Clinical Psychology Commons^™

A Brief Cognitive-Behavioral Intervention For Emotion Regulationand Aggression In Justice-Involved Adolescents: Preliminary Outcomes From A Non-Randomized Trial In Short-Term Juvenile Detention, Cassidy L. Tennity

Dissertations

Justice-involved youth are at risk for a variety of psychosocial difficulties, including anger, aggression, and emotion regulation challenges. Short-term juvenile detention settings offer a unique opportunity to provide psychological interventions to youth before they are returned to the community or sentenced to long-term placements. However, implementation barriers within these settings often hinder the delivery of evidence-based care. This study developed and tested a brief, two-session anger management intervention for adolescents detained in a short-term juvenile detention center in the Southeastern United States, drawing on evidence-based practices from prior work with justice-involved youth. The present study examined implementation outcomes (i.e., feasibility, …

Evaluation And Expansion Of Posttraumatic Avoidance Assessment: Proposal Of A Novel Measure Of Posttraumatic Positive And Negative Experiential Avoidance For Use In Research And Clinical Practice, Marissa A. Yetter

Dissertations

Avoidance is a well-established mechanism in the development and maintenance of posttraumatic stress disorder (PTSD) and a central treatment target in gold standard evidence-based interventions. While traditionally defined as avoidance of trauma-related distressing thoughts, emotions, and reminders, emerging research highlights the need for a broader conceptualization of posttraumatic avoidance that includes both negative and positive emotional experiences. The current study aimed to explore an expanded conceptualization of clinically relevant posttraumatic avoidance using an experiential avoidance framework, a more generally defined unwillingness to remain in contact with distressing thoughts, feelings, memories, and other internal experiences. A sample of non-treatment seeking U.S.-based …

The Clinical Utility Of Measuring Emotion Dysregulation In Autistic Youth, Monica S. Trevino

Dissertations

Autistic youth experience disproportionately high rates and severity of emotion dysregulation, which is linked to behavioral challenges, psychiatric comorbidities, familial stress, and increased emergency service and hospitalization use. Despite its clinical significance, emotion dysregulation in autistic youth remains relatively understudied and misunderstood, partly due to the lack of standardized assessment tools and limited research on its heterogeneity within autistic populations. In the present study, structural equation modeling was used to 1) validate the Emotion Dysregulation Inventory (EDI) and assess measurement invariance in a diverse sample and 2) explore associations among emotion dysregulation, autism symptoms, and related child and family characteristics, …

Navigating Emotional Transitions: A Study Of Self-Perception And Emotion In Bio-Childfree Women Entering A Blended Family, Janine Cednick

Dissertations

The transition to a blended family is an emotional and psychological adjustment for bio-childfree individuals. The present qualitative study investigated how self-concept and emotional adjustment of bio-childfree stepmothers change when they become members of their new family. With a phenomenological approach, semi-structured interviews were conducted with 12 female participants who were bio-childfree, in a committed relationship with a partner with children, and had cohabited for one year or more. The study aimed to find out how these women cope in their new role, their emotional adjustment to their transition, and the influences that impact their well-being. Thematic analysis of interviews …

Effective And Empowering Psychotherapy For Black Women: A Culturally Adapted Proposed Model, Kaylla A. Jackson

Dissertations

Black women in the United States are a minoritized group that has experienced oppression and suffering explicitly targeting their intersectional and minority identities. The intensity and frequency of stressors result in a negative impact on Black women that prompts a need to cope. Rather than relying on professional mental health care, many Black women rely on their religious and spiritual communities and other cultural and historical methods to cope with stressors. As a field and profession, clinical psychology has been overwhelmingly dominated by White individuals. The profession has a rich history of developing and perpetuating oppressive systems that have ignored …

The Premature Loss Of The Black Male And Its Implications On The Black Family System And Community: A Proposed 12-Step Grief Support Group Model, Alicia Smith

