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Articles 31 - 60 of 80
Full-Text Articles in Clinical Psychology
Examining The Factors That Mediate The Relationship From Legal Advocacy Satisfaction To Resilience, Desta T. Gebregiorgis
Examining The Factors That Mediate The Relationship From Legal Advocacy Satisfaction To Resilience, Desta T. Gebregiorgis
Clinical Psychology Dissertations
Sexual assault is a public health issue that can impact one’s resilience. Using a multisystemic approach to resilience, there may be person-level and environment-level factors that can affect one’s resilience, such as one’s coping self-efficacy, satisfaction with the court process, and negative effects associated with court process. Legal advocacy programs, such as those offered by the King County Sexual Assault Resource Center (KCSARC), support clients during the court proceedings. In order to better serve KCSARC’s clientele, it is helpful to understand how the legal advocacy program impacts post-trauma resilience. This dissertation had three phases: (a) evaluating the structural validity of …
Autism And Externalizing Behaviors: Attachment As A Protective Factor, Rebecca Kramer
Autism And Externalizing Behaviors: Attachment As A Protective Factor, Rebecca Kramer
Clinical Psychology Dissertations
Children with autism spectrum disorder (ASD) exhibit externalizing behaviors at a higher rate when compared to their typically developing (TD) counterparts (Bauminger, Solomon, & Rogers, 2010; Gray, Keating, Taffe, & Brereton, 2012). Numerous longitudinal and cross-sectional studies assert that attachment is one of the most salient predictors of childhood externalizing behaviors (e.g., Green and Goldwyn, 2002). Despite this, little research has examined the relation between attachment and externalizing behaviors in children with ASD. This study investigated the extent to which high levels of attachment buffer the symptoms of externalizing behaviors in children with ASD, potentially informing future interventions. In addition, …
Impacts Of Motor And Sensory Impairment On Language In Young Children With Autism, Elizabeth A. Bisi
Impacts Of Motor And Sensory Impairment On Language In Young Children With Autism, Elizabeth A. Bisi
Clinical Psychology Dissertations
Children with autism spectrum disorder (ASD) present with varying degrees of deficit in the broader areas of social communication and stereotyped behaviors, but emerging research proposes delayed motor skill and atypical sensory processing as additional factors worth closer examination. In the current study, I sought to investigate the impacts of visual motor skills and sensory differences on language ability in young children with autism. I hypothesized that young children with autism, atypical sensory processing (Short Sensory Profile, 2nd Edition), and impaired visual motor integration (Beery VMI, 6th Edition) would have the most impacted language ability scores (Differential Ability …
Generalized Anxiety Disorder Symptoms As A Moderator Of Affective Reactions To Perceived Interpersonal Behaviors, Narayan B. Singh
Generalized Anxiety Disorder Symptoms As A Moderator Of Affective Reactions To Perceived Interpersonal Behaviors, Narayan B. Singh
Clinical Psychology Dissertations
Individuals with generalized anxiety disorder (GAD) symptoms often struggle with heightened sensitivity and arousal in response to perceived threats. Moreover, interpersonal dysfunction in GAD has become increasingly a focus of empirical investigation and treatment, given the possibility that responses to social interactions may contribute to GAD symptom maintenance. Laboratory studies and cross-sectional trait assessments of interpersonal problems comprise most of our understanding of interpersonal dysfunction in GAD. However, how GAD symptoms interact with perceived interpersonal threats to predict affective responses (increased arousal, lower valence) within daily life remains poorly understood. Therefore, the purpose of the present study was to examine …
The Missing Moral Dimension: Perceptions Of Transgressions And The Moderating Role Of Moral Foundations On Psychological Distress, Hannah Reas
Clinical Psychology Dissertations
