Clinical Psychology Commons^™

From Custody To Care: Understanding Mental Health And Recidivism In The Criminal Justice System, India Cox

Undergraduate Research Posters

Previous studies on genetic influences in mental health disorders have been shown to correlate with incarceration rates in families. Consequently, there are individuals within the criminal justice system under the clinical threshold of a mental health diagnosis; it has been found that almost half of the incarcerated population was arrested due to acting upon their mental health disorder, while 27 to 38 percent developed PTSD while imprisoned. Furthermore, the serious and exhausting cycle of recidivism within the criminal justice system highlights the failure to provide the necessary mental health treatment required to support rehabilitation while incarcerated and prevent reoffending upon …

Victimization Trauma And Eating Pathology; A Global Perspective, Madisyn E. Feliciano, Cate Morales, Kelsey Hagan

Undergraduate Research Posters

Introduction: Exposure to traumatic events is a well-established risk factor for eating pathology, including binge eating, purging, restricting, and excessive exercise. This association has been primarily explored in higher-income countries, like the United States. The goal of this study was to elucidate the associations among victimization trauma (physical assault, sexual assault, and other unwanted sexual experience assessed) exposure and (binge eating, purging, restriction and excessive exercise) in a global sample of women.

Methods: Participants were 2,458 women attending universities across seven countries (US, UK, Canada, Germany, Iran, Turkey, Colombia) who were recruited through their undergraduate participant pool. Students who completed …

Substance Use Behaviors And Treatment Engagement In Individuals With Severe Psychopathology With And Without Comorbid Obesity, Rachel M. Madera-Arnold

Theses and Dissertations

Research has found significantly higher rates of both substance use and obesity among individuals with SMI compared to population samples which in turn can lead to worsening health outcomes. Despite this, there is limited research on the co-occurrence of obesity, substance use, and SMI and how these conditions may interact to affect patient outcomes. In addition, there are many gaps in the research regarding the relationship between substance use and body weight, appetite and/or eating behaviors. This study conducted a secondary analysis of the NSDUH 2021 survey that characterized substance use and disorders among individuals who had severe psychopathology, examined …

Examining Bidirectional Associations Between Mothers’ Beliefs About Emotions And Child Social-Emotional Outcomes, Sydney Sumrall

Theses and Dissertations

Social-emotional (SE) skills encompass the ability to recognize and regulate emotions, manage behavior to act on goals, and maintain social relationships (Abrahams et al., 2019). Parents play a crucial role in child SE skill development. According to theories of emotion socialization (ES), the beliefs parents hold about emotions shape parents’ ES behaviors, including teaching children how to understand and express feelings (Eisenberg et al., 1998; Gottman, 1996). Because emotion socialization practices are influenced by cultural values (Raval & Walker, 2019), the parent beliefs and ES strategies that best support children’s SE skill development may vary across families’ racial backgrounds. Although …

The Effects Of Coping Motives On Alcohol Use Consequences, Madisyn E. Feliciano, Samantha Pelfrey

Undergraduate Research Posters

The purpose of this study was to examine the difference in alcohol use consequences between those who drink to cope with anxiety or depression symptoms and those who do not. Our research aimed to expand on earlier studies by placing emphasis on how coping with anxiety and depression influences alcohol consequences using constructs aligned with DSM-V symptom criteria. Research has consistently shown that those who drink to regulate distressing emotions experience more harmful consequences, making this an imperative area for prevention efforts. It was hypothesized that coping motivated drinking would be associated with an increased amount of alcohol related consequences. …

Psychometric Evaluation Of The Treatment Integrity Instrument For Elementary School Classrooms - Observer Report: Preliminary Evidence For Construct And Discriminative Validity, Cristian J. Rivera Nales

Theses and Dissertations

Treatment integrity is the degree to which a program and its practices are delivered as intended. Treatment integrity measures are critical for evaluating the effectiveness of evidence-based programs (EBPs) in effectiveness research, but few are designed for research conducted in community settings, such as schools. The Treatment Integrity Instrument for Elementary School Classrooms – Observer Report (TIES-O) is an observational measure used to assess the treatment integrity of teachers implementing EBPs in their classrooms. This study evaluated the psychometric properties of the TIES-O, which captures Adherence (frequency and thoroughness of delivery) Competence (skillfulness of delivery), and Differentiation (the extent to …

