Clinical Psychology Commons^™

Profiles Of Neuropsychological Functioning In Children And Adolescents With Spina Bifda, Rachel Wasserman

Dissertations

The current study examined neuropsychological performance among children with spina bifida (SB) to determine if there are distinct subgroups or "profiles" of cognitive functioning. 96 children with SB myelomeningocele (ages 8-15) completed a brief assessment battery. Hierarchical and non-hierarchical cluster analyses were used to identify and confirm a cluster solution. Hypothesized predictors of cluster membership included lesion level, number of shunt surgeries, history of seizures, age, ethnicity, socio-economic status, family stress, and family environment. Outcomes included independence, academic success, expectations for the future, and quality of life.

Ward's cluster method indicated a 3-cluster solution, and was replicated with 2 other …

Slope Of Change Through D-Cycloserine Facilitation Of Exposure Therapy In A Social Anxiety Population, Christina M. Sheerin

Dissertations

The present study sought to add to a growing base of research investigating approaches that facilitate the therapeutic effects of exposure-based therapy for social anxiety disorders. In particular, the approach involves the use of medication adjuvants that work in conjunction with therapeutic learning. This work translates findings from preclinical work to further our understanding of the neurobiological mechanisms that impact extinction learning. Among others, a promising method has been found with the use of D-cycloserine (DCS), a partial NMDA receptor agonist. Evidence of its positive impact in preclinical work has led to its application to clinical populations who suffer from …

Further Analysis Of The Competitive Prosocial/Aggression Continuum Task, Alexander Mark Biondolillo

Dissertations

The Competitive Prosocial/Aggression Continuum Task (COMPACT) (Biondolillo, 2010) was developed in order to create an improved reaction time paradigm for aggression that reduces demand characteristics and increases the scope of research applications available in previous designs by using a behavioral response palette of both aversive and pleasant auditory stimuli to model both aggressive and prosocial behaviors. Initial validation research on the COMPACT demonstrated significant correlations between aggressive responding and several scales of interest; however, such correlations demonstrated smaller effects than the medium-sized effects predicted based on the literature available on similar reaction time paradigms, and pleasant response options on the …

Evaluation Of Behavior Subtypes Of Sexual Addiction: A Latent Profile Analysis Of Sexual Behaviors, Nicole Lea Blazek

Dissertations

Sexual addiction has been characterized as out of control sexual behavior that leads to decreased functioning and negative consequences in a number of areas (Kafka, 2010). The current study aimed to demonstrate whether or not homogenous classes of individuals presenting for treatment and diagnosed with sexual addiction could be identified utilizing a person-centered approach, Latent Profile Analysis, using sexual behavior frequency scales from the Sexual Dependency Inventory-4.0 (SDI-4.0; Green, Arnau, & Carnes, 2013) as indicators. After identifying the distinct subclasses of sexual behaviors, the study examined the nature of the groups through an analysis of external correlates of group membership. …

The Impact Of A Dance Aerobics Program On Middle School Girls' Physical Activity Level, Self-Efficacy, And Decisional Balance, Alexis Suozzi Bridley

Dissertations

Rates of childhood obesity have increased dramatically in recent years. Decrease in physical activity is among the leading causes, with adolescent females at greatest risk for obesity. School-based interventions have shown promise; however, few studies have considered the type of activity on physical activity level. According to the Transtheoretical Model (TTM), intrinsic readiness, self-efficacy, and perceived risks and benefits regarding change contribute to behavior change. Yet no known studies have considered the impact of intervention with a traditionally preferred activity on selfefficacy and decisional balance. Therefore, this study aimed to explore the impact of a 2- week dance aerobics program …

The Role Of Distress Tolerance In Aggressive Behavior, Anne Winston Mcintyre

Dissertations

Berkowitz (1989) proposed that the degree of negative affect experienced following a frustrating event determines whether one will respond aggressively, suggesting that one possesses a certain amount of tolerance for distressing emotions. However, little research has been conducted on the relation between distress tolerance and aggression. Moreover, no published study has examined the relation between distress tolerance and behavioral aggression using a multi-modal assessment approach, nor examined the potential mediating role of negative affect in the relation between distress tolerance and aggression. To address this gap in the literature, college students (N = 87) aged 18 to 49 years (M …

The Sexual Assault Severity Scale: A Comprehensive Measure Of Assault Severity, Karyn Crystal Swinson

