Cuban Immigrants’ Experience With Acculturation And How They Cope In The United States, Lourdes Araujo

Dissertations

Objective: This research examines how Cuban immigrants experience cope and adapt to the United States. Cuban immigration is associated with specific stressors related to the immigration experience and the necessary process of acculturation and assimilation. These major stressors can result in mental health concerns among Cuban immigrants; however, no studies have examined how acculturation may influence Cuban immigrants’ coping skills and resultant mental health concerns. This unique study is the first to examine the coping skills Cuban immigrants use during acculturation and the effects of these skills on Cuban immigrants’ mental health. Methods: Seventeen participants completed a semistructured interview and …

Uncertainty In The Context Of End-Of-Life Communication In Heart Failure, Caleb Pardue

Dissertations

End-of-life communication between patients, their family members, and healthcare providers is essential to quality care at the end-of-life. Advance care planning is increasingly utilized to facilitate end-of-life communication, but heart failure patients in particular face numerous challenges to achieving adequate end-of-life communication. Extant literature has highlighted the inherent uncertainty in heart failure as a barrier to end-of-life communication as well as the role of time perspective on the experience of heart failure patients, but little empirical research has been conducted to examine the impact of these constructs. The sample included 168 participants with heart failure who were recruited online through …

Assessing A Cognitive Model Of Trauma-Related Sleep Disturbance, Rebecca Chesher

Dissertations

Sleep disturbance is a symptom of many mental health disorders that may negatively affect cognition and mood. Trauma-related sleep disturbance is a core reaction of traumatic stress and PTSD, similar to symptoms experienced by individuals with insomnia or other sleep-wake disorders. Although the cause and symptom progression of trauma-related sleep disturbance may be very different, research and clinical practice assess and treat it with measures and interventions designed for general insomnia. Using a cognitive model of insomnia modified for trauma-related sleep disturbance, the current study assessed the relations between select trauma and sleep variables within the proposed constructs of: 1) …

Exploring Gender Differences Between Bipolar Disorder And Borderline Personality Disorder In Responses On The Personality Assessment Inventory (Pai), Stephanie M. Green

Dissertations

Bipolar disorder and borderline personality disorder are two diagnoses that are often difficult to differentiate. Current literature supports this challenge and reveals a high rate of misdiagnosis between the two, as well as a high prevalence of borderline personality disorder diagnoses in women. Diagnostic accuracy remains a vital skill for clinicians to effectively address the needs of clients, and diagnostic assessment tools are often used to aid in this endeavor. The focus in this study was to explore gender discrepancies in responses across the main features of borderline personality disorder (i.e., affective instability, identity problems, negative relationships, and self-harm) and …

A Task Analytic Model Of Tenderness In Emotion-Focused Therapy For Couples: The Discovery Phase, Corie Mcnally

Dissertations

The focus in the present study was to develop a refined model of tenderness events in emotion-focused couples therapy. The model was created in the discovery phase of a task analytic research study through a rational-empirical method. The study was designed to combine empirical and rational data on the expression of tenderness and the display of a tenderness expression within the context of therapy. The rational model was derived from a review of the literature on emotions, couples therapy, and tenderness as an emotion. Empirical data were observed and recorded through reviews of videotapes and transcripts obtained during the York …

Accurately Diagnosing Autism Spectrum Disorder Among A Comorbid Population, Michelle Okolita

Dissertations

Two of the most common neurodevelopmental disorders, attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), are diagnosed in early childhood. The two disorders share similar impairments across domains, are highly comorbid, and have many overlapping symptoms. Studies have shown that among this comorbid population, children receive an ASD diagnosis a few years after their initial ADHD diagnosis, which leads to many negative consequences, including a delay in treatment. The focus in this study was on the early indicators of ASD that are present prior to the age of 3 years in order to educate others on these symptoms. In an …

Exploration Of The Link Between Migration And Acculturation Related-Stress, Attachment Style, And Psychological Distress In Arab Immigrants, Refugees, And Asylees, Hayat Nadar Psy.D.