Anxiety and depression can be represented on a dimensional spectrum of negative affect, broadly termed psychological distress. Research has identified several factors that maintain negative emotion, but have neglected the possibility that individuals’ interpretations of moral issues in the larger macro-system affects their level of distress. Thus, the current study investigated the role of perceptions of moral transgressions, or cognitive interpretations of stimuli (“transgressions”) that violate beliefs about right and wrong, as a predictor of psychological distress. Furthermore, this study tested how perceptions of moral transgressions vary as a function of individuals’ own moral intuitions, or moral foundations. Participants ( …
What Happens When Youth Talk About Their Problems? Co-Rumination As A Mechanism Of Stress Generation, Jaclyn T. Aldrich
What Happens When Youth Talk About Their Problems? Co-Rumination As A Mechanism Of Stress Generation, Jaclyn T. Aldrich
Clinical Psychology Dissertations
During adolescence, rates of depression increase significantly, necessitating understanding of interpersonal and intrapersonal factors that contribute to the occurrence of depressive symptoms. Prominent theories of depression, such as stress generation theory, suggest that depressed individuals experience more interpersonal stress that is dependent on their own actions or behavior. The current study sought to examine the role of co-rumination in the generation of stress and development of depression over the course of a year. Participants were 150 adolescents (48.7% female, 77.5% Caucasian) ages 11 to 14 years old (M = 13.03, SD = 0.93). Three models assessed the directional relationship …
Emotional Clarity In Young Adults: Operationalization, Measurement, And Associations With Mental Health Outcomes, Madeline D W Noland
Emotional Clarity In Young Adults: Operationalization, Measurement, And Associations With Mental Health Outcomes, Madeline D W Noland
Clinical Psychology Dissertations
Emotional clarity (EC) refers to the ability to identify, understand, and distinguish one’s emotions (Gohm & Clore, 2000). The literature suggests that EC is highly related to emotion regulation (ER), such that individuals with higher EC are more likely to use adaptive ER strategies and individuals with lower EC are more likely to use maladaptive ER strategies (Vine & Aldao, 2014). EC has been measured with both self-report measures and physiological tasks. Due to the limitations of both self-report measures and physiological tasks, I aimed to develop a behavioral measure of EC using the concordance between change in individuals’ physiological …
The Impact Of Trauma Experience, Adverse Early Circumstances And Unit Cohesion On Posttraumatic Growth In Active Duty Service Members, John Charleson
The Impact Of Trauma Experience, Adverse Early Circumstances And Unit Cohesion On Posttraumatic Growth In Active Duty Service Members, John Charleson
Clinical Psychology Dissertations
Active duty service members are regularly exposed to highly traumatic events. Commonly, individuals exposed to trauma experience positive changes as a result of the trauma they experienced. The likelihood of these changes occurring can be positively or negatively influenced by characteristics of the event itself, the biopsychosocial history of the service member, and the availability of internal and external coping resources. The present study aimed to evaluate how threat to life during a traumatic event influences posttraumatic growth using a sample of active duty service members (N = 818). Participant’s ranged in age from 19 to 54 (M …
The Roles Of Pragmatic Language And Theory Of Mind In The Adaptive Communication Skills Of Children With Autism Spectrum Disorder, Taja Estrada
Clinical Psychology Dissertations
Children with autism spectrum disorder (ASD) exhibit marked social communication impairments. Research suggests that these deficits often lead to delays in adaptive behavior, such as adaptive communication. In this study, I examined the roles of two social constructs, pragmatic language and theory of mind (ToM), in the adaptive communication abilities of young children with and without ASD. Thirteen children with ASD (31% female; M age = 58.08 months) and 24 children with typical development (58% female; M age = 52.42 months) between the ages of 3:0 and 6:5 were assessed. Adaptive communication was measured by the Functional Communication subscale of …
Cognitive Functioning, Depression, And Strengths As Predictors Of Quality Of Life In Multiple Sclerosis, Tara Annthea Crouch
Cognitive Functioning, Depression, And Strengths As Predictors Of Quality Of Life In Multiple Sclerosis, Tara Annthea Crouch
Clinical Psychology Dissertations
