatment Engagement Problems By Studying Clinical Decision-Making Behaviors, Wendy Chu

Theses and Dissertations

Clinical decision-making is a systematic process of collecting and using information to guide action regarding client care. Across frameworks of clinical decision-making, there is an emphasis on the assessment of a problem – which involves considering, identifying, and selecting a problem – as it directly informs intervention. In youth mental health services, problems related to treatment engagement or the ability to meaningfully participate in services are important to assess given their association with premature termination and poor outcomes. However, research suggests that assessment of engagement problems may be challenging, and one potential reason pertains to providers’ ability to assess across …


Intimate Partner Violence Victims' Experiences With Civil Legal Interventions, Jessica Brooke Pomerantz Jan 2025

Intimate Partner Violence Victims' Experiences With Civil Legal Interventions, Jessica Brooke Pomerantz

Theses and Dissertations

The court system has become a central part of the societal response to intimate partner violence (IPV) and is a frequently used as a source of help for victims (Cattaneo et al., 2013). Despite the importance of a justice system response to IPV, it is not always accessible or helpful to victims. Past research has demonstrated barriers to IPV victims seeking legal intervention including mistrust of the court system generally, extensive and confusing legal processes and procedures, and failure of the courts to assess more invisible forms of abuse (Calton et al., 2017; Cerulli et al., 2015; Cuomo & Dolci, …


Examining Effects Of A Cultural And Family Resilience Program On Improving Physical Activity And Eating Behaviors Among Overweight Black Adolescents, Mary Quattlebaum Jan 2025

Examining Effects Of A Cultural And Family Resilience Program On Improving Physical Activity And Eating Behaviors Among Overweight Black Adolescents, Mary Quattlebaum

Theses and Dissertations

Black adolescents have higher rates of physical inactivity, lower quality dietary intake, and fewer family meals compared to their White peers. These health inequities place Black adolescents at greater risk for overweight and obesity, as well as long-term health consequences, including chronic disease and early mortality. However, few health promotion programs have been successful in improving health behaviors among Black adolescents and families. Elevated rates of chronic stress, namely racial stress, among Black families may be a prominent obstacle for engagement in and effectiveness of health promotion initiatives. Limited family-based health promotion programs with Black families have incorporated cultural and …


Associations Between Infant Vagal Regulation, Early Social Communication, And Socidemographic Risk, Tessa Djiko Aug 2024

Associations Between Infant Vagal Regulation, Early Social Communication, And Socidemographic Risk, Tessa Djiko

Theses and Dissertations

Respiratory sinus arrythmia (RSA), a measure of parasympathetic nervous system activation, has been linked to socioemotional and language development (Porges, 2007; Thayer & Lane, 2000). Children diagnosed with autism spectrum disorder (ASD) show lower RSA (Patriquin et al., 2011) while both children with ASD and children from lower SES backgrounds show differences in early social-communication development (Jones-Mason et al., 2018). However, little is known about interactions between sociodemographic risk and physiological regulation within the context of ASD and social-communication development. The present study addresses this gap by examining the relationship between RSA (as indexed by RSA suppression and resting-state RSA), …


Initial Evaluation Of A Peer Supervision Program For Health Service Psychology Doctoral Students, William Bradley Jul 2024

Initial Evaluation Of A Peer Supervision Program For Health Service Psychology Doctoral Students, William Bradley

Theses and Dissertations

Clinical supervision has long been utilized as the primary method of clinical training and evaluation for health service psychology doctoral students. Despite the central role that supervision has played and continues to play in the training of psychologists, little scholarly attention has been given to identifying effective methods for fostering competency in providing supervision. The lack of research in this area is concerning, given the accumulating evidence that negative supervision experiences, such as ineffective or inadequate supervision, are reported by a substantial proportion of trainees (21-92% across studies). Moreover, these experiences are associated with important proximal and distal training outcomes, …


Measuring Evidence Application In Routine Mental Health Settings: Testing A Coding System And Providing A Proof Of Concept, Eleanor Wu Jul 2024

Measuring Evidence Application In Routine Mental Health Settings: Testing A Coding System And Providing A Proof Of Concept, Eleanor Wu