Dissertations

Abstract

The migration process is fraught with experiences of ethnic discrimination and has been linked to heightened levels of psychological and acculturative stress. Interestingly, earlier research revealed a higher prevalence of insecure attachment in migrant compared to non-migrant populations. Attachment style may be influenced by sociocultural and sociopolitical forces and the associated prejudice and discrimination experienced by a particular migrant population. The current study was conducted to explore whether higher levels of sociocultural adversity were associated with increased psychological distress and attachment insecurity and to test attachment as a mediator between sociocultural adversity and psychological distress. Using a cross-sectional design, …

Social Deprivation And Solitary Confinement, Mallory Mccoy

Dissertations

Solitary confinement is one of the most enduring, severe, and restrictive prison practices that has been widely debated since its inception in the early 19th century. Across the United States, the development of supermaximum prison facilities and the use of solitary confinement have become foundational aspects of corrections. Despite the controversy surrounding solitary confinement, there has been a lack of empirical research in this area. This literature review attempted to further explore and advance the understanding of the potential harmful effects of solitary confinement on incarcerated individuals. Specifically, this review summarized what is currently know regarding the effects of social …

Exploring The Relationship Between Mindfulness, Self-Compassion, And Empathy In Student Therapists, Nicole Montes

Dissertations

Literature suggests that the practice of mindfulness may foster self-compassion within the practitioner. Mindfulness is also associated with increased empathy towards others. The current study explored the relationship between a mindfulness intervention and student clinicians’ levels of self-compassion and empathy towards a mock “client.” Graduate student clinicians were randomly assigned to two groups: one that participated in a mindfulness exercise then viewed a mock client video, and another that did not participate in the mindfulness exercise and went directly to viewing the mock client video. Participants’ levels of empathy towards the client and self-compassion were measured. The results revealed no …

Mindfulness And Technology: Evaluating An Online Mindfulness Intervention For Symptoms Related To Sexual Assault, Erica Catherine Johnson

Dissertations

Sexual assault has been found to increase the risk of distressing psychological symptoms including PTSD, depression, somatization, drug and substance use, lower quality of life and experiential avoidance. As such, interventions for reducing the distress and negative impacts of sexual assault are of importance. Mindfulness is of particular interest as it addresses one of the prominent factors known to maintain psychological distress after trauma, experiential avoidance (Polusny et al., 2004; Merwin et al., 2009). Furthermore, an online mindfulness-based intervention can increase the accessibility and reduce the barriers to treatment. A within subjects repeated measures open clinical trial design was used …

You Are Resilient: Trauma-Informed, Strengths-Based Treatment For Low-Ses, Urban Youth, Courtney Molina

Dissertations

The focus in this review was to explore the benefits and optimal use of trauma-informed, strengths-based care for the therapeutic treatment of low-socioeconomic status (SES), urban youth. Specific focus was given to evidence-based research on the treatment of emotional and behavioral dysregulation among low-SES, urban youth. The review was guided by the following research questions: How can emotional and behavioral dysregulation be symptoms of trauma among low-SES, urban youth; What makes trauma-informed and strengths-based care optimal for the treatment of low-SES, urban youth with dysregulation; and What are clear guidelines for providing trauma-informed, strengths-based care to low-SES, urban youth with …

The Impact Of Social Media On The Self-Esteem Of Youth 10–17 Years Old: A Review Of The Literature, Jasmine M. Daniels

Dissertations

The world of technology has expanded quickly and vastly since its inception. The creation of social media sites and applications has changed the ways in which youth interact, connect, and share with one another. As the number of social media sites and applications increases, so does their use by adolescents. During adolescence, youth are undergoing the process of identity development and self-esteem is an important part of this development. During this developmental period, adolescents’ self-esteem is likely to be affected by the feedback they receive online through social media sites. There is limited research available that specifically evaluated the impact …

The Role Of Masculinity In The Development Of Capability For Suicide, Claire Houtsma