Patients with multiple sclerosis (MS) are at significant risk for decreased quality of life, partly due to associated cognitive impairment (Højsgaard Chow et al., 2018). A discrepancy often exists between objective and perceived measures of cognitive impairment (Middleton et al., 2006); the paths through which they predict quality of life for MS patients remain unclear (Baumstarck-Barrau, et al., 2011). Objective cognitive functioning as well as one’s perceptions of it may differentially impact quality of life, and therefore may or may not act through the same mechanisms to impact quality of life. Depression is one possible mediator known to impact quality …
The Effect Of Substance Use On The Relationship Between Ptsd Symptom Clusters And Suicide In Adolescents, Lindsay S. Moore
The Effect Of Substance Use On The Relationship Between Ptsd Symptom Clusters And Suicide In Adolescents, Lindsay S. Moore
Clinical Psychology Dissertations
Adolescent Posttraumatic Stress Disorder (PTSD) is a multifaceted, debilitating disorder that if left untreated has been shown to lead to problematic internalizing and externalizing behaviors including suicidal ideation and substance use. Little is known about the course of PTSD in adolescents and less is known about the individual effects of PTSD symptom clusters. Furthermore, there is a dearth in the literature studying the predictive effects of PTSD, substance use and suicidality in adolescent samples. Participants were a clinical sample of adolescents referred from inpatient and outpatient clinics in the Pacific Northwest as part of a larger study. Ages of participants …
Attachment And Internalizing And Externalizing Problems In Adolescence: Exploring The Mediating Role Of Physiological Self-Regulation Capacity, Michelle A. Kuhn
Attachment And Internalizing And Externalizing Problems In Adolescence: Exploring The Mediating Role Of Physiological Self-Regulation Capacity, Michelle A. Kuhn
Clinical Psychology Dissertations
Internalizing and externalizing problems impact functioning and health in adolescence. Therefore, understanding risk and protective factors related to these behaviors is of practical interest. The proposed study examined the relationship between parent-adolescent attachment security, self-regulation capacity, and internalizing and externalizing problems. Previous studies have supported prospective links between parent-child attachment security and self-regulation capacities. Similarly, self-regulation is as a protective factor from internalizing and externalizing problems. This study proposed a mediation model combining these findings. It was hypothesized that youth with stronger parent-adolescent attachment security would demonstrate fewer internalizing and externalizing problems, and that this relationship would be mediated by …
Examining Depression Symptoms, Parental Stress, And Dispositional Mindfulness In Mothers Of Children With Autism Spectrum Disorder, Tracey Ward
Clinical Psychology Dissertations
The current study explored depression symptoms, parental stress and dispositional mindfulness in mothers of children with and without autism spectrum disorder (ASD). This study sought to clarify whether parental stress was a risk factor for maternal depression symptomology and if dispositional mindfulness explained the variation in parental stress and depressive symptoms in this population. Participants included 32 mothers of children with typical development (n=21; TD) and ASD (n=11) between the ages of 3:0 and 6:11. Groups differed significantly by child sex (ASD = 81.1% male; TD = 42.9% male). No additional group differences were present for …
The Effect Of A Substance Use Intervention On Co-Occurring Adolescent Depression Symptoms, Elizabeth Ann Lehinger Phd
The Effect Of A Substance Use Intervention On Co-Occurring Adolescent Depression Symptoms, Elizabeth Ann Lehinger Phd
Clinical Psychology Dissertations
The comorbidity of substance use and depression among adolescents has been strongly established but less is known about their reciprocal impact over time. Examining these variables in the context of an intervention provides information about how changes in one effect the other. The current study examines the effect of a school-based Motivational Interviewing (MI) intervention, Project READY, on co-occurring substance use and depressive symptoms in adolescents (N = 103; ages 13-18, mean = 16) from the greater Seattle area. We hypothesized: (a) the quantity and frequency of substance use will decrease from pre-treatment to post-treatment follow up; (b) the …