Internalizing Symptoms In Lgbtq+ Young Adults: Understanding The Roles Of Social Support And Resilience To Social Stigma, Chloe M. Sobolewski

Theses and Dissertations

LGBTQ+ young adults are at increased risk of adverse mental health outcomes including internalizing symptoms. The current study seeks to better incorporate strengths when modeling internalizing symptoms outcomes in LGBTQ+ young adults. The present study is secondary analysis of data collected as part of a three-wave longitudinal study. LGBTQ+ young adults (N = 250) completed baseline questionnaires assessing resilience to social stigma, types of perceived social support (i.e., family, friend, significant other), and internalizing symptoms. Moderation models were not practically or statistically significant; however, covariates (i.e., age, socioeconomic standing, and childhood basic needs) stood out in their significant contribution in …

Examining Youth Ethnic Identity And Parental Familismo As Protective Factors Against Bicultural Stress And Internalizing Symptoms In Latino Youth, Daniella Olivares

Theses and Dissertations

Adolescence is a critical developmental period marked by increased vulnerability to mental health challenges. For Latino adolescents living in the U.S., experiences of bicultural stress may heighten the risk for adverse mental health outcomes. However, cultural strengths–such as youth ethnic identity and parental familismo–may serve as protective factors. The current study examined whether youth ethnic identity and parental familismo moderated the relationship between bicultural stress and internalizing symptoms among a diverse sample of Latino youth in central Virginia. Latino adolescents (n = 60) completed measures assessing bicultural stress, ethnic identity, and internalizing symptoms, while parents (n = 60) reported on …

Conceptual Concerns Regarding The Content Validity Of The Construct Of Gender Dysphoria In The Diagnostic And Statistical Manual Of Mental Disorders, Fifth Edition, Text Revision, Waverley Vesely

Theses and Dissertations

The diagnostic classification of gender dysphoria in the DSM-5-TR elicits a number of clinical, political, and philosophical concerns, ranging from those that are diagnostic and taxonomical in nature to those that fall within the domains of ontology, phenomenology, and hermeneutics. Part of the reason for the complexity of studying the diagnostic and nosological validity of gender dysphoria as an extant diagnostic classification is that, unlike many disorders, gender dysphoria is inextricably tethered to identity. While the recent change from gender identity disorder to gender dysphoria has nominally removed the status of disorder, in practice, both clinicians and the general population …

The Relationship Between Symptom Catastrophizing And Sociocultural Factors Among Adults With Persistent Sympathetic Activation Syndromes, Whitney M. Redemer

Theses and Dissertations

Persistent Sympathetic Activation (PSA) has emerged as a potential unifying mechanism underlying a range of complex chronic health conditions yet remains poorly characterized within biomedical and psychosocial research. Limited research has delineated how PSA manifests across diverse populations or how diagnostic and sociocultural factors shape lived experiences of this phenomenon; thus, the objective of the present study was to examine whether diagnostic certainty – operationalized as provider-confirmed versus self-suspected PSA-related diagnoses – is associated with symptom catastrophizing, and whether this relationship varies as a function of sociocultural factors. Drawing on data from a larger study aimed at characterizing the lived …

Attention Problems In Black Children Presenting To Pediatric Integrated Primary Care: Comorbidities And Gender Differences, Jaylynn A. Floyd, Heather A. Jones

McNair Journal at VCU

Introduction: Attention-deficit/ hyperactivity-disorder (ADHD) is a neurodevelopmental disorder with a lifetime prevalence rate of 8.7% (Centers for Disease Control and Prevention, 2022). Numerous previous studies have exhibited how ADHD can be debilitating with both symptoms and impairments, but Black youth remain understudied (Green et al., 2024). To add, ADHD may present differently depending on one’s gender (Young et al. 2020), and bias has been shown to influence ratings of someone’s ADHD symptoms (Fairman et al., 2020). To combat these health disparities seen within the literature, this study aimed to describe attention problems in Black youth and to investigate whether attention …

Why People Stay: Factors Contributing To Staff Retention In Community Mental Health Clinics, Brianna D. Boggs

Theses and Dissertations

The current behavioral health crisis is exacerbated by a crisis in the behavioral health workforce. Recruiting and retaining workers in behavioral health has become a challenge, making access to services for those needing them even more difficult. This study aimed to examine which factors have the strongest influence on an employee’s work engagement and decision to remain employed at their current organization. This study used Aarons et al.’s multilevel, multiphase implementation model (2011), with a focus on inner contextual factors as a means to help inform potential interventions to address the factors and improve retention. This study also applied the …