Theses and Dissertations

Over the past 25 years, there have been increasing calls to advance the application of evidence in routine mental health settings for youth and families. Methods in the field for characterizing evidence application have played a critical role in shaping these efforts, which, to-date, have largely focused on measuring providers’ adherence to practices from evidence-based programs in treatment sessions. While this program-centric paradigm for characterizing evidence application has supported the widespread implementation of evidence-based programs in public mental health settings, it is limited in scope and applicability for characterizing all the ways that evidence may be applied across a service …


Using Youth Participatory Action Research To Scale Up Pre-Exposure Prophylaxis (Prep) In The Southern United States, Mariajose Jhamira Paton Jul 2024

Using Youth Participatory Action Research To Scale Up Pre-Exposure Prophylaxis (Prep) In The Southern United States, Mariajose Jhamira Paton

Theses and Dissertations

The recently launched initiative, Ending the HIV Epidemic (EHE), provides a targeted plan to end HIV in the United States (US) by 2030, and prioritizes key demographic groups and geographic areas that are disproportionately burdened by HIV. Sexual and gender minority (SGM) youth, especially Black and Latiné youth (SGMBLY), are a key population for EHE as they have experienced the largest increase in new HIV rates in recent decades. States identified by EHE are disproportionately located in the Southern US, where increasing the uptake of pre-exposure prophylaxis (PrEP) for HIV has been a challenge. Though proven effective, youth participatory action …


Altered Sensory Processing And Pain In Youth With Sickle Cell Disease: Risk Factors And Moderators, Julia Johnston Jul 2024

Altered Sensory Processing And Pain In Youth With Sickle Cell Disease: Risk Factors And Moderators, Julia Johnston

Theses and Dissertations

Introduction: Youth with sickle cell disease (SCD) experience recurrent pain and increased risk for chronic pain. Neuropathic pain, characterized by alterations to the central and/or peripheral nervous systems, is not well understood among youth with SCD. Based on our current understanding of pain systems and existing literature on pain in SCD, this study aimed to elucidate psychosocial correlates of altered sensory processing (ASP) and neuropathic pain, determine biomedical risk factors contributing to the development of ASP among youth with SCD, and identify how sensory processing and biopsychosocial factors collectively influence pain experiences by assessing two plausible models. Methods: Thirty-five youth …


Psy-7 Peer Effects Of Seeking Mental Health Help From A Professional, Devanshi Patel, Susan Ruppel Apr 2024

Psy-7 Peer Effects Of Seeking Mental Health Help From A Professional, Devanshi Patel, Susan Ruppel

SC Upstate Research Symposium

How does peer support effect the ability of students to seek out mental health help from a professional? In this study, the experimenter investigates the type of support the students receive from their peers and how that affects their ability to seek out help from a professional. Accurate intention-seeking of students was recorded for both the behavioral concerns and their support types. A Mental Help Seeking Intention Scale was used to measure the data collected in this study. It was found that the behavioral concern (mental, physical) of a student does not matter in this study, nor did the type …


Music As A Coping Mechanism: Clinical Implications Of How College Students Utilize Music To Cope With Anxiety, Depression, And Daily Stressors, Karly Pikel Apr 2024

Music As A Coping Mechanism: Clinical Implications Of How College Students Utilize Music To Cope With Anxiety, Depression, And Daily Stressors, Karly Pikel

Senior Theses

Many college students face stress, anxiety, and/or depression in their daily lives which they cope with in their own ways. Listening to music or playing an instrument are particularly powerful forms of coping that can have a plethora of positive effects on an individual. The purpose of this study was to conduct a survey amongst the University of South Carolina student body to determine how they utilize music to cope in their daily lives. Of 847 respondents, almost all of them reported experiencing some extent of anxiety and/or stress and listening to music to help them cope. Respondents agreed that …


Do Professor Characteristics Influence College Students' Mental Health Disclosure?, Giselle Solorio, Kenneth Barideaux Jr. Jan 2024

Do Professor Characteristics Influence College Students' Mental Health Disclosure?, Giselle Solorio, Kenneth Barideaux Jr.