Dissertations

Premature deaths, ages 15–44, and loss of Black males through homicide, along with suicide and systemic violence, and incarceration, create lifelong emotional and psychological trauma for those who remain behind in Black family settings and society. U.S. social injustices against Black communities and multigenerational losses and racial harm create specific population-based challenges, such as questioning care, lack of accessibility to competent resources, and Black identity issues, which traditional grief recovery programs struggle to help adequately. Even though approaches such as cognitive-behavioral therapy, complicated grief treatment, present-centered therapy, trauma-focused therapy, including eye movement desensitization and reprocessing (EMDR) therapy, and forgiveness therapy …

The Correlation Between Depression And Gendered Racism Among Black Women, Charmagne M. King

Dissertations

Black women face unique challenges related to intersecting racial and gender-based discrimination, often referred to as gendered racism. Previous research has indicated this form of oppression may significantly affect mental health, particularly depression. However, few studies have examined how gendered racism interacts with racial identity and demographic factors (e.g., age, marital status, geographical location) to predict depressive symptoms. Using a sample of 164 self-identified Black women, this study investigated the correlational relationship between gendered racism and depression among Black women and examined how gendered racism, racial identity, and key covariates (age, marital status, and geographical location) predict depressive symptomatology. The …

Bridging The Gap: Exploring The Intersection Of Formal Mental Health Services And Informal Social Supports In Bipoc Communities, Patrice D. Patton-Campbell

Dissertations

Despite growing awareness of mental health disparities, BIPOC (Black, Indigenous, and People of Color) communities continue to face significant barriers in accessing culturally responsive mental health care. This dissertation explores the intersection between formal mental health services and informal social supports such as family, religious institutions, and community networks to understand which systems are more trusted, accessible, and effective for BIPOC individuals. Grounded in Urban Liberation Psychology and guided by decolonial and culturally responsive care frameworks, this qualitative study draws from focus groups and interviews with 33 participants, including both community members and service providers from the Chicagoland area and …

Network Analysis Of Biopsychosocial Factors Associated With Trauma Exposure: Impacts On Inflammation, Taryn R. Fitzgerald

Dissertations

This study adds to current understandings of the relationship between trauma exposure and inflammation through network analysis of the sociodemographic sequelae that may influence this relationship. A reductive approach has been helpful in establishing the relationship between a pro-inflammatory state and trauma exposure, however understanding of the role of additional factors in this relationship is necessary to better understand how inflammation may serve as a transdiagnostic factor relating to mental health and biopsychosocial variables. 999 trauma-exposed individuals from the National Longitudinal Study of Adolescent to Adult Health (Add Health), 1994-2018 study at three timepoints (ages 18—26, 24—32, 33—43) were included. …

Useful Measures Of Adult Attachment And Object Relations In Psychotherapy, Matilde A. Torallas Huerta

Dissertations

This is a literature review of objective and projective measures of attachment and object relations in adults, with the objective of reviewing outstanding research to identify the key factors for adult attachment assessment considered within attachment and object relations theories, what measures of adult attachment styles and dysfunction work best, and to provide key themes of assistance in the measurement of attachment and object relations in adult clients in psychotherapy. Theoretical foundations of attachment and object relations theory are reviewed as well as objective and projective instruments grouped by format. The 10 themes found to be useful in the assessment …

Gender Differences In Perceived Organizational Support Among Veterans With Posttraumatic Stress Disorder, Elizabeth Gomez

Dissertations

Posttraumatic stress disorder (PTSD) is a well-studied issue within the U.S. military, with data showing military personnel face a higher risk of trauma than the civilian population. Many veterans and service members suffer from PTSD related to their military experiences (Renshaw, 2011). As research has largely focused on protective factors such as social and familial support, little attention has been given to organizational support (Meredith et al., 2011). Perceived organizational support (POS) refers to how individuals perceive the support they receive from their employers, with the military as the primary employer for veterans. This study was designed to explore whether …

Systematic Review Examining How Black Youth In The United States Cope With Stressful And Traumatic Experiences, Marcus Aaron Flax

