Clinical Psychology Commons^™

Associations Between Sexual And Gender Minority Stress Exposure And Schizophrenia-Like Experiences In The South, Lillian A. Hammer

Dissertations

Background: Negative experiences related to one’s minority identity serve as stressors contributing to mental health concerns for those identifying as a sexual and/or gender minority (SGM). SGM groups have greater severity of some mental health symptoms than non-SGM individuals, yet it is poorly understood whether these findings extend to schizophrenia-like experiences (SLEs). SLEs are associated with significant distress and may indicate risk for the development of schizophrenia-spectrum disorders. Associations between exposure to minority stress and SLEs are underexplored. This study aimed to fill this gap by assessing whether exposure to SGM-related minority stress was related to SLEs using ecological …

Combat And Beyond: Predictors Of Post-Traumatic Growth In War Zone Veterans, Gabriela Crucianu

Dissertations

Veterans returning from combat often face psychological challenges, but many also experience posttraumatic growth (PTG), which refers to positive changes that can emerge after trauma. This study explored whether coping strategies, personal characteristics, social support, and combat exposure were associated with PTG in a sample of 42 war zone veterans using quantitative and qualitative methods. Participants completed validated measures assessing combat exposure, coping strategies, social support, personal characteristics (e.g., optimism), and PTG. Regression analyses showed that combat exposure, coping strategies, and optimism were not significant predictors of overall PTG. However, combat exposure was associated with appreciation for life, a dimension …

Familismo: Exploring A Culturally Sensitive Correlation Between Parentification And Relationship Satisfaction Amongst First Generation Mexican-American Adults Through An Attachment Theory Lens, Ana K. Perez

Dissertations

Parentification refers to the role reversal of children who take on adult responsibility to care for family members. This role is often filled by Mexican-American children as a result of immigration and assimilation. This study explored the relationship between parentification and adult romantic relationship satisfaction among first-generation Mexican-American adults, with particular attention to the moderating roles of attachment styles and perceived unfairness. While earlier research has linked parentification to mental health challenges, few studies have examined its long-term impact on intimate relationships, including relationship satisfaction and experiences of intimate partner violence. A total of 132 participants completed an online survey …

The Relationship Between Adverse Childhood Experiences, Protective And Compensatory Experiences, And Parenting Attitudes Among Fathers, Kylie Schmidt

Dissertations

Adverse childhood experiences (ACEs) are defined as potentially traumatic events that occur in childhood particularly between the ages of 0 and 17 years that negatively influence long-term health, relational functioning, and parenting practices (Centers for Disease Control and Prevention, 2026; Felitti et al., 1998; Merrick et al., 2019). Conversely, protective and compensatory experiences (PACEs) have emerged as protective factors that foster resilience and possibly buffer against the adverse outcomes of ACEs (Narayan et al., 2018). As the existing research has greatly focused on mothers, little is known about how men’s early life experiences shape their parenting attitudes, particularly during the …

The Ramifications Of Covid-19 On Young Adults With Ocd, Clare E. Mcintosh

Dissertations

The coronavirus disease of 2019 (COVID-19) pandemic was a profound event in modern history, contributing to significant disruptions on a societal and individual level. This period of time was marked by elevated uncertainty and fear among individuals. COVID-19 contributed to deterioration in not only physical health but also psychological well-being. One mental health condition frequently under-examined and saturated with misconceptions is obsessive-compulsive disorder. Obsessive-compulsive disorder is a condition characterized by the presence of obsessions and/or compulsions. Intolerance of uncertainty is a core component of the condition, and the pandemic was riddled with unpredictability. The purpose of this study was to …

Examining The Impact Of Social Support On Academic Self-Efficacy In Black Doctoral Students In Psychology, Asia A. Hall

Dissertations

This study examined the relationship between perceived social support and academic self-efficacy, or academic confidence, among Black doctoral students in psychology programs at predominantly White institutions (PWIs). Grounded in self-efficacy theory, the study was designed to explore whether perceived social support was associated with and predictive of students’ academic confidence. A quantitative, cross-sectional design was used, and data were collected using adapted versions of the Multidimensional Scale of Perceived Social Support (MSPSS) and the Academic Self-Efficacy (ASE) scale. The sample consisted of 60 Black doctoral students enrolled in psychology programs at PWIs across the United States. Descriptive statistics indicated the …