Dissertations

Males account for over two-thirds of suicide deaths annually. Additionally, more than 50% of American suicide deaths annually are firearm-related. Suicide risk is elevated within firearm owning households and men are more likely to own firearms, which suggests that male firearm owners are at disproportionate risk for suicide. Prior research has argued that certain stereotypically male traits (e.g., lack of help-seeking) may explain sex differences in suicide death; however, this remains a poorly understood phenomenon. Male gender norms (e.g. physical toughness, self-reliance) may contribute to the development or expression of capability for suicide, primarily through their impact on behavior. The …

Romantic Relational Aggression Among College Students: A Moderated Mediation Study Of Attachment Style, Romantic Jealousy, Mate Value, And Relationship Investment, Skylar Hicks

Dissertations

Most of the research on intimate partner violence has concentrated on overt physical and verbal aggression, and less is known about relational aggression in the framework of romantic relationships. Relational aggression is more prevalent in college students’ romantic relationships compared to physical aggression and may be a risk factor for intimate partner violence. Additionally, a number of adverse correlates have been associated with romantic relational aggression, suggesting that it is worthy of study independent of its association with intimate partner violence. The present study explored the relationships among adult attachment, romantic jealousy, mate value, relationship investment, and romantic relational aggression …

Student-Athlete Success: An Examination Of Parenting, Grit, Academic Success, And Mental Health Outcomes, Jackson Howard

Dissertations

Factors such as poor adjustment, substance misuse, and mental health concerns have been found to be detrimental to college student success. Considering this, researchers have focused on investigating protective factors, which may enhance performance in higher education. Specifically, non-cognitive traits, such as grit, or an ability to maintain determination and passion for long-term goals in the face of adversity, and positive parenting strategies, such as psychological autonomy granting, have been tied to positive outcomes for college students in higher education. Conversely, overparenting behaviors and negative outcomes, such as burnout, have been found to be damaging to student success. Student-athletes are …

The Mediating Effects Of Drinking Refusal Self-Efficacy On The Associations Between Alcohol Protective Behavioral Strategies And Alcohol Use Outcomes, Kray Scully

Dissertations

Alcohol use continues to pose a serious public health problem at universities across the U.S., largely due to the extent of consumption and frequency of negative consequences experienced among college students. Alcohol protective behavioral strategies (PBS-A) are an empirically supported repertoire of safe drinking behaviors college students can use to monitor and control their alcohol consumption as well as limit harm while drinking. However, there remains a need to better understand how cognitive mechanisms, such as drinking refusal self-efficacy (DRSE), help explain college student safe alcohol use behaviors to enhance evidenced-based intervention and prevention efforts. Recently, studies that examined the …

The Roles Of Violence Exposure And Gender On The Relationship Between Adolescent Psychopathic And Conduct Disorder Traits And The Capability For Suicide, Tiffany Harrop

Dissertations

Suicide represents one of the leading causes of mortality for adolescents. Externalizing behaviors, such as psychopathic and conduct disorder traits, represent risk factors for adolescent suicide. Investigation of suicide capability is especially important, as it is theorized to distinguish individuals who evince suicide ideation from those who progress to making a suicide attempt. Currently, associations between psychopathic and conduct disorder traits and capability in youth are understudied, as well as factors that may potentiate these associations, such as exposure to violence and gender. The aim of this study was to explore the interactive nature of psychopathic and conduct disorder traits, …

The Role Of Acculturation And Acculturative Stress In The Association Between Generational Status And Factors Related To Suicide Among South Koreans In The United States, Hyejin Jin

Dissertations

Korean Americans have the highest suicide mortality rates among Asian American subgroups (6.84 per 100,000 population; U.S. Census Bureau, 2010). Therefore, it may be important to examine the unique factors that account for the suicide rates of Korean Americans, especially since current knowledge on suicide with Korean Americans is limited. Thus, the present dissertation study sought to examine the role of acculturation and acculturative stress in the association between generational status and factors related to suicide among Korean Americans.