Dissertations

Many studies in the sexual assault literature have found a significant relationship between sexual assault severity and psychological distress, specifically PTSD and suicidality. However, in the current literature, there is an inconsistent and incomplete definition of the construct of assault severity. The present study aims to create a comprehensive self-report questionnaire, called the Sexual Assault Severity Scale (SASS) that includes assault characteristics, such as victim-offender relationship, substance use, and peritraumatic responses, and cognitive variables, such as posttraumatic schema disruptions and coping self-efficacy in the conceptualization of assault severity. Two models evaluating the relationship between assault severity and post assault distress …

Examination Of The Pediatric Diabetes Routines Questionnaire In Adolescents: Development Of An Adolescent Self-Report Version And Confirmatory Factor Analysis, Jessica Sima Pierce

Dissertations

Previous literature suggests a positive relationship between general child routines and diabetes treatment adherence. However, research examining routines specific to the diabetes regimen is lacking. Recently, the Pediatric Diabetes Routines Questionnaire (PDRQ) was developed as a parent-report measure of diabetes-specific routines for children and adolescents with type 1 diabetes. Though the PDRQ has provided a means to measure routines specific to the diabetes regimen, limitations exist in regard to its use with adolescents. Thus, the goals of this study were to develop and evaluate a parallel adolescent self-report version (PDRQ: Adolescent; PDRQ:A) of the PDRQ and to examine the psychometric …

Mindfulness, Facets Of Big Five Personalities, And Psychological Health, Nicholas J. Schmidt

Dissertations

The concept of mindfulness, nonjudgmentally being aware of one’s environment, whether internal or external, has long been a core component of eastern religions, such as Buddhism, for over 2,000 years. Not until relatively recently, however, has the concept of mindfulness gained attention in Western psychology. As mindfulness has come to be associated with both psychological health and the absence of psychological distress, its practice has begun to be implemented in a number of cognitive behavioral therapies for a wide range of mental disorders.

The purpose of the present study was to examine the possible relationships between facets of measures used …

Effectiveness Of Teacher-Implemented Function-Based Interventions Versus Non-Function-Based Interventions For Preschoolers, Katherine Marie Bellone

Dissertations

Disruptive behaviors occur frequently in preschool classrooms. Children who exhibit early-onset behavioral concerns in educational settings are at greater risk for negative developmental outcomes than their peers. In order to address problem behaviors in the classroom, practitioners may use functional assessment methodology to design an individualized intervention tied to the function of the behavior. Alternatively, practitioners may choose to use an evidence-based practice, not tied to behavioral function, shown to be beneficial through research. Though much research states the need for empirical comparisons between function-based interventions and non-function-based interventions, past comparisons have often been unbalanced, such that the interventions included …

A Brief Acceptance And Commitment Therapy Protocol For Depression In An Inpatient Setting: An Effectiveness Study, Lucas Broten

Dissertations

The present study sought to investigate the utility of a brief Acceptance and Commitment Therapy (ACT) protocol for the treatment of depression in an inpatient setting. ACT is a generally promising treatment for a variety of psychological issues. Thirty-nine participants were randomly assigned using and weighted, blocked distribution to either Treatment as Usual (TAU) or individual sessions of ACT in conjunction with treatment as usual (ACT). The study compared re-admission rates between the ACT intervention group and the TAU group at 3 and 6 months. In addition, the study examined the proposed mechanisms of change between groups and depression rates …

Computerized Behavioral Activation Treatment For Major Depressive Disorder And The Effects On Sexual Desire, Anthony G. Bonita

Dissertations

The present study was designed to examine the effects of a computerized behavioral activation treatment program on sexual desire, sexual behavior, and depression symptoms. Seven adults who met criteria for either major depressive disorder or dysthymic disorder were recruited from Kalamazoo, Portage, and surrounding areas in Southwestern Michigan. All participants completed at least five sessions of behavioral activation treatment, and six out of seven participants completed all ten sessions. Symptoms of depression, sexual desire, and sexual behavior were assessed at pretreatment and before each treatment session through a combination of the Beck Depression Inventory – II (BDI-II), the Revised Hamilton …

A Prospective Examination Of Mindfulness Training On The Mitigation Of Postraumatic Stress Symptoms, Abby E. Blankenship

Dissertations

The current study investigated the ability of a one-session computerized mindfulness intervention to mitigate posttraumatic stress disorder (PTSD)-like symptoms in response to a trauma analogue. Ninety-two participants were randomly assigned to either mindfulness training or no treatment. Participants assigned to the mindfulness training completed a 1-hour computerized mindfulness training and practiced their skills for 1 week. All participants were exposed to an analogue for real-life trauma and were assessed at 1- and 2-week follow-up. Participants assigned to the mindfulness condition exhibited significantly lower levels of PTSD-like symptoms at 2-week follow-up in comparison to the no treatment condition. In addition, participants …