A Qualitative Study Of Immigration Trauma, Posttraumatic Growth, And The College Experience Among Mena Immigrant Students, Braa A. Elkhidir

Dissertations

Middle Eastern and North African (MENA) immigrant students who are seeking to earn a higher education in the United States have to navigate acculturative stressors and systemic barriers. Prior research has focused primarily on the challenges MENA immigrant students experience without deeply exploring how these students adapt and grow. The focus in this qualitative study was to understand how MENA immigrant college students experience and make meaning of their academic journeys. Semi-structured interviews were used to explore the academic experiences of seven MENA immigrant college students in the United States and assess how acculturative stressors, personal strengths, coping strategies, and …

The Legacy Of Trauma: Exploring The Effect Of Generational Stress On Gut Health And Mental Well-Being In Black Women, Jocelynn Jones

Dissertations

This dissertation examines how generational trauma and chronic stress may relate to gut health and mood outcomes among Black women. Using a literature review design, this work brings together research on intergenerational trauma, gendered racism, Superwoman Schema, weathering, allostatic load, mood disorders, reproductive health disparities, and the microbiota-gut-brain axis. The central argument is that depression, anxiety, gastrointestinal symptoms, fatigue, reproductive vulnerability, and healthcare mistrust should not be understood as fully separate concerns when they may be shaped by shared stress conditions. The proposed integrated model does not claim that trauma directly causes gut dysbiosis or mood disorders. Instead, it suggests …

Intergenerational Trauma And Grief Among The Latine Community: Proposed Interventions And Treatment Considerations, Alexandra M. Johnson

Dissertations

The intersectionality of bereavement, trauma, and culture has many clinical considerations, including the impact on individuals and families. Traumatic events can impact an individual directly, collectively, and intergenerationally. The Latine community is one of the largest cultural groups in the United States, and mental health treatment often includes several cultural considerations. This critical literature review examined how the Latine community has been impacted by intergenerational trauma, specifically through experiences of grief and loss, to inform clinical focus, case conceptualization, and identify gaps in the literature. The first chapter provides a brief history of the intersectionality of intergenerational trauma and bereavement, …

Pathways To The Streets: A Proposed Model Examining The Factors Influencing Gang Affiliation And Involvement Among Young Black Men In The United States, Ceauna L. Juarez

Dissertations

This literature review examined gang involvement among young Black men in the United States and explored the factors that contribute to joining gangs and the consequences that may follow. The first chapter provides a brief history of gang involvement in Black communities and introduces Erikson’s development model, self-determination theory, and the minorities’ diminished returns as the three theoretical frameworks. The second chapter discusses common challenges faced by young Black men who are currently involved in gangs or are at risk of joining. The chapter explores issues such as life expectancy after gang involvement, adverse childhood experiences, mental health concerns, and …

Black Protection: Black Social Media Competency And Urban, Black Adolescents On Social Media, Taylor A. Williams

Dissertations

While urban, Black adolescents interact with racial identity content on social media, their identity is primarily shaped through offline experiences and later reflected or reinforced online. Through the concept of Black social media competency (B-SMC), this study examined the relationships between Black urban adolescents’ social media use, exposure to race-related content, and experiences navigating the digital environment. The study used a qualitative design, grounded in the phenomenological and ecological frameworks, with 21 adolescents recruited from two urban, Midwestern schools and programs to participate in semi-structured interviews, and data were analyzed using thematic analysis to identify patterns in how the participants …

The Relationship Between Depression And Cognitive Proficiency Index Across Biological Sex, Angela N. Ferdinardo

Dissertations

Depression is a widely studied mood disorder, and understanding its effect on cognitive functioning has become an important area of research. While research has examined relationships among depression, working memory, and cognitive deficits, limited research has explored depressive symptoms and cognitive proficiency across biological sex. Depression manifests similarly in men and women, though men are more likely to experience irritability, impulsivity, and anger, while women tend to experience sadness, stress, and sleep disturbances (Johns Hopkins Medicine, 2023). Women are also more likely to seek treatment and cope differently than men. This study examined the relationship between depression and cognitive proficiency …

Analysis Of A Process-Based Approach To Case Formulation And Treatment With Acceptance And Commitment Therapy, Callum Smith

