Clinical Psychology Commons^™

The Impact Of Discharge Type On Military To Civilian Reintegration: Conformity To Masculinity As A Moderating Factor, Kirsten Thiemke

Theses and Dissertations

Literature has shown that reintegrating back into civilian life and mentality has proven to be one of the most difficult aspects of transitioning from military service. Based on aspects such as qualifications for benefits, perceived stigma, and amount of community support, discharge status at the time of separation has been shown to have an impact on how separated service members reintegrate. Additionally, rigid adherence to the hypermasculine environment of the United States military could serve to further complicate reintegration for service members. The current study evaluates the relationship between discharge status and military to civilian reintegration, with adherence to traditional …

Culturally-Specific Risk And Resilience Factors That Moderate The Relationship Between Reproductive Coercion And Adverse Health Outcomes Among Latinx Individuals, Emily Munoz

Theses and Dissertations

Reproductive coercion (e.g., one partner controlling the reproductive decision making of the other) is a serious public health problem that is associated with a number of adverse health outcomes. Reproductive coercion has been shown to disproportionately affect Latinx people who can become pregnant; however, little is known about the cultural factors, such as familism, ethnic identity pride, social support, and acculturative stress, that may mitigate or exacerbate the risk of experiencing adverse health outcomes associated with reproductive coercion. Thus, using a non-clinical sample (N=160) of Latinx-identifying adults, the current cross-sectional study examined (1) the associations between reproductive coercion and adverse …

Description And Critical Evaluation Of Models Of Psychology Practice In The Pediatric Intensive Care Unit, Kathryn A. Balistreri

Theses and Dissertations

During and after hospitalization in the pediatric intensive care unit (PICU), a significant proportion of patients and their family members experience clinical levels of distress (i.e., traumatic stress, anxiety, and depression). Pediatric psychologists are well-suited to support families during hospitalization and are increasingly present in PICUs. Models of psychology practice have been explored in other pediatric settings, but a comprehensive assessment of models of psychology practice in the PICU has not been conducted. The present study aimed to evaluate current models of psychology practice in PICUs and explore psychologists’ perceptions of the ideal model of care for PICU families. Fourteen …

Optimizing Collaboration: A Qualitative Analysis Of Bone Marrow Transplant Provider Perceptions Of Palliative Care Roles, Madeline Johnson

Theses and Dissertations

Bone marrow transplantation (BMT), also referred to as hematopoietic stem cell transplantation (HPSCT), is a medical procedure utilized to treat a range of malignant and non-malignant diseases including leukemias, lymphomas, aplastic anemia, immune deficiency disorders, solid tumor cancers, and more (Champlin, 1990; Bone Marrow Transplantation, 2021; Franjul Sanchez et al., 2020). BMT patients typically experience symptoms associated with induction or condition regiments that are especially burdensome, including but not limited to pain, mucositosis, nausea and vomiting, diarrhea, psychological, spiritual, and emotional concerns that may not be thoroughly addressed through their primary oncology and BMT teams alone (Ruiz et al., 2017). …

Medical Interpreters' Experience Working With Distressed Families In Pediatric Settings, Paulina Lim

Theses and Dissertations

Effective communication between families and pediatric clinicians is essential for mitigating family stress and improving quality of care. Families who speak a primary language other than English must contend with the added stress of language barriers during stressful encounters, which could impact the quality of patient care and health outcomes. Trained medical interpreters facilitate communication, including distress expressions, during interpreted medical encounters (IME). Little is known about how interpreters identify distress and what factors impact distress identification during IME. This project describes how interpreters identify distress of families during IME, and how they identify cultural nuances in distress expression and …

Behavioral And Eye-Movement Correlates Of Item-Specific And Relational Memory In Autism, Greta Nicole Minor

Theses and Dissertations

Recent work has challenged past findings that documented relational memory impairments in autism. Previous studies have often relied solely on explicit behavioral responses to assess relational memory integrity, but successful performance on behavioral tasks may rely on other cognitive abilities (e.g., executive functioning) that are impaired in some autistic individuals. Eye-tracking tasks do not require explicit behavioral responses, and, further, eye movements provide an indirect measure of memory. The current study examined whether memory-specific viewing patterns toward scenes differ between autistic and non-autistic individuals. Using a long-term memory paradigm that equated for complexity between item and relational memory tasks, participants …