Psychometric Evaluation: Extending The Reliability And Validity Of The Teacher Attribution Measure For Early Elementary (Tam-Ee), Kerensa R. Nagle

Theses and Dissertations

Teacher attributions of student challenging behavior have the potential to influence teacher-student relationships. However, the literature on teachers’ attributions of challenging behavior is sparse and lacks measurement standardization. This limits the replicability and generalizability of research findings. To determine if teacher attributions of student challenging behaviors influence teacher-student relationships, a measure demonstrating a specific score reliability and validity profile is needed. The present study evaluated the item- and scale-level score reliability and validity of a measure of teacher attribution of student challenging behavior, the Teacher Attribution Measure for Early Elementary (TAM-EE; Nemer, 2019), within a sample of teachers (N …

Therapy In The Age Of Ai: How Young Adults Seek Help, Support, And Solutions, Faith Maeba, Isabella Quilon, Abigail Adade

Undergraduate Research Posters

Therapy has long been a foundational approach for addressing mental health, but advances in digital technology have led many young adults, especially Generation Z, to increasingly turn to AI tools for support. Rising costs, limited access to providers, and long wait times have further boosted the appeal of AI-based mental-health solutions. Despite this growing interest, the use of AI for emotional and psychological support raises important questions about trust, empathy, safety, and the ethical responsibilities of mental-health providers and developers. We conducted a brief scoping review of research on AI-based mental-health tools and student help-seeking behaviors. Searches were performed on …

Using A Dimension Reduction Approach To Parse Heterogeneity In Dietary Restriction, Amanda Makara

Theses and Dissertations

Dietary restriction, the problematic reduction of caloric or macronutrient intake, is a critical eating behavior occurring transdiagnostically across eating disorders and subclinical disordered eating. The definition of dietary restriction is highly heterogeneous, and restriction is often conflated with other distinct constructs, such as dietary restraint. The current practices related to the definition and measurement of dietary restriction have notable flaws, negatively impacting the ability to identify and establish risk, diagnosis, and treatment of eating disorders. There is also limited evidence that commonly-used dietary restriction measures can validly predict food choice and objective intake. These issues raise questions about whether dietary …

Integration Of Phenotyping Into A Preliminary Investigation Of Stand-Alone Web-Based Cognitive Behavioral Therapy Among A Non-Treatment Seeking Sample, Anna B. Parlier-Ahmad

Theses and Dissertations

Alcohol use disorder (AUD) is the most common substance use disorder. However, most people with AUD do not receive treatment. Among those who do, it is only moderately effective largely due to the heterogeneity of people with AUD. Many of these individuals, particularly those with mild AUD, can reduce or cease alcohol use without specialized treatment. However, efforts to refer those with more severe AUD to community residential or outpatient programs have been largely unsuccessful, especially among women who often face practical barriers like lack of transportation and childcare. Technology offers innovative opportunities to make treatment more readily accessible to …

Exploring Western Clinicians’ Treatment Of Cultural Concepts Of Distress, Lisa Y. Chung

Theses and Dissertations

As the rates of diverse ethnic populations and therefore cultural concepts of distress continue to grow in the United States, it becomes critical to learn and understand how western-trained mental health professionals are selecting treatments and implementing them. However, there is a paucity of research on cultural concepts of distress as a whole and much less on the psychotherapy of cultural concepts of distress in the United States. This exploratory study aimed to explore the treatment plan of mental health clinicians in the United States when encountering the Korean cultural concept of distress, hwabyung. Ninety-eight clinicians were recruited from Arkansas, …

Beliefs Related To Diagnosing Bpd And Complex Ptsd, Bailey Pascuzzi

Theses and Dissertations

There has been speculation that Borderline personality disorder (BPD) and Complex post-traumatic stress disorder (Complex PTSD) are the same disorder or represent separate disorders on a broader trauma spectrum (Frost et al., 2020; Lewis & Grenyer, 2009). BPD and Complex PTSD share several symptoms but differ in their presentation (Ford & Courtis, 2021). Because the two disorders present so similarly, it could be that clinicians have difficulty differentiating them, leading to misdiagnosis (Miller, 2014). This study examined clinicians’ diagnostic decision-making and stigma toward BPD and Complex PTSD. Participants (N = 426) completed an online survey where they diagnosed a written …