University of South Carolina Upstate Student Research Journal

Previous studies have provided some evidence that college students may hesitate to disclose their mental health status because of social stigma; however, more research is needed to identify and understand the factors that influence students’ willingness to disclose. For example, it is unclear how professor characteristics impact the likelihood of disclosure. In the current study we examined whether the gender of the professor (male vs. female) and the professor’s teaching discipline (STEM vs. humanities) affected students' likelihood to disclose a mental health problem. Participants read a fictitious syllabus where the professor was either male or female and taught a chemistry …


The Influence Of Tiktok And Social Media On Body Dissatisfaction And Disordered Eating Behavior In College-Aged Women, Ariana R. Faraci Oct 2023

The Influence Of Tiktok And Social Media On Body Dissatisfaction And Disordered Eating Behavior In College-Aged Women, Ariana R. Faraci

Senior Theses

This thesis aims to evaluate the impact of social media, especially TikTok, on body dissatisfaction and disordered eating behavior in college-aged women. Previous research established connections between increased social media usage and body dissatisfaction and between the type of content viewed on social media and body dissatisfaction. In addition, several studies showed a connection between body dissatisfaction and disordered eating behavior. To investigate the impact of social media on body image and body dissatisfaction in college-aged women at the University of South Carolina, I collected data using a self-report survey that asked participants questions about which social media platforms they …


The Association Between Symptoms Of Adhd And Alcohol Use And Related Consequences In College Students: Social And Environmental Protective And Risk Factors As Moderators Of This Relation, Cameron Shepard Massey Oct 2023

The Association Between Symptoms Of Adhd And Alcohol Use And Related Consequences In College Students: Social And Environmental Protective And Risk Factors As Moderators Of This Relation, Cameron Shepard Massey

Theses and Dissertations

Alcohol use, while common in college student populations, can bring about significant mental health and educational problems that have negative consequences (Harris et al., 2017; White & Hingson, 2013). Attention-deficit/hyperactivity disorder (ADHD) can also result in significant impairment in academic settings (Kuriyan et al., 2012; Blase et al., 2009, Barbaresi et al., 2007), and those with ADHD often show increased rates of alcohol consumption and related problems, which can greatly increase the risk for students to struggle in college (Barbaresi et al., 2013; Baker et al., 2012). Examining the impact that specific risk and protective factors play in this relation …


Effects Of Parenting And Self-Efficacy On Diet, Family Mealtime And Weight-Related Outcomes In African American Adolescents, Haylee Michele Loncar Jul 2023

Effects Of Parenting And Self-Efficacy On Diet, Family Mealtime And Weight-Related Outcomes In African American Adolescents, Haylee Michele Loncar

Theses and Dissertations

Despite substantial research and concern, adolescent overweight and obesity continues to be a significant public health problem. Theory based on developmental literature emphasizes the role of adolescent self-regulatory factors, like self-efficacy, in health behavior engagement and weight-related outcomes. There is also extensive literature that highlights parents’ role in promoting self-regulatory development through warm and responsive behaviors and practices. However, few studies have considered longitudinal associations and changes in weight-related outcomes over time, as well as moderated effects by parenting. This study assessed longitudinal associations between adolescent self-efficacy parenting factors and adolescent BMI, diet, and family mealtime to fill gaps in …


The Effects Of Poly-Strengths On Psychological Wellbeing Amongst Young Adults With Childhood Poly-Victimization, Nakisa Asefnia Jul 2023

The Effects Of Poly-Strengths On Psychological Wellbeing Amongst Young Adults With Childhood Poly-Victimization, Nakisa Asefnia

Theses and Dissertations

The field of trauma and victimization has undergone many evolutions in its efforts to conceptualize the impacts of victimization and more recently poly-victimization. Poly-victimization refers to the experiencing of multiple types of victimization over the lifespan. This has led to an ever-growing base of literature highlighting the many deleterious effects of these experiences on individuals’ wellbeing, and the factors which may make a person more vulnerable to victimization. However, a growing movement in the field aims to take a more strengths-based perspective that highlights the resilience of individuals, rather than risk factors, in the hopes of better understanding the factors …


Comorbid Adhd And Pediatric Sickle Cell Disease: Prevalence And Risk Factors, Sarah Bills Jul 2023

Comorbid Adhd And Pediatric Sickle Cell Disease: Prevalence And Risk Factors, Sarah Bills

Theses and Dissertations

Objective: Sickle cell disease (SCD) is a genetic blood condition that places youth at increased risk for deficits in attention and executive functioning suggestive of increased rates of Attention Deficit/Hyperactivity Disorder (ADHD). There is pronounced inconsistency in reported prevalence rates for attention deficits and ADHD diagnoses among youth with SCD, which is due in part to variability in methodology of previous studies. The primary aim of the present study is to use systematic screening to identify the prevalence of inattentive ADHD symptoms and ADHD diagnoses in a pediatric SCD population seen at a large hematology clinic. A secondary aim is …