Pinpointing The Cognitive Structure Of The Cpt-3: A Case For Distribution Appropriate Statistical Methods, Chandler J. Zolliecoffer

Theses and Dissertations

The present study used the CPT-3 as a model to illustrate the complementary use of distribution-appropriate statistical methods to analyze non-normally distributed empirical datasets. Study results reaffirmed that while group-level analysis (e.g., via traditional parametric group-level analysis or distribution-appropriate group-level analysis procedures) offers insights into performance of the group in aggregate, it is oftentimes inappropriate to presume that patterns reflected by the group are, necessarily, applicable to a smaller subset of respondents. Thus, understanding how subgroups within the population navigate and approach a given task can have direct implications for more personalized/individualized assessment and treatment, especially in clinical and research …

Impact Of Childhood Maltreatment And Endocannabinoid Function On Posttraumatic Stress Symptoms In Traumatically-Injured Adults, Elizabeth Parisi

Theses and Dissertations

The ECSS plays a crucial role in regulation of the stress response, is modulated by exposure to acute and chronic stressors, and shows potential as a biomarker for PTSD. Changes in ECSS function are apparent in adults with a history of childhood maltreatment. Further, childhood maltreatment is a well-established pre-trauma risk factor for development of PTSD following a traumatic event in adulthood. No study to date has examined the contribution of ECSS function to the relationship between childhood maltreatment and PTSD following a subsequent trauma in adulthood. The current study aimed to investigate the relationship between exposure to threat and …

The Association Between Aerobic Fitness And Network Connectivity In The Default Mode Network In Healthy Adolescents And Young Adults, Kaitlynne Leclaire

Theses and Dissertations

The beneficial effects of aerobic fitness on psychiatric and cognitive function in older adults have been well demonstrated in existing literature. However, less remains known about the relationship between aerobic fitness and neurocognitive health in emerging adults, who are less likely to suffer from underlying metabolic conditions. Further, few have examined potential sex differences. The transition from adolescence to young adulthood is associated with a reduction in physical activity and accumulating evidence suggests that poor aerobic fitness negatively impacts neurocognition. Therefore, it is crucial to better understand the relationship between aerobic fitness and neurocognitive health during adolescence and young adulthood …

The Impact Of Racial Discrimination And Peritraumatic Dissociation On The Development Of Ptsd Symptoms, Farah Harb

Theses and Dissertations

Racial discrimination is a traumatic stressor that increases risk for posttraumatic stress disorder (PTSD), but mechanisms to explain this relationship remain unclear. Peritraumatic dissociation, the complex process of disorientation, depersonalization, and derealization during a traumatic event, has been found as a consistent predictor of PTSD. Experiences of racial discrimination may force many Black Americans to detach from their environment to mitigate stress and protect their well-being, which, in turn, increases risk for dissociation. However, this has not been specifically explored with peritraumatic dissociation. The current study explored the role of peritraumatic dissociation in the impact of racial discrimination on PTSD …

Acceptability And Feasibility Of Telehealth Delivered Written Exposure Therapy With College Students, Maya Anais Krek

Theses and Dissertations

Full and subthreshold presentations of posttraumatic stress disorder (PTSD) are both functionally impairing and chronic. Therefore, development of feasible and acceptable treatments for both is imperative. Written Exposure Therapy (WET), a brief five-session in-person PTSD treatment, has the potential to be successfully administered accessibly via a telehealth format due to minimal therapist contact and short duration of treatment. This study explored the feasibility and acceptability of WET delivered via a telehealth format to college students experiencing posttraumatic stress symptoms.

Participants (N = 4) were college students who were impacted by at least one traumatic event and had associated posttraumatic stress …

Utilizing Structural Equation Modeling To Examine Factors Impacting Health-Related Quality Of Life For Emerging Adults With Chronic Pain As They Transition To Adulthood, Amy Coral Lang

Theses and Dissertations

Approximately 5% to 30% of adolescents and emerging adults are living with chronic pain as they navigate the transition from pediatric- to adult-focused health care. However, there is a paucity of research investigating the health care transition experience for emerging adults with chronic pain. The current study aimed to utilize structural equation modeling in a sample of community-recruited emerging adults with chronic pain to: 1) assess a hypothesized measurement model and validate pertinent measures in this understudied population; and 2) assess a hypothesized structural model based in the Individual and Family Self-Management Theory. Findings provide preliminary validation of measures of …