Rsa In Young Adults: Identifying Naturally-Occurring Response Patterns And Correlates, Brittany K. Willey
Rsa In Young Adults: Identifying Naturally-Occurring Response Patterns And Correlates, Brittany K. Willey
Clinical Psychology Dissertations
Few studies have focused on the joint contributions of baseline and stress-responsive RSA on mental health outcomes, and no research to date has examined naturally-occurring profiles of RSA, which may be more predictive of emotion regulation ability and mental health outcomes than looking at either component of RSA alone. Participants were 235 (87.1% female, 73.6% Caucasian) undergraduates ages 18-39 (M = 19.62, SD = 2.12). In Part 1, latent growth mixture modeling (LGMM) was used to identify naturally-occurring physiological profiles accounting for both resting and stress-reactive RSA among young adults. In Part 2, multivariate ANCOVAs were used to predict …
Campus Shootings: Does Religious Faith And Relationship With Victims Affect Psychological Well-Being?, Melissa J. Gowen
Campus Shootings: Does Religious Faith And Relationship With Victims Affect Psychological Well-Being?, Melissa J. Gowen
Clinical Psychology Dissertations
Active shooting incidents have become an increasing public safety concern and have a large impact on the communities in which these traumatic events take place. However, while understanding outcomes following these incidents is relevant for mental health providers, first responders, and policy creators, little is known about outcome trajectories and coping best practices due to practical and ethical research limitations. Using hierarchical linear modeling, we examined longitudinal psychological well-being (PWB; MHI; Veit & Ware, 1983) trajectories of students before and after an active shooting incident (N = 35). Furthermore, this study focused on examining the moderating effects of strength …
Physiological Activation As A Mediator In The Relationship Between Perseverative Cognition And Somatic Symptoms, Karly M. Murphy
Physiological Activation As A Mediator In The Relationship Between Perseverative Cognition And Somatic Symptoms, Karly M. Murphy
Clinical Psychology Dissertations
Somatic symptoms are a significant medical and mental health concern that affects healthy adults and places a significant burden on healthcare systems. The perseverative cognition hypothesis posits that perseverative cognition results in prolonged physiological activation that may be interpreted as somatic symptoms. The purpose of this study was to further examine this hypothesis in a sample of young adults. First, I hypothesized that perseverative cognition would prospectively predict somatic symptoms after controlling for anxiety and depression. Second, I hypothesized that parasympathetic nervous system functioning, measured as respiratory sinus arrhythmia (RSA) and sympathetic nervous system functioning, measured as electrodermal responding (EDR) …
The Impact Of Bully Victimization And Substance Use On Suicidal Behavior In Sexual Minority Youth, Ashley Christine Estoup
The Impact Of Bully Victimization And Substance Use On Suicidal Behavior In Sexual Minority Youth, Ashley Christine Estoup
Clinical Psychology Dissertations
Bully victimization has been shown to be associated with a variety of problems in adolescence. Adolescent bully victims endorse higher rates of substance use, suicidal ideation, and suicide attempts. One possible explanation is that adolescents who are bullied use substances to cope with victimization and turn to suicidal behaviors when this coping mechanism proves ineffective. Sexual orientation is one variable that is believed to moderate these relationships. Non-heterosexual youth are more likely to be victimized by peers, engage in substance use, and experience suicidality. The purpose of this study was to explore the relationships between bully victimization, substance use, suicidality, …
A Grounded Theory Qualitative Research Approach To Understanding Enduring Marriage, Heather Lucas
A Grounded Theory Qualitative Research Approach To Understanding Enduring Marriage, Heather Lucas
Clinical Psychology Dissertations
Serial monogamy developed as the salient pair bond form in earlier times due to environmental pressures of disease, famine, and death that led to relationships organized around the instrumental tasks of procreation and child-rearing. Contemporary advancements in longevity, gender equality, and contraception have shifted the culture, but the serial monogamy paradigm remains the prominent relationship paradigm in the United States today with relationships primarily ending in divorce instead of death. The negative effects of divorce on individuals, children and families suggest the need for a new paradigm for marriage, a shift from instrumentally driven serial monogamy to enduring marriage organized …