Dissertations

Process-Based Therapy (PBT) is a novel approach to clinical research and practice. PBT is proposed as an alternative model to classic diagnostic frameworks. It emphasizes conceptualizing psychological problems through adaptive and maladaptive processes of change. The aim of current PBT research is to develop reliable methods of organizing change processes into network models. In network models, change processes are presented in nodes connected by lines and arrows to represent the interacting relationships between those processes for a given individual. The present project aims to evaluate the inter-rater reliability and predictive validity of a novel semi-structured interview method to aid in …

The Primary Care Brief Intervention Competency Assessment Tool (Bi-Cat): Examining Reliability And Validity, Arielle Guillod

Dissertations

Within primary care, the Primary Care Behavioral Health (PCBH) model integrates behavioral health services into medical settings through brief, population‑based interventions delivered by behavioral health consultants (BHCs). Although effective performance in this role requires competencies distinct from traditional mental health practice, few psychometrically sound tools exist to assess clinical skills in primary care. The Brief Intervention Competency Assessment Tool (BICAT) is commonly used for this purpose but lacks published evidence supporting its reliability and validity. This dissertation examined the psychometric properties of the BICAT across two studies. Study 1 evaluated factor structure, internal consistency, and construct validity in a heterogeneous …

Exploring Primary Care Providers’ Compassionate Care And Their Evidence-Based Practice With Death, Grief, And Loss: Patient Experience And Perspective, Kathryn Krzykala

Dissertations

Research on primary care providers’ (PCPs) education regarding Death, Grief, and Loss (DGL) remains limited. Specifically, data is lacking regarding patients' perceptions and opinions on what they need and expect from their PCPs regarding grief and loss. This exploratory mixed-method study comprised 146 participants who had experienced death and non-death loss. It examined participants' perceptions of 1) PCP compassion, 2) PCP utilization of evidence-based grief and loss practices, 3) their own level of comfort discussing DGL with their PCPs during medical visits, and 4) their personal grief and loss experiences. The findings revealed that PCPs' grief-informed evidence-based treatment, as reflected …

Strengthening The Shield: Exploring Post-Traumatic Growth In Law Enforcement, Aaleiyah C. Spaulding

Dissertations

Law enforcement officers are routinely exposed to traumatic incidents that can lead to psychological distress, including posttraumatic stress disorder (PTSD). However, emerging literature highlights the potential for posttraumatic growth (PTG), a positive psychological change following adversity. This study examined the prevalence and predictors of PTG in a sample of 33 police officers from a Midwestern department. Using validated self-report measures, the study assessed the role of trauma exposure, cognitive restructuring of core beliefs, and perceived organizational culture, particularly supervisor support. Results indicated that both internal (core belief reflection) and external (supervisory support) factors significantly predicted PTG. Additionally, involvement in a …

Neural Correlates Of Anger Rumination To A Personal Event And Subsequent Changes In Working Memory, Mairin Claire Madison Cotter

Dissertations

Rumination is a maladaptive coping strategy that is associated with the emergence and maintenance of several psychological disorders and related symptomatology and thus has been proposed as a transdiagnostic risk factor. Recent work has focused on patterns of brain activation during rumination to sadness; however, less is known about brain activation patterns in response to anger-inducing events and how anger rumination may influence working memory. This study sought to identify potential neurophysiological correlates (through electroencephalography; EEG) of anger rumination, examine how anger rumination subsequently impacts working memory performance, and determine whether neurophysiological correlates of anger rumination are associated with working …

Addressing Mental Health Issues And The Effectiveness Of Cognitive Behavioral Therapy And Mindfulness-Based Interventions Among Athletes, Shelby Jones-Stachnik

Dissertations

This literature review identifies mental health concerns among competitive athletes and evaluates psychological interventions to address these challenges. Specifically, the review explores the mental health concerns experienced by athletes engaged in high-level sport. It examines whether cognitive behavioral therapy and mindfulness-based interventions are effective approaches for improving psychological outcomes in this population. A systematic review of peer-reviewed research was conducted, and findings were synthesized to evaluate the effectiveness of cognitive behavioral therapy and mindfulness-based interventions. The review included randomized controlled trials, quasi-experimental studies, and meta-analyses examining psychological interventions in athletic populations. Findings across the literature indicate that both cognitive behavioral …