Exploring Prenatal Cannabis Use Among Young Pregnant Bisexual Individuals: A Mixed Methods Study, Nicole Boss

Theses and Dissertations

The perinatal period is a critical time for health behaviors with outcomes that have short- and long-term effects for both childbearing person and child. Research indicates that young bisexual people are at greater risk of unintended pregnancy, experience psychosocial health disparities, and may be more likely to use cannabis during pregnancy. Few studies have examined this phenomenon. This study is a secondary analysis of mixed methods data from a longitudinal cohort study. Thematic analysis of qualitative data (n=12) revealed the contextual adaptivity of cannabis use, with participants explaining the situations and rationales which motivated their cannabis use changed over time. …

Transitions In Patterns Of Substance Use During Early Adolescence: Bidirectional Associations With Externalizing Behaviors, Courtney B. Dunn

Theses and Dissertations

Early adolescents who engage in polysubstance use, defined as the use of three or more different substances, are at particularly high risk of future substance use disorders and adverse psychosocial outcomes. However, little is known about the development of substance use patterns during early adolescence, particularly among youth living in urban settings. Although theory and research suggest that youth with greater externalizing behaviors (e.g., aggression, delinquent behavior) may be more likely to escalate to polysubstance use at an early age, few studies have examined bidirectional relations between externalizing symptoms and polysubstance use. The goal of this study was to (a) …

Legal Pressure To Attend Substance Abuse Treatment, Angelicia Courteau

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

This paper was written to bring awareness of how the legal system does not take into consideration those who suffer from substance use disorder, as well as ACEs. Brian Luke Burijon’s battle with addiction while incarcerated was used as an example of how the legal system’s one-size-fits-all approach is flawed. Mr. Burijon opted for a treatment he did not feel was ideal for him because the alternative was to remain incarcerated for a long period. Mr. Burijon was unable to tolerate the treatment at the facility and left early, which resulted in his overdose death.

Identifying Mechanistic Pathways To Rigidity Associated With Obsessive-Compulsive Personality Disorder Traits Using A Novel Decision-Making Paradigm, Hannah L. Heintz

Theses and Dissertations

Cognitive and behavioral rigidity is observed across several mental disorders and is a defining characteristic of Obsessive-Compulsive Personality Disorder (OCPD), a highly prevalent and debilitating, yet understudied, disorder. In particular, treatments for OCPD are underdeveloped due to our poor understanding of the mechanisms leading to the disorder’s key feature of rigidity. Two related disorders, anorexia nervosa (AN) and obsessive-compulsive disorder (OCD), have shown distinct mechanistic pathways leading to symptoms of rigidity, indicating that this trait can arise as a result of a number of differentially impaired cognitive processes, each requiring unique interventions. To examine the relationship between symptoms of OCPD …

The Cultural Adaptation Of An Eating Disorders Assessment Tool For South Asian American Women, Neha J. Goel

Theses and Dissertations

South Asians (SAs) are less likely to be screened, referred, and treated for eating disorders (EDs), although they experience these serious health conditions at rates similar to those of their White counterparts. Available ED assessment tools do not adequately capture cultural nuances in the presentation of eating psychopathology in SAs. Thus, the current study culturally adapted the Eating Disorder Examination-Questionnaire (EDE-Q) to enhance its validity, applicability, and cultural relevance for SA women living in the US. During the cultural adaptation phase, the principal investigator consulted with participant experts (N=24) and research experts (n=4) to create the …

Observed Parent And Child Differences In Black Mothers Of Children With And Without Attention-Deficit/Hyperactivity Disorder, Sydney E. Padgett

Theses and Dissertations

Attention-Deficit/Hyperactivity Disorder (ADHD) is childhood's most common neuro- developmental disorder, mainly distinguished by a pattern of inattention, hyperactivity and/or impulsivity. Compared to the plethora of research on White children with ADHD, the research on Black children with ADHD is limited. Looking more closely at the functions related to parenting children with ADHD, there is even less information known on the interactions between Black children and their parents compared to White children and their parents. The primary aim of the thesis study was to compare observed parenting and child behaviors between Black mother/child dyads of children with and without ADHD. This …