Feasibility Of A Parent-Focused, Stress Management Intervention To Decrease Adolescent Bmi, Reduce Stress, And Increase Well-Being Among African American Families, Colby J. Kipp Jul 2023

Feasibility Of A Parent-Focused, Stress Management Intervention To Decrease Adolescent Bmi, Reduce Stress, And Increase Well-Being Among African American Families, Colby J. Kipp

Theses and Dissertations

African American adolescents in the United States experience a higher prevalence of obesity as compared to their White counterparts. This health inequity presents a public health concern as consequences of weight-related chronic diseases often persist into adulthood and are increasingly problematic. As chronic stress has been found to be higher among African American youth compared to White adolescents, it presents as a potential barrier to participation for African American families in health promotion interventions. Additionally, it may be beneficial to target stress in health promotion programs as a modifiable factor in conjunction with health behaviors that may improve outcomes related …


Moral Injury To Inform Analysis Of Post-Traumatic Stress Disorder, Amanda Julia Manea Apr 2023

Moral Injury To Inform Analysis Of Post-Traumatic Stress Disorder, Amanda Julia Manea

Senior Theses

Post-traumatic stress disorder (PTSD) is a mental health condition that almost one out of ten veterans struggle with. Although the National Center for PTSD has made extensive progress in characterizing and developing new treatments for PTSD, most veterans still experience symptoms of PTSD following treatment. Novel avenues of investigation, such as developing algorithms to review electronic health record (EHR) data and better understanding moral injury, are being pursued to address the gap that still exists when it comes to treating veterans. Moral injury is the individual evaluation of exposure to a potentially morally injurious event (PMIE) and can lead to …


The Role Of Religious Coping Resources As Resilience Factors In The Relationship Between Stress And Health-Related Quality Of Life Among Black Americans, Sarah Grace Frary Apr 2023

The Role Of Religious Coping Resources As Resilience Factors In The Relationship Between Stress And Health-Related Quality Of Life Among Black Americans, Sarah Grace Frary

Theses and Dissertations

Black Americans face health disparities due to a number of systemic barriers across individual, relational, environmental, structural and superstructural levels, and these barriers increase their likelihood of chronic illness and premature mortality. Addressing these disparities is urgently needed. Addressing health promotion through culturally relevant interventions has been shown to be more effective, and one target for health promotion is Health-Related Quality of Life (HRQoL), a multidimensional health indicator that aligns well with many Black Americans’ understandings of health. HRQoL is negatively related to chronic stress. This study aimed to identify factors for effective coping with chronic stress that are culturally …


Psychosocial Outcomes Of African American Traumatic Race-Based Stress, Zenith Lamb Apr 2023

Psychosocial Outcomes Of African American Traumatic Race-Based Stress, Zenith Lamb

Senior Theses

Most research into trauma-related mental health concerns has focused predominantly on European American participants, leading to many African American individuals receiving inaccurate diagnoses, if they are able to receive diagnoses at all. This project sought to help fill that gap by identifying clear definitions and examples of “racial trauma” and “race-based stress” - as defined during participation in a focus group interview by the collective experience-based responses of two undergraduate African American students at a predominantly White institution - and identifying symptoms of posttraumatic stress and dissociation - measured by an online survey distributed to the participants that included questions …


Understanding Intergenerational Transmission And Frequency Of Ethnic-Racial Socialization Practices Among Racial Ethnic Minority Groups, Ryan Chantz Houston-Dial Apr 2023

Understanding Intergenerational Transmission And Frequency Of Ethnic-Racial Socialization Practices Among Racial Ethnic Minority Groups, Ryan Chantz Houston-Dial

Theses and Dissertations

Ethnic-racial socialization (ERS) is a multidimensional concept that can be defined as the transmission of attitudes, beliefs and messages about ethnic-racial group membership (Hughes et al., 2006). To counteract the negative effects of discriminatory experiences, ethnic minority parents proactively impart race-salient messages to their youth. Sociodemographic variables such as regional location has been shown to affect the frequency of ERS messages as well (Thornton et al., 1990). The current study examines ERS practices in 436 African American, Hispanic/Latinx and Asian American parents. This study also explores the concept of intergenerational transmission, in which parents pass on to their own children …