The Role Of Joint Attention In Pragmatic Language Development In Children With Autism Spectrum Disorders, Ellen F. Geib
The Role Of Joint Attention In Pragmatic Language Development In Children With Autism Spectrum Disorders, Ellen F. Geib
Clinical Psychology Dissertations
All children with autism spectrum disorders (ASD) present with some form of impairment in social communication. Social cognitive learning theory suggests children’s early joint attention skills provide a foundation for future language development. Preliminary research suggests social cognitive behaviors such as joint attention in the context of parent scaffolding may serve as a mechanism for language development in children with ASD. The current study utilized a parent-child free play task to explore the relations among parent and child attention and responsivity and child pragmatic language in 26 children ages 3:1 to 6:11 and their parents. Parent supported joint attention was …
The Association Of Attachment And Marital Satisfaction Mediated By Implicit Theories Of Relationships, Sadie Teal
The Association Of Attachment And Marital Satisfaction Mediated By Implicit Theories Of Relationships, Sadie Teal
Clinical Psychology Dissertations
This study explored the association between adult attachment, implicit theories of relationships, and marital satisfaction for adults who are currently in a romantic relationship. Attachment needs influence the lasting relationships individuals have in their lives, from infancy to adulthood. Secure attachment facilitates lasting relationships. Implicit theories around romantic relationships motivate our behaviors in relationships to fit our cognitive schemas. Due to attachment’s pervasive hold on our perceptions of the world and others, the relationships we have with significant others influence our cognitive schemas around romantic relationship dynamics. It was hypothesized that attachment (the independent variable) would affect marital satisfaction (the …
A Program Evaluation Of Zgirls: The Role Of Cognitive Emotion Regulation In Predicting Mental Health Outcomes In Adolescent Girls, Julie Vieselmeyer
A Program Evaluation Of Zgirls: The Role Of Cognitive Emotion Regulation In Predicting Mental Health Outcomes In Adolescent Girls, Julie Vieselmeyer
Clinical Psychology Dissertations
This study investigated the impact of ZGiRLS, a sport-based youth development program (YDP) that seeks to empower adolescent girls by teaching psychological skills. Sport-based YDPs have shown great potential for promoting healthy psychological development (Anderson-Butcher et al., 2013), and may even serve a preventative function by providing an effective setting for developing positive traits, attitudes, and skills (Weissberg, Kumpfer, & Seligman, 2003). The purpose of this study was to conduct a program evaluation to explore the effectiveness of ZGiRLS. Four specific aims of the study were to examine (a) a change in psychological skills (i.e., self-talk and goal setting), (b) …
Summer Treatment Program For Adhd And Asd: The Role Of Physical Activity, Sleep And Inhibitory Control, Erin G. Underbrink
Summer Treatment Program For Adhd And Asd: The Role Of Physical Activity, Sleep And Inhibitory Control, Erin G. Underbrink
Clinical Psychology Dissertations
The purpose of this study was to identify pathways that lead to improved behavioral outcomes in children with symptoms of Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD), and/or related social and behavioral difficulties. Specifically, this study sought to understand the relationship between physical activity, sleep, and inhibitory control and their impact on behavior in children participating in a Summer Treatment Program. This research analyzed the potential mediating effect of sleep and inhibitory control between physical activity and behavioral outcomes. This research examined the separate mediation models, as well as the overall serial mediation model, to inclusively examine the …
Investigating The Effects Of Adult Insecure Attachment On Interpersonal Attraction, Fiona B. Kurtz Ms.
Investigating The Effects Of Adult Insecure Attachment On Interpersonal Attraction, Fiona B. Kurtz Ms.