Dissertations

Coping is an important behavioral skillset that youth use to emotionally regulate after experiencing stress or trauma. Research has repeatedly highlighted the stressors that Black youth experience, often finding that Black youth face higher levels of stress and trauma than their White peers. However, there has been a lack of research in understanding how Black youth cope with these higher levels of stress. This systematic review includes 72 studies (N = 16,205 participants) examining the frequency and effectiveness of coping strategies used by Black youth in response to a trauma or stressor, along with the associations between utilized coping strategies …

A Latent Profile Analysis Of High-Risk Children's Problematic Sexual Behavior, Claudia Campbell

Dissertations

As research and intervention regarding children’s problematic sexual behavior (PSB) have broadly defined PSB, including all forms of developmentally atypical sexual behavior and all potential etiological factors, limited work to date has identified subtypes or unique patterns of PSB. The aim of the current study was to examine the presence of unique patterns of PSB and etiological factors among high-risk children utilizing latent profile analysis (LPA) based on children’s self-focused PSB, interpersonal PSB (IPSB), maltreatment factors, co-occurring symptoms, adaptive functioning, and family functioning. The present study included 689 8-year-old children (50.1% male, 50.2% Black) with potential PSB and their caregivers …

Incorporating Meditation, Yoga, And Reiki Interventions To Reduce Stress, Anxiety, And Mood Symptoms Among The College Population, Kelly Wills

Dissertations

The purpose of this clinical research project is to examine the efficacy of mindfulness techniques and alternative therapeutic practices, specifically, meditation, yoga, and Reiki, in decreasing symptoms of anxiety among college students. The increasing prevalence of anxiety disorders among the college population warrants the need for identifying effective interventions for enhancing mental health outcomes. This review integrates findings from published studies that focus on the impact of these practices on anxiety-related symptoms within college settings. Reviewing these studies reveals consistent evidence to support the effectiveness of mindfulness meditation as it relates to anxiety reduction as well as improvements in emotional …

A Single Session Of Acceptance And Commitment Therapy In A Group Format To Promote Health-Related Behavior Change In Nutrition And Sleep: A Randomized Controlled Trial, Thi Anh Tran

Dissertations

Nutrition and sleep are important health-related behaviors for which only a small percentage of the population meet recommended guidelines. To impact population-health it is important to develop focused, flexible, efficient, and efficacious interventions. This study examined the efficacy of a 60-minute Acceptance and Commitment Therapy (ACT) intervention in a group presentation format to initiate change in nutrition and sleep related behaviors in college students. Thirty-two collegians (M age = 18.55 [.85], 66% female, 34% Hispanic, 25% white) were randomized to receive ACT focusing on nutrition (n = 18 participants across 4 groups) or sleep (n = 14 participants across 3 …

Fear, Distress, And Dissociation: Correlates Of Physiological Hyporeactivity After Interpersonal Victimization, Natalia Kecala

Dissertations

Background and Objective: Despite consistent findings of high reactivity to trauma cues in PTSD, there exists a consistent subset of physiological nonresponders who exhibit more complex and severe posttraumatic symptomatology. Research has identified different patterns of defensive reactivity representing Fear (core) and Distress (complex) PTSD symptoms. However, no studies have directly compared responders and nonresponders on physiological and clinical symptoms posttrauma.

Method: 66 adult women who had experienced first-degree sexual or physical assault within the last month were categorized using heart rate reactivity (HRR) to two personalized trauma scripts. Participants exhibiting negative HRR to both scripts were classified as nonresponders …

Identifying And Characterizing Cognitive Profiles In Midlife Females: A Latent Profile Analysis, Hannah Hagy

Dissertations

Females are at two-thirds greater risk of developing Alzheimer’s disease (AD) than males. Due to this notable sex difference in cognitive aging and disease burden, there has been an increased focus on understanding the critical role of the menopausal transition (decline in fertility during midlife) as it relates to cognitive functioning across midlife. Thus, the present cross-sectional study used a sample of midlife females at different stages in the menopausal transition (N=202; Age 40-60 years) as part of a larger, multimodal design study, to elucidate distinct cognitive profiles while accounting for education, which were then characterized by other demographic factors, …