Long-Covid And Cognition, Mychael Bruce

Dissertations

COVID-19 is an evolving virus that can harm the body’s respiratory and cardiovascular systems. Directly related to COVID-19 are individuals who do not recover from their initial infection, making them long haulers. Long-COVID is transitioning from a range of isolated phenomena to higher prevalence rates in patients who contracted COVID-19. Many individuals report issues with cognitive function, referred to as ‘brain fog’, that affect memory, attention, and even language skills. This literature review addresses the available research on Long-COVID and how persistent infection correlates with cognitive difficulties. It aims to explain the neurobiology of Long-COVID and how Long-COVID interacts within …

Understanding And Enhancing Suicide Prevention Strategies In The Military: The Roles Of Culture, Leadership, And Command Climate, Kelly Johanna Pires

Dissertations

Military service members are shaped and molded to fit a military culture that emphasizes mission readiness and continuous preparedness. Countless hours are spent training for various situations that can arise. Many trainings are geared toward worst-case scenarios that can cause an increase in stressors and traumatic events. They are expected to demonstrate resilience and overcome adversity to remain mission-ready. This expectation to be mission-ready creates the space for mental health difficulties as well as stigma and avoidance of help-seeking behaviors. In many cases, the desire to stay mission-ready creates a barrier for conversations around mental health. The military emphasizes qualities …

Evaluation Of Neuroplastic Changes In Psychological Intervention And Contemporary Treatments Of Depression, Taylor Severance

Dissertations

Major depressive disorder is one of the most prevalent mental health disorders worldwide. There is a vast range of treatment options for depression, with varying levels of effectiveness. Recent treatments for depression have expanded, increasing alternative treatments, and it is unknown which treatments have the largest impact on depression. This research was designed to examine the treatments of depression, with a focus on psychotherapy and contemporary treatments such as ketamine, psilocybin, and transcranial magnetic stimulation. A literature review was conducted to assess treatment outcomes and neuroplastic changes in these interventions, as well as combinations of the interventions. Data were evaluated …

Exercise Therapy For Mood Disorders In Retiring/Former Athletes, Christian Antos

Dissertations

This dissertation examined the potential integration of exercise therapy and psychotherapy as a treatment approach for mood-related difficulties experienced by former elite athletes during the transition out of competitive sport. Retirement from athletics is often associated with significant biopsychosocial challenges, including disruptions in identity, healthy routines, social support, and emotional well-being. Existing literature suggests that exercise may serve as an effective adjunctive intervention for improving mood and overall psychological functioning, though limited research has explored its application among retiring athletes within psychotherapeutic contexts. This literature review synthesized current research related to athletic retirement, neurobiological mechanisms associated with physical activity, and …

Underlying Mechanisms In The Relationship Between Ptsd And Irritable Bowel Syndrome, Jillian B. Heymann

Dissertations

Current bodies of knowledge support the relationships between posttraumatic stress disorder (PTSD) and irritable bowel syndrome (IBS), pain catastrophizing and PTSD, and pain catastrophizing and IBS. However, much less is known regarding how pain catastrophizing influences the relationship between PTSD and IBS. Additionally, while correlations between some demographic and trauma-related symptomatology have been elucidated in the relationship between PTSD and IBS, their impact as potential moderators on the relationship between PTSD and IBS has yet to be fully examined. Examining a student sample from a large midwestern university, the present study aimed to investigate the potential mediating and moderating roles …

Resting-State Eeg Spectral Activity In Children And Adolescents With Asd: Potential Correlations With Interoceptive Neocortical Areas, Stephanie J. Morris

Dissertations

Autism spectrum disorder (ASD) is a developmental condition marked by impairments in social interaction, communication, repetitive behaviors, and differences in cognitive and emotional functioning. These challenges can significantly affect daily living, relationships, and long-term independence, often requiring lifelong support. Emerging research suggests that deficits in interoceptive processing—the ability to perceive internal bodily states—may contribute to ASD symptoms and represent a potential target for intervention.