Clinical Psychology Dissertations
The present study examined the relationship between variables of insecure attachment and feelings of initial attraction between young adults. Previous research has consistently supported the positive link between anxious attachment and hyperactivation of the attachment system in adults, resulting in preoccupied proximity seeking evaluations and behaviors. As such, emerging findings suggest that anxious attachment contributes to elevated levels of interpersonal attraction upon initial meetings with others, particularly those who may serve as future romantic partners. Despite a growing body of literature, little is known or understood about the impact of avoidant attachment in shaping early views of others, or how …
Examining The Interaction Between Stress Exposure And Stress Reactivity As Predictors Of Reward Sensitivity And Anhedonia Symptoms, Joshua Ahles
Clinical Psychology Dissertations
There is a well-documented relationship between stress and depression, although only recently has the field begun to articulate clear models regarding how stress exerts this effect. One prominent model highlights the disruptive impact of stress on reward processing, which relates to anhedonia – a cardinal symptom of depression. Vulnerability-stress models also play an important role in depression research and hold that individual differences in responses to stress may exacerbate the relationship between stress and depression. Pre-ejection period (PEP) reactivity to reward has been posited as an index of reward sensitivity and approach motivation and has been increasingly linked to depression. …
Examining The Interacting Effects Of Marital Role Salience And Satisfaction On Mental Health Trajectories Of Female Expatriates, Kaitlin M. Patton
Examining The Interacting Effects Of Marital Role Salience And Satisfaction On Mental Health Trajectories Of Female Expatriates, Kaitlin M. Patton
Clinical Psychology Dissertations
Expatriate populations encounter significant change throughout their expatriation experience, yet little is known about the individual expatriate’s mental health changes throughout the first year of this process. Even less explored is the impact that marital satisfaction and marital role salience have on the mental health trajectories of this population. Using hierarchical linear modeling, this study examined the mental health trajectories of a cohort of females (N = 32; age M = 38.63, SD = 2.65) moving with their spouses to Turkey. Further, the moderating effects of marital satisfaction (KMSS; Schumm, Milliken, Poresky, Bollman, & Jurich, 1983) and marital role …
The Effectiveness Of Text Coaching On Substance Use Treatment Outcomes In Adolescence, Emily Hu
The Effectiveness Of Text Coaching On Substance Use Treatment Outcomes In Adolescence, Emily Hu
Clinical Psychology Dissertations
The purpose of this study was to investigate the utility of text coaching on reducing substance use in adolescents participating in a school-based manualized intervention that utilizes Motivational Interviewing (MI) and motivational enhancement principles. A further aim of this study was to examine how perceived treatment satisfaction and self-efficacy mediate this relationship. Participants included 76 adolescents (62% male, 65% ethnic minority), ages 14-19 (M = 16), referred for substance use assessment and intervention by school administrators at large suburban public high schools. It was hypothesized that individuals who received the addition of text coaching would evidence a greater reduction in …
Risky Sex And Alcohol-Related Behaviors And Cognitions In Adolescents: Evaluating A Values-Based Intervention, Meredith K. Chapman
Risky Sex And Alcohol-Related Behaviors And Cognitions In Adolescents: Evaluating A Values-Based Intervention, Meredith K. Chapman
Clinical Psychology Dissertations
The co-occurrence of alcohol use and risky sexual behavior is prevalent among underage drinkers and causes numerous psychosocial and health related consequences. There is a need for interventions to target these risk-taking behaviors. The purpose of this study was to test the efficacy of a values-based intervention to decrease risky sex, problematic alcohol behaviors and related expectancies. These risk-taking behaviors were also examined in the context of an acquired preparedness model (APM). Thirty-eight youth from a high school and university setting completed both time points. Participants were randomly assigned into one of two treatment conditions: a treatment as usual group …
The Relationship Between Trauma And Well-Being: Moral Emotions In Sex-Trafficked Women, Gina M. Scarsella
The Relationship Between Trauma And Well-Being: Moral Emotions In Sex-Trafficked Women, Gina M. Scarsella
Clinical Psychology Dissertations
Cognitive models of PTSD implicate attention to threat, negative social cognition, and behavioral avoidance in perpetuating symptoms. In contrast, moral elevation and gratitude are positive socio-moral emotions theorized to facilitate attention to positive features of one’s social context and prosocial approach behavior. No research has examined the relevance of positive moral emotions in the well-being of sex-trafficked women, who may be prone to PTSD symptoms and low positive socio-moral emotions. I tested trait gratitude, elevation, and moral purity as predictors of well-being and moderators of PTSD symptoms on well-being. Participants included sex-trafficked (n = 16) and college (n …
The Etiology And Phenomenology Of Sexual Shame: A Grounded Theory Study, Noel Clark
The Etiology And Phenomenology Of Sexual Shame: A Grounded Theory Study, Noel Clark
Clinical Psychology Dissertations
Although sexual shame is widely present in social discourse and has previously been described clinically—as shame related to sexual thoughts, feelings, behaviors, and attitudes—it has not been defined in an operational manner that can be empirically tested. This study creates a bridge between the colloquial knowledge regarding sexual shame found in clinical practice and the way in which sexual shame is defined and measured scientifically in the psychological research literature. Grounded theory was used in this study to generate theory related to the development and experience of sexual shame. The concept of sexual shame was explored from both a personal …