A sample of 150 participants completed a study protocol consisting of various self-report measures on MTurk. The results supported the hypothesis …

The Effects Of Culturally Competent Messaging On Willingness To Engage In Firearm Means Safety, Sarah E. Butterworth

Dissertations

Little is known regarding how to most effectively deliver messaging that promotes safe firearm storage behavior. This study examined the extent to which engagement with firearm means safety messaging is conditional based on type of messaging, political beliefs, past suicidal ideation, and implicit associations of firearms with safety or danger. A sample of 909 American firearm owners recruited from Amazon’s Mechanical Turk (mTurk) was randomized to receive standard or gun culture-friendly firearm suicide prevention messaging at baseline, with 608 completing one-month follow-up. Main effects of messaging condition on means safety openness, intention to change firearm storage practices, and actual changes …

An Examination Of Parental Locus Of Control, Stress, Social Support, And Depression Among Parents Of Children And Adolescents With Intellectual Disabilities, Brandi Ellis

Dissertations

Caregivers (i.e., mothers and fathers) of youths with ID seem to be at a much higher risk of having symptoms of depression than caregivers of typically developing youths (Cantwell, Muldoon, & Gallagher, 2015; Giallo et al., 2015; Hu et al., 2010; Lee, 2013). A concurrent link has been found between parental locus of control (PLOC) and depression; however, there is a lack of support for a longitudinal association between these constructs among caregivers of youths with ID (Campis, Lyman, & Prentice-Dunn, 1986; Coyne & Thompson, 2011; Freed & Tompson, 2011; Lloyd & Hastings, 2009). Researchers have hypothesized that the lack …

Exploring The Maladaptive Cognitions Of Moral Injury, Rachel L. Martin

Dissertations

Moral injury and Post-Traumatic Stress Disorder (PTSD) are two prominent mental health problems that affect military personnel. Moral injury results when the individual is exposed to a situation or event that violates their moral code; however, PTSD results when there is a substantial threat of harm. Moral injury is a relatively new construct within the literature with research starting in the late 2000s. Although distorted cognitions are core components of PTSD symptomatology, there has been no research of cognitions in moral injury. The current study sought to differentiate PTSD and moral injury using the specific maladaptive cognitions associated with trauma …

Exclusionary Beliefs, Multicultural Ideology, Empathy, And Perceived Threat: A Comprehensive Model Of Anti-Immigrant Prejudice, Reigna El-Yashruti

Dissertations

Despite the increased movement of people across national borders, anti-immigrant sentiment continues to pose challenges to immigrant mental health and disrupt intergroup relations. In the USA, where over 14% of the population is comprised of foreign-born individuals, immigrants continue to face prejudice from both the public and political administration. Intergroup Threat Theory (ITT) explains this prejudice as stemming from the perception that the out-group poses a threat to the cultural purity, economic stability, or physical safety of the in-group. Traits that promote group exclusion, such as perceived group superiority (i.e. Right-Wing Authoritarianism; RWA, Social Dominance Orientation; SDO, cultural dominance; CD) …

Psychometric Properties Of The College Athlete Psychological Screening Tool: Validation Of The Depression And Anxiety Subscales, Joseph C. Case

Dissertations

The aim of the present study was to gain a better understanding of the descriptive psychometric properties of the College Athlete Psychological Screening (CAPS) measure. The CAPS is a newly developed assessment screening measure designed to assess 14 common problem areas for college athletes. For the present investigation, 395 participants completed the 108-item CAPS measure. To establish criterion validity, participants also completed the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI). The present study had three research questions. Question one discussed the descriptive psychodynamic properties (Cronbach’s alpha, means, and standard deviations) of the 14 CAPS subscales. Question two …

The Relationship Between Organizational Trauma-Informed Care And Secondary Trauma Symptoms In Staff Members Of Kentucky Domestic Violence Programs, Mary Ellen Foley

Dissertations

This study evaluated secondary traumatic stress (STS) levels in 89 employees from Kentucky’s 15 regional domestic crisis programs to determine whether certain demographic variables predicted STS levels (as measured by the Secondary Traumatic Stress Scale©) and whether employee perception of organizational trauma-informed care practices (as measured by the Ticometer©) reduced levels of STS. Results of a multiple regression analysis indicated that personal trauma history severity did significantly impact STS levels. In this way, the current study rejected the null hypothesis. Results also indicated that the more the employee perceived the organization to adopt and execute trauma-informed care practices, the lower …