The Impact Of Emotional Cues On Response Inhibition In Obsessive-Compulsive Symptoms, Ashleigh M. Harvey

Theses and Dissertations

Response inhibition (RI; the ability to inhibit a pre-potent response) has been proposed as a cognitive vulnerability underlying obsessive-compulsive disorder (OCD). However, extant mixed findings about this purported relationship have raised questions of how robust this relationship might be, and whether other contextual factors may not be fully captured by existing study methodologies. Given rates of comorbid depression and real-world clinical observations of the effects of dysphoric mood on OCD, the present study examined the associations between RI, OCD, and dysphoric mood by utilizing an analogue sample and a cross-sectional, within-subjects design. Participants completed the stop-signal and go/no-go tasks to …

Academic Abilities Of Late School Age Children With Neurofibromatosis Type 1: A Replication Study And Examination Of Early School Age Cognitive Predictors, Kristin Lee

Theses and Dissertations

Learning problems are commonly reported for children with neurofibromatosis type 1 (NF1); however, there are no known studies examining early school age predictors of late school age academic functioning in children with NF1. Based on the review of the literature of predictors of academic functioning for typically developing children and pre-academic/academic functioning in children with NF1, pre-academic and neuropsychological predictors (intellectual functioning, attention, executive functioning, visual spatial, oral language) were examined in relation to late school age academic performance in children with NF1. Concurrent intellectual functioning, performance-based attention, performance-based working memory, oral language and visual spatial abilities were associated with …

The Longitudinal Effects Of Early Substance Use And Adhd Symptom Development In The Abcd Study, Alexander Wallace

Theses and Dissertations

Previous literature has demonstrated a link between Attention-Deficit/Hyperactivity Disorder (ADHD) and substance use. However, few studies have examined how early substance use initiation in late childhood and early adolescents impacts ADHD symptoms overtime. To help investigate these trajectories we utilized the Adolescent Brain Cognitive Development (ABCD) Study, which includes 11,875 children (ages nine and ten at baseline) recruited from schools across 21 different study sites across the United States and followed for ten years. During study visits, participants and their parents completed questionnaires and interviews which were utilized for the current study. Participants were asked about past year substance use …

Temporal Dynamics Of Attention Bias In Anxiety: An Eye Tracking Study, Abel Mathew

Theses and Dissertations

Behavioral reaction time (RT) measures, like the dot-probe and spatial cueing tasks, have shown that individuals with anxiety tend to bias their attention toward threat as compared to neutral stimuli. However, the literature has revealed mixed findings due to the simplistic calculation of attention bias (AB; i.e., Mean RT Threat – Mean RT Neutral). Research has shown that attention bias fluctuation (i.e., patterns of both vigilance and avoidance), is indicative of attention dyscontrol, which is evident in those with psychopathology. As such, the purpose of this study was to evaluate whether AB fluctuation via behavioral RT measures and eye-tracking, stands …

The Relationship Between Response Inhibition Deficits And Intimate Partner Violence Perpetration, Bryce Arseneau

Theses and Dissertations

Victims of intimate partner violence (IPV) perpetration suffer from lasting deleterious impacts of trauma. Although various risk factors of IPV have been explored, fewer studies have focused on executive functioning as potential risk factors for IPV perpetration. Response inhibition is a form of cognitive control which serves to stop the initiation of a maladaptive action/response. Within the context of IPV, adaptive response inhibition may inhibit utilizing aggression as a conflict strategy. Therefore, exploring the relationship between response inhibition deficits and IPV may further our understanding of IPV perpetration.