Generations After Us (Undergoing Stress): An Exploration Of Interpersonal Violence And Loss On Psychosocial Functioning At The Parent, Child, And Family Level, Kaleigh Valencia Wilkins

Dissertations

Previous studies propose that interpersonal violence and loss, parenting, and attachment each individually contribute to child and family distress. The following studies aimed to further explore these effects across and within various generational groupings. The first study explored exposure to community violence at the parent level and at the child level in an attempt to understand how such stress impacts parents’ perceptions of family functioning in African-American and Latine families. Findings suggested that family functioning is weakened the most when both a parent and adolescent are exposed and when just a parent was exposed. The second study examined differences in …

Napping, Sleep, And Affect In Adolescents: A Daily Diary And Actigraphy Study, Elizabeth Rea

Dissertations

Adolescents in the United States do not typically attain enough quality sleep at night due to a combination of biological maturation and academic and social commitments, leading to poor cognitive, mental, and physical health outcomes. Naps may compensate for inadequate sleep; however, little is known about how napping affects nocturnal sleep and mood over time among adolescents who are poor sleepers. The present study used daily diary and actigraphy data collected over 15 days in a sample of evening-chronotype, poor sleeping adolescents (n=99; Mage=15.85 (SD=0.99); 44% Male, 55% Female; 46% White, 30% Black, 12% More than one race, 8% Other, …

Understanding Stress, Strengths, And Strategies To Support Immigrant Youth: A Bundled Dissertation, Sarah Jolie

Dissertations

In the study of child development and mental health of Latine and immigrant and refugee youth, it is necessary to understand their cultural experiences and stress experiences in the U.S. The present project aims to address culture, stress, and the development of internalizing outcomes among Latine, immigrant, and refugee youth across two important stages of development: middle childhood and adolescence. The first study provides a comprehensive review of Latine children’s immigration experiences, the effects of exposure to multiple stressors, cultural factors, and intervention implications. The second study provides a focused examination of the impact of two culturally relevant stressors among …

Comparing Caregiver-Teacher-Adolescent Mental Health Reporting: Examining Changes Over Time And Related Outcomes Among Youth Involved In The Child Welfare System, Jennifer Osborne

Dissertations

The benefits of psychological assessment are particularly salient for children and youth in the child welfare system, as youth in contact with the system are more likely to experience mental health symptoms, disorders, and comorbidities as compared to youth in the general population. These assessments often utilize multiple reporters, as emerging evidence indicates that utilizing multiple more effectively captures the mental health experiences of children and youth. However, the extant literature has consistently observed only low-to-moderate (i.e., .2-to-.3) agreement across informants, including among dyads in contact with the child welfare system. Several factors are associated with level of agreement across …

A Multifactorial Study Of Factors Influencing Self-Health Behaviors In Dementia, Elizabeth Malkin

Dissertations

The global increase in dementia cases presents a significant public health challenge, particularly given the absence of a cure and the rising healthcare burden on individuals and society. This study aims to examine the influence of knowledge, beliefs, and motivation on self-health behaviors to mitigate the risk of dementia among individuals residing in the United States. With the use of an online survey, the study utilized the U.S. normed MCLHB-DRR scale and supplemental questions about knowledge of risk factors and degree of closeness to family members with dementia to determine whether (1) more closely related relatives (first-degree relatives) and those …

Infertility’S Impact On Couples’ Functioning, Elizabeth Sanders

Dissertations

Historically, infertility has been a taboo topic of discussion and is often avoided in conversation because of the stigmatization of the diagnosis. According to the World Health Organization (2022), infertility affects 186 million individuals globally. However, there seems to be a gap in the research as it pertains to the psychological well-being and treatment of men and women diagnosed with this condition. While it has become less of a feared topic, it still is not discussed or researched enough, thus further exacerbating the gap in research on mental health and treatment options. The following dissertation completed a critical review of …

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …

Optimistic Biases On E-Cigarette Cessation: Examining Competing Theoretical Models For Young Adults With And Without Chronic Health Conditions, Eleanor Steffens