Clinical Trainees' Experience Of Burnout And Its Relationship To Supervision, Amanda Weaver

Dissertations

Burnout is a phenomenon that has recently gotten a lot of attention in research and media, but there is still a need to understand burnout among clinical trainees. Burnout is characterized by emotional exhaustion, a sense of cynicism, and a reduced sense of personal accomplishment. This qualitative study attempted to understand clinical trainees’ experience of burnout, the factors they believed were contributing factors to their burnout, and how supervision impacted this experience. The participants included six trainees who were enrolled in a clinical or counseling doctorate program, have experienced or are currently experiencing burnout, and had at least six months …

Cultural Homelessness, Self-Esteem, And Skin Color Satisfaction Among Latinxs, Josephine M. Almanzar

Dissertations

This study explored feelings of cultural homelessness, self-esteem, and skin color satisfaction among Latinxs. A close interest was placed in examining responses of participants who identified as racially Black or Afro-Latinx. Through an electronic survey, the study aimed to answer the four research questions: (1) Is there a correlation between cultural homelessness, self-esteem, and skin color satisfaction; (2) Do participants of different self-perceived skin colors differ in self-esteem, cultural homelessness, and skin color satisfaction; (3) Does age moderate the relationship between self-perceived skin color and self-esteem; and (4) Does age moderate the relationship between self-perceived skin color and cultural homelessness. …

Military Sexual Trauma In Veterans: Consequences, Treatment, And Therapeutic Implications, Chelsey Siville

Dissertations

Amongst Veterans served within the Veterans Affairs healthcare system, approximately 1 in 50 men and 1 in 3 women have experienced military sexual trauma (MST). While every individual is different, a common characteristic or identity amongst those who have served is that of a warrior – someone perceived as strong and ready to defend both their country and fellow soldier. Experiencing military sexual trauma can create a painful and discrepant identity as well as impact almost all domains of functioning. Unfortunately, trauma is an all too common occurrence in the lives of many service members and the multifinality of trauma …

Psychotherapy Model For The Training Of Counselors In India, Vini Kalra

Dissertations

Common mental disorders in India are on the rise and are adding to the national burden of mental health care on a day-to-day basis. The demand for treatment of mental illnesses has risen considerably, though there is a shortage of mental health professionals who can deliver counseling services. The Indian government has made efforts to improve the scalability of services by training lay health counselors to diagnose and conduct brief counseling with the mentally ill and those involved with their care. Despite efforts to scale up services, the treatment gap still exists, as mental health services are not uniformly distributed. …

Psychological Factors Related To Physical Activity In Adult Congenital Heart Disease, Tyler Pendleton

Dissertations

Adults with congenital heart disease (ACHD) are a new and growing medical population. While medical interventions previously focused on reducing rates of infant mortality, current research suggests increased risk of premature mortality in ACHD may be partially due to acquired cardiovascular disease. One lifestyle intervention to reduce acquired cardiovascular risk is physical activity. Physical activity has been supported in the research as a safe, efficacious, and tolerable intervention for many ACHD; however, most patients do not engage in recommended levels of physical activity. The purpose of this study was to investigate psychological factors related to physical activity in ACHD. Participants …

Neurobiological Mechanisms Of Cognitive Processing Therapy For Post-Traumatic Stress Disorder: A Brain Network Approach, Tessa Vuper

Dissertations

Psychotherapy research is increasingly targeting both psychological and neurobiological mechanisms of therapeutic change. This trend is evident in and applicable to post-traumatic stress disorder (PTSD) treatment research given the high nonresponse rate of individuals with PTSD who undergo cognitive-behavioral therapy (CBT). A review of the literature investigating neurobiological mechanisms of CBT in PTSD reveals inconsistent results that fail to fully support dual process or learning models of CBT effects in the brain. However, network-based models of psychopathology provide a new framework from which to understand both mental disorder symptoms and therapeutic mechanisms. The current study investigated a) whether brain networks …