This study sought to explore the relationship between response inhibition and IPV …

Cross-Day Associations Between Relational Factors And Intimate Partner Violence In Young Adult Couples, Lauren Grocott

Theses and Dissertations

The prevalence of intimate partner violence (IPV) is alarmingly high, with young adults at increased risk, underscoring the importance of identifying risk factors for perpetration of IPV. IPV is largely understood as a dyadic process, as it involves both partners and is inherently influenced by the behaviors of both partners. Thus, it is important that research poised to better understand risk factors for IPV utilize young adult samples that include both dyad members. Previous research examining risk factors for IPV perpetration has identified multiple relational factors (i.e., relationship characteristics influenced by both partners) that impact risk. In particular, findings suggest …

Anti-Bisexual Discrimination, Hazardous Alcohol Use, And Sexual Victimization Among Bi+ Individuals, Benjamin Katz

Theses and Dissertations

Bi+ individuals are at an elevated risk of sexual victimization compared to other sexual minorities. Hazardous alcohol use and minority stress are two factors proposed to contribute to increased rates of sexual victimization among bi+ individuals. The present study investigated the roles of distal and proximal minority stress, general life stress, negative affect, and hazardous alcohol use as predictors of sexual victimization in a sample of 192 bi+ young adults. Results indicated that experiences of anti-bisexual discrimination were associated with an increased likelihood of experiencing past year rape victimization. A direct, positive association between hazardous alcohol use and past year …

Alcohol Use, Trait Anger, And Intimate Partner Violence In College Student Couples, Cayla O'Hair

Theses and Dissertations

Intimate Partner Violence (IPV) is a significant public health problem, and risk for IPV is often highest among young adults. Numerous studies have found alcohol use to temporally precede and increase the risk for IPV perpetration. Trait anger is also associated with greater levels of physical, sexual, and psychological IPV perpetration. Daily diary research using one member of the dyad has found that alcohol is associated with increased physical IPV perpetration among men high, but not low, in levels of trait anger. However, IPV is a dyadic process that is impacted by the behavior of both partners, and little is …

The Cumulative Impact Of Childhood Adversity On Bold Responses To Inhibitory Control During Early Adolescence In The Abcd Study Cohort, Elizabeth Ashley Stinson

Theses and Dissertations

Adolescence is characterized by dynamic neurodevelopment, which poses opportunities for risk and resilience. Adverse childhood experiences (ACEs) pose additional risk to the developing brain, where ACEs have been associated with alterations in functional magnetic resonance imaging (fMRI) BOLD signaling in brain regions underlying inhibitory control. Potential resiliency factors, like positive family environment, may attenuate the risk associated with ACEs. Using baseline to 2-year data from the Adolescent Brain Cognitive Development (ABCD) Study, the current study examined how ACEs relate to fMRI BOLD signaling during successful inhibition on the Stop Signal Task (SST) in regions underlying inhibitory control during early adolescence …

Patterns Of Therapist Use Of Play And Humor And Child Behavioral Fear Response In An Exposure Therapy For Children With Williams Syndrome, Brianna Young

Theses and Dissertations

Children with Williams syndrome struggle with fears and phobias that significantly impact their daily lives. Yet there are few psychosocial and no empirically supported behavioral interventions to treat anxiety and phobias in this population of children. This study is part of a larger project examining the effectiveness of an exposure-based play- and humor-infused intervention aimed to provide developmentally appropriate behavioral therapy to reduce fear and anxiety in children aged 4 to 10 with Williams syndrome. This approach was piloted with 9 children (3 females; 6 males) in the context of developing a website to disseminate the approach to university-based and …

Characterizing Coping Among Parents Of Children With Medical Complexity, Julia Barbara Tager

Theses and Dissertations

Children with medical complexity (CMC) are characterized by intensive healthcare needs. Given the centrality of the relationship between parent and child well-being, an investigation of the experiences of parents who care for CMC is warranted. Parents of CMC experience significant challenges relating to practical matters and their own well-being, but there is a dearth of research examining parental coping strategies used in response to these challenges. Informed by the revised Transactional Model of Coping, the current study aimed to characterize coping among a sample of parents of CMC. Twenty parental caregivers of CMC served by the Complex Care Program at …

The Role Of Alcohol Use, Drinking Context, And Alcohol Expectancies In Sexual Assault Perpetration Among College Men, Joseph D. Censor

Theses and Dissertations

Sexual assault is a major public health and criminal justice problem in our society. The high prevalence rate of sexual assault victimization and perpetration among college students is even more disturbing. Additionally, the prevalence of alcohol use among college students is higher than in the general population, and alcohol use is associated with more than half of sexual assaults. The goal of the present study was to gain a deeper understanding of the role of various alcohol related factors in sexual assault perpetration among college men. Specifically, this study assessed the association of perpetration with general problematic alcohol use, general …