An Examination Of The Prevalence And Predictors Of Drugging Victimization And Drugging Perpetration In A National Sample, Amber Nicole Wallace Apr 2023

An Examination Of The Prevalence And Predictors Of Drugging Victimization And Drugging Perpetration In A National Sample, Amber Nicole Wallace

Theses and Dissertations

Objective: The current study sought to expand the understanding of the nascent phenomenon of drugging, the administering of a drug or alcohol substance to an individual without their knowledge or consent (Swan et al., 2017). Specifically, in this paper, the lifestyle-routine activities theory (L-RAT) is used as a framework to examine what factors may contribute to the occurrence of drugging. Prevalence rates of drugging victimization and drugging perpetration are examined by participant characteristics including gender, sexual orientation, and race/ethnicity, and by risk behaviors including illicit drug use, marijuana use, and binge drinking. Trait sensation seeking, which has been shown to …


An Intersectional Lens To Covid-19: Promoting Youth Well-Being In The Midst Of Social-Political Stressors, Magdalena S. Moskal Oct 2022

An Intersectional Lens To Covid-19: Promoting Youth Well-Being In The Midst Of Social-Political Stressors, Magdalena S. Moskal

Theses and Dissertations

Guided by interpretative phenomenological methodology and intersectionality theory, this thesis aims to uncover the mental health experiences of youth surrounding the COVID-19 pandemic. This study also seeks to situate these experiences with the subsequent stressors that young people face in the current social-political context (e.g., witnessing trauma in the media, uprisings to address racism and the resulting backlash, rhetoric of the 2020 presidential election). Furthermore, this thesis aims to give insight and voice how intersectionality shapes the COVID-19-related experiences of youth in South Carolina. Data was collected through semi-structured interviews with 23 participants aged 16-21 years old in South Carolina. …


Predicting Therapists’ Intentions To Use An Innovation: The Role Of Innovation-Specific, Individual, And Organizational Factors, Jonathan KuʻUhoaepilipono Ahuna Oct 2022

Predicting Therapists’ Intentions To Use An Innovation: The Role Of Innovation-Specific, Individual, And Organizational Factors, Jonathan KuʻUhoaepilipono Ahuna

Theses and Dissertations

Understanding factors that contribute to an individual’s decision to use an innovation can increase the public health impact of innovations in children’s mental health services. Objective. This study examined whether and to what extent therapists’ innovation-specific judgements (e.g., innovation is easy to use, socially desirable) were associated with intentions to use an innovation using constructs from one of the most robust theories of innovation use–the Unified Theory of Acceptance and Use of Technology (UTAUT). Method. Two aims were addressed using data collected from 95 therapists and 28 supervisors who participated in a multi-site cluster randomized trial. Therapists used either a …


Belonging In Context: An Exploration Of Sense Of Belonging Among College Students, Ladonna L. Gleason Oct 2022

Belonging In Context: An Exploration Of Sense Of Belonging Among College Students, Ladonna L. Gleason

Theses and Dissertations

Feeling a sense of belonging is essential to human health and functioning and has been well documented in the literature. However, questions of context remain. Research in belonging has focused on social aspects of belonging, leaving broader contextual frames unexplored. There has been little work in identifying and differentiating the contexts in which belonging is experienced or in developing an understanding of how the experience of belonging differs across contexts. Current belonging theory lacks this important contextual perspective that could inform the ways in which belonging is constructed and reconstructed through disruption. With the advent of the COVID-19 pandemic, new …


The Role Of Hostile Attribution Bias In The Relationship Between Parental Adversity Exposure And Observed Parental Sensitivity, Ashley Lauren Waters Aug 2022

The Role Of Hostile Attribution Bias In The Relationship Between Parental Adversity Exposure And Observed Parental Sensitivity, Ashley Lauren Waters

USC Aiken Psychology Theses

Exposure to adversity throughout the lifespan, including poverty, has been shown to influence parental sensitivity, or a caregiver’s ability to perceive, accurately interpret, and then respond appropriately to a child’s bids or behaviors. Given that adverse experiences can influence social cognition, it may be that hostile attribution bias (HAB, the tendency to interpret ambiguous social information as hostile), may be a mechanism accounting for the association between adversity exposure and parental behavior. The study aimed to contribute to the understanding of the determinants of sensitive parenting by evaluating the relationship between parents’ adversity (selfreported childhood, adulthood, and lifetime cumulative exposure …