Dissertations

The dramatic increase in youth nicotine initiation is an ongoing public health concern and heightens risk for morbidity and mortality, especially among young adults with chronic health conditions. Consequently, there is an urgent need for research exploring potential psychological mechanisms for continued e-cigarette use to aid in the development of targeted cessation interventions and combat the re-emerging nicotine epidemic. Utilizing the Population Assessment of Tobacco and Health (PATH) Study, the present study modeled the impact of optimistic biases for e-cigarette use on e-cigarette cessation interest among young adults with and without chronic health conditions (n=1,827). Results showed that, regardless of …

Derogatory, Racist, And Discriminatory Speech (Drds) In Video Gaming, Sean Woodford

Dissertations

Video games have been examined for their effects on cognition, learning, health, and physiological arousal, yet research on social dynamics within video gaming is limited. Studies have documented the presence of derogation, racism, and discrimination in this anonymous medium. However, gamers‟ firsthand experiences are typically examined qualitatively. Thus, this study aimed to establish a quantitative baseline for the frequency of derogatory, racist, and discriminatory speech (DRDS) in gaming. DRDS frequency, sexual harassment, and hate speech measures were administered to 150 individuals from online forums and social media groups. Descriptive and inferential analyses were used to gauge which factors affected DRDS …

Identity Development In Black Caribbeans: A Proposed Model, Shenelle Frederick

Dissertations

The paper is a critical review of the literature exploring factors contributing to Black Caribbean identity development. The paper sought to understand Black Caribbeans’ migratory history, views on mental health, and factors contributing to their identity development in the United States. Migrating to the United States can be a harsh reality for many migrants because they eventually realize that their Black skin is associated with negativity. An exploration of Black Caribbeans’ history and growing up in predominately Black societies could provide some insight that contributes to some of their ideologies and beliefs regarding forms of racism and believing that hard …

Understanding The Barriers And Contributions To Success Among African American Graduate Students Pursuing Doctorate Degrees In Clinical Or Counseling Psychology: A Comparative Analysis Of Predominantly White Institutions And Historically Black Colleges And Universities In The U.S., Chelle' Thomas

Dissertations

This study investigated the barriers encountered by African American students in earning doctorate degrees in clinical or counseling psychology at Predominately White Institutions (PWIs) compared to Historically Black Colleges and Universities (HBCUs). This study aims to elucidate the challenges encountered by African American graduate students in their pursuit of doctoral degrees in clinical or counseling psychology. The study focused on analyzing the obstacles and positive impacts experienced by African American graduate students as they strive to obtain doctorates in clinical or counseling psychology. Multiple challenges and contributions have been identified in this a phenomenological qualitative study. The qualitative results indicate …

The Association Between Social Media, Toxic Masculinity, And Depression In Young Adult Males, Anthony Warren

Dissertations

The world is shaped by diverse influences that significantly affect individuals’ internal landscapes, leading to both positive and negative effects with profound implications for society. Role models play a pivotal role in shaping the aspirations of young adult males by providing direct and indirect lessons that leave lasting impressions and influence their worldview. In recent years, social media use, toxic masculinity, and mental health have garnered significant attention in understanding the experiences of young adult males. The focus in this study was to examine the relationships between social media use, toxic masculinity, and depression in young adult males ranging in …

Factors Impacting Treatment Decisions In Caregivers Of Autistic Children, Tiffany Harris

Dissertations

Caregivers of autistic children are not only tasked with deciding upon various treatment options for their children’s symptoms but must also navigate the initial crisis that is experienced after receiving a diagnosis of ASD for their children (Blancher, 1984; Ellis, 1989). Leventhal’s Common Sense Model of Self-Regulation (the CSM; Leventhal et al., 1980) is a theoretical framework developed to understand the self-regulatory processes involved in adapting to and managing health threats and posits that cognitive and emotional illness perceptions influence illness outcomes through coping behaviors. This is the first study to examine all major components of the CSM (i.e., cognitive …