Resting State Functional Connectivity In The Default Mode Network: Relationships Between Cannabis Use, Gender, And Cognition In Adolescents And Young Adults, Megan Ritchay

Theses and Dissertations

Introduction: Cannabis is the most commonly used illicit substance in the United States, and nearly 1 in 4 young adults are current cannabis users. The psychoactive component of cannabis, THC, is active at cannabinoid receptors, type 1, or CB1 receptors. CB1 receptors play a critical role in neural development, and chronic cannabis use causes desensitization and downregulation of these receptors. Chronic cannabis use is associated with changes in resting state functional connectivity (RSFC) in the default mode network (DMN) in adolescents and young adults, although results are somewhat inconsistent across studies, likely due to differing methodologies. Additionally, cannabis effects appear …

The Influence Of Relationship History On Sexual Consent: A Comparison Of Idealized And Actual Sexual Experiences, Cari Beth Lee

Theses and Dissertations

Objective: The study assessed how sexual consent varied from imaginary ideal scenarios and actual sexual experience while taking into consideration gender and relationship status. Methods: College students completed an online survey in which they were randomized to one of two imaginary scenarios in which they were about to have sex in an ideal setting with either their most recent sexual partner or a new sexual partner. Participants were asked what external consent behavior they would use to indicate their consent and to rank which consent behaviors they considered the most important for indicating their consent. They were also asked to …

Neural Correlates Underlying The Interactions Between Anxiety And Cannabis Use In Predicting Motor Response Inhibition, Richard Ward

Theses and Dissertations

The ability to effectively withhold an inappropriate response is a critical feature of cognitive control. Prior research indicates alterations in neural processes required for motor response inhibition in anxious individuals, including those with posttraumatic stress disorder (PTSD), and those who engage in regular cannabis use. However, thus far most research has examined how anxiety-related symptoms and cannabis use influence response inhibition in isolation of one another. The current study examined the interactions between anxious symptomology and recent cannabis use in a sample that recently experienced a traumatic event using functional magnetic resonance imaging (fMRI) during the completion of a Stop-Signal …

Functional Responding To Appetitive Faces Among Cannabis-Using Adolescents And Young Adults, Ryan Michael Sullivan

Theses and Dissertations

Cannabis use is associated with attenuated reward signaling, yet few studies have examined this relationship when viewing rewarding appetitive faces while undergoing functional neuroimaging. Furthermore, few neuroimaging analyses have examined the moderating role of gender on task-based fMRI outcomes. This study explored functional BOLD response elicited by appetitive faces while engaged in an affective go/no-go task, and specifically investigated the differences between cannabis-using and control groups, whether gender moderate findings, and brain-behavior associations. Participants (ages 16-26 years) were scanned after at least 3-weeks of monitored abstinence (cannabis-using group = 35; control group = 33). The findings demonstrated aberrant activation in …

Identification And Response To Parent Distress By Medical Providers In The Pediatric Intensive Care Unit, Kathryn Anne Balistreri

Theses and Dissertations

During hospitalization in the pediatric intensive care unit (PICU), approximately 25-60% of parents experience clinical levels of distress (i.e., traumatic stress, anxiety, and depression). Despite this, PICU providers rarely refer parents to formal psychological services, and parents describe room for improvement in provider response to their emotional needs. Difficulty identify and/or responding to distress in parents may contribute to these deficiencies. The present study aimed to evaluate how medical providers identify and respond to parent distress in the PICU. Thirty-seven medical providers (78% female; 73% White) from the Children’s Wisconsin PICU completed a semi-structured interview. Providers perceived supporting distressed parents …

Proactive And Reactive Cognitive Control Under Threat Of Unpredictable Shock: A Combined Eye-Tracking And Eeg Study Using Multilevel Modeling, Salahadin Lotfi

Theses and Dissertations

We are constantly bombarded by environmental distractors in daily life which interfere with internal, ongoing goals, thus cognitive control processes need to be in place to adapt to maintain these goals in light of the environmental demands. These cognitive processes (generally referred to cognitive control) are thought to be adjusted reactively or proactively to deal with distractors. There is little evidence on how state anxiety dynamically interacts with these two modes of cognitive control. Taking advantage of a multimodal methodology, through two experiments, we replicated existing findings of reactive and proactive control processes via utilizing a Flanker task in a …