Using Natural Language Processing To Understand The Lived Experiences Of People Identifying With Adhd: What Themes Emerge In Social Media Posts?, Gabby C. Scalzo

Theses and Dissertations

Compared to the amount of research conducted on how to identify and understand children with Attention-Deficit Hyperactivity Disorder (ADHD), there has been relatively little work done to understand the lived experiences of adults with ADHD. Increased understanding of how adults with ADHD conceptualize themselves in the context of their diagnosis would help clinical experts tailor research and treatments to better serve these communities. However, there are several barriers towards conducting high-quality qualitative research, including time- and labor-intensity. This study, informed by qualitative research traditions, used innovative data sources (i.e., social media) and analytic techniques (i.e., machine learning) to reduce these …

On The Rebound: Resilience And Subjective Cognitive Symptoms In Cancer, Giuliana V. Zarrella

Theses and Dissertations

Recent studies have shown a strong connection between resilience and subjective cognitive symptoms in clinical populations. However, there is limited understanding of this relationship in cancer survivors, and no studies examine whether resilience training could alleviate subjective cognitive symptoms in these patients. This study examined the relationship between subjective cognitive function and resilience in non-CNS cancer survivors who participated in a resiliency training intervention, at baseline and from pre- to post-intervention, as well as investigated potential influences of change in subjective cognition. Adult cancer survivors (N=275) participated in the Stress Management and Resilience Training-Relaxation Response Resilience Program (SMART-3RP) …

Fitbit Engagement In An Health Physical Activity Intervention For Young Adult Cancer Survivors: A Secondary Analysis Of The Impact Randomized Controlled Trial, Jessica Gomez Smith

Theses and Dissertations

Wearable devices allow for objective remote and real-time data collection and have been increasingly popular among the general public and in mHealth activity (PA) interventions. Despite this, our knowledge of feasibility and efficacy for using wearable devices to increase PA among a particularly vulnerable population—young adult cancer survivors age 18-39 (YACS)—is limited. Engaging in physical activity while undergoing cancer treatment contributes to reduced risk for recurrence and secondary cancers, and can also help to manage treatment side effects. However, there are a multitude of barriers to PA engagement among cancer survivors, with YACS in particular demonstrating low rates of PA. …

Development Of A Validity Scale For The Icd-11 Personality Disorder Measure (Psi-11), Rae Lutz

Theses and Dissertations

Invalid responding is a significant issue in the utilization of self-report information. Invalid responding can be assessed by stand-alone validity measures or embedded validity scales. The International Classification of Diseases (ICD) is one of two major diagnostic systems which provide guidance on diagnosing personality disorder, with the most recent version (ICD-11) providing a fully dimensional model for personality disorders. No existing measures aimed at assessing dimensional personality pathology have addressed the combination of PD severity and trait qualifiers that were based upon ICD-11 guidelines. To address this gap, Clark et al. (2021) developed the ICD-11 Personality Disorder Measure (PSI-11). However, …

Community Informant And Mental Health Provider Perspectives On Access To Mental Healthcare For Lgbtqia+ Communities In Virginia, Chariz Seijo

Theses and Dissertations

The existing literature on mental health disparities for lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA+) populations suggests members of LGBTQIA+ populations are at greater risk of mental health disorders than cisgender and heterosexual individuals. The COVID-19 pandemic has also exacerbated mental health disparities for many, including LGBTQIA+ populations. Combined with mental health provider shortages and anti- LGBTQIA+ bills across the country, inequities in mental healthcare are a significant concern. This qualitative study was designed to gather unique perspectives of key community informants and mental health providers on their experiences with mental healthcare provision to LGBTQIA+ communities in Virginia. …

Effect Of Social Anxiety On Trial-By-Trial Changes In Attentional Biases To Emotional Faces, Nina Plotnikov

Theses and Dissertations

Cognitive research suggests that many anxiety disorders, including social anxiety disorder, are associated with an increased attentional bias toward potentially threat-related stimuli. However, inconsistent findings suggest the effect of anxiety on attentional bias to threat is not direct and that other factors, including emotion, perceptual load, and time on-task, impact the relationship between social anxiety and attentional biases to facial stimuli. In the present study, 157 undergraduate students completed a computerized letter search task identifying one of two target letters (N or X) from a circular arrangement of different letters (high load) or dots (low load). In 20% of trials, …