This study aims to compare resting-state EEG (QEEG) activity between children and adolescents with ASD and neurotypical (TD) peers, and to explore the relationship between interoceptive processing and ASD diagnosis. Archival QEEG data from individuals aged …

Gender Considerations When Examining The Association Between Military Sexual Trauma And Chronic Pain Conditions, Lily Sarfaraz

Dissertations

Military sexual trauma (MST) amongst veterans is a growing concern for the Veterans Health Administration (VHA). Veterans who screen positive for MST receive VHA care for any injuries caused as a result of MST, psychological or physical, free of charge. MST is difficult to track, can result in long-term disability, and the burden of illness varies across genders. Current data highlights discrepancies seen across the literature of actual detected MST cases, with rates varying vastly. Efforts to track prevalence of MST identify additional concerns over the various comorbidities seen in MST cases. When examining symptom sequalae of MST, there is …

Motor And Phonic Tic Severity And Its Relationship To Social, Emotional, And School Functioning In Children With Tourette Syndrome From The Caregivers’ Perspective, Courtney C. Thompson

Dissertations

Abstract

Tourette Syndrome (TS) is a neurodevelopmental disorder characterized by motor and phonic tics that is frequently associated with functional impairments. The present study examined the relationship between motor and phonic tic severity, comorbid conditions, academic accommodations, and the social, emotional, and school functioning of children with TS. Caregiver data were collected on tic severity, comorbid conditions, social, emotional, and school functioning, academic accommodations, and grades. Overall, social, emotional, and school functioning fell within the moderate range, with school functioning positively associated with social and emotional functioning. Phonic tics were linked to social functioning, whereas both motor and overall tic …

The Withdrawal From Afghanistan: Impacts On U.S. Veterans Who Served In Afghanistan, Nicole Wall

Dissertations

This study explored the experiences and perspectives of U.S. military veterans who served in Afghanistan regarding their views on the impacts of withdrawal from Afghanistan. Using a qualitative phenomenological approach, the study explored the effects of the immediate and unexpected withdrawal from Afghanistan as it pertains to military veterans' perspectives on the purpose, value, and meaning of their previous military service, and the service of future generations. The study included 10 participants who had previously served at least one deployment to Afghanistan; each participated in a semi-structured interview via phone call, Zoom meeting, or in-person. The interview included 10 demographic …

Examining The Impact Of Technology-Enhanced Peer Mentorship On First-Year University Students’ Mental Health And Academic Success, Maya Hareli

Dissertations

Poor mental health among first-year college students has been associated with a plethora of unfavorable outcomes including worsening mental health problems later in college as well as declines in academic performance, rates of college retention, and postgraduate employment and income potential. While demand for mental health services on college campuses is high, there are various barriers to accessing these services. Peer mentoring is a resource-efficient solution for curbing college student mental health and academic challenges; however, the effects of past mentoring programs are inconsistent. Additionally, technology-delivered interventions (TDIs) have been shown to yield positive outcomes for young adults along various …

Youth And Parent Knowledge And Perceptions Of Spina Bifida: Associations With Neurocognitive Factors, Self-Management, And Quality Of Life, Olivia Emery Clark

Dissertations

Spina bifida (SB) is a common congenital birth defect with multiple and varied medical, physical, and psychological impacts. The objective of these studies is to examine youth and parent condition-related knowledge in the context of SB and associations with executive function, quality of life, and medical self-management. Collectively, these studies examine both qualitative and quantitative multi-informant data from youth with SB, their parents, and their teachers. The first study used growth analyses to examine changes in condition-related knowledge over time, predicted by executive dysfunction and inattention, and predictive of medical self-management skills. The second study used qualitative coding methods to …

Investigating The Effects Of Drinking Environments On Alcohol Protective Behavioral Strategy Use, Perceived Self-Efficacy, And Perceived Effectiveness Through Experimental Vignette Design, Skyler Hoover

Dissertations

Derived from a Social Cognitive Theory framework (Bandura, 1986), the aim of this study was to assess the impact of different drinking environments on college students’ expected use of alcohol protective behavioral strategies, perceived effectiveness of those strategies, and perceived self-efficacy to use them. To accomplish this, we sought out to create and employ experimental vignettes consisting of a bar/club or party drinking environment in a two-part study. Study one aimed to pilot test the vignettes prior to their use in study two, whose aim was to test our initial hypotheses. Both analytic samples were recruited from a nationwide participant …