Motivational Interviewing Assessment And Behavior Therapy As A Stepped-Care Approach To The Treatment Of Adolescent Depression, Tanya N. Douleh

Dissertations

Depression is a significant public health concern with a lifetime prevalence of 24.01 for adolescents in grades 9-12 (Lewinsohn, Hops, Roberts, Seeley, & Andrews, 1993) and a point prevalence of 4-6% (Kessler, Avenevoli, & Ries, 2001). The risks associated with adolescent onset depression include comorbidity, depressive episodes continuing into adulthood, and suicidality. These risks make it imperative to develop effective treatments to address adolescent depression. Stepped care is an approach to treatment which involves treatment of illness using the least invasive measures first and moving toward more invasive treatment as indicated by ongoing assessment. Through a single-participant design, the current …

Trauma And Post-Traumatic Stress Disorder In Therapeutic Day School Students: Prevalence In This Population And Effective Treatment Programs, Monica Roberts

Dissertations

This survey-based, comparative study investigated the percentage of students at a suburban Chicago therapeutic day school who meet criteria for clinically significant levels of PTSD as compared to students in a general education setting. The directional hypothesis was that students placed at therapeutic day schools have a higher prevalence of PTSD than a general population of students. The method used was a survey assessment called the Child PTSD Symptom Scale (CPSS) given to 16 students at a suburban Chicago therapeutic day school. These CPSS scores were analyzed and statistically compared to CPSS scores of an already published study with students …

Toward The Development Of The Stereotypical Roles Of Black Young Men Scale, Amber Hewitt

Dissertations

There is a significant amount of literature on identity development in general, but there is a dearth of research focusing on identity development in relation to how other processes and constructs influence the identity development of African American young men. One such construct is the presence of stereotypical roles. The primary purpose of this study was to create a reliable and valid measure of the stereotypical roles of African American young men. This study explored the relationship between the endorsement of stereotypical roles, stigma consciousness, and masculinity of African American young men. African American young men (n = 164) between …

Neuropsychological, Psychological, And Injury Variables Associated With Post-Traumatic Stress Disorder In Individuals Who Suffered An Electrical Injury, Jana Wingo

Dissertations

Electrical injury (EI) represents a major form of trauma that can greatly impact the individual cognitively, physically, and emotionally. EI can lead to a variety of cognitive impairments affecting attention, processing speed, motor skills, and memory. Furthermore, EI can lead to a variety of physical impairments from burns to cardiac injury. In addition to other psychiatric disorders, individuals who suffer an EI can eventually develop Post-Traumatic Stress Disorder (PTSD).

This study examined a clinical sample of 143 individuals (86.0% male, 85.3% Caucasian, 44.1% diagnosed with PTSD) who have experienced an EI to determine the factors associated with the development of …

Can Psychopathic Traits Contribute To Success In Adolescence? Relations Between Boldness, Meanness, Disinhibition, And Adaptive Functioning, Matthew David Guelker

Dissertations

Psychopathy, though frequently couched as a distinctive set of traits with violent and aggressive behavioral consequences (i.e., Hart, Kropp, & Hare, 1988; McCord & McCord, 1964; Millon & Davis, 1998), was presented in one of the original conceptualizations as a set of specific traits (i.e., emotional unresponsiveness and behavioral deviance) that could manifest as charm, confidence, and social dominance without resulting in criminality and aggression (Cleckley, 1941, 1988). More recently, Patrick, Fowles, and Krueger (2009) developed the Triarchic Conceptualization of psychopathy that differentiates underlying components of psychopathy into boldness, meanness, and disinhibition. The factor structure of the Triarchic Psychopathy Measure …

The Relationship Between Suicide Ideation And Parasuicide: An Electrophysiological Investigation Using The Loudness Dependence Of Auditory Evoked Potential, Angelika Marsic

Dissertations

The loudness dependence of the auditory evoked potential (LDAEP) has been proposed as a promising valid and a non-invasive indicator of behaviorally relevant central 5-HT functioning. There is limited research on the utility of the LDAEP in discriminating individuals who engage in various degrees of suicidal behavior. The primary purpose of the present study was to examine if the LDAEP, as a measure of central serotonergic functioning, can be useful in distinguishing groups of individuals who: (a) solely experience suicidal ideation (SI group); (b) experience suicidal ideation and have engaged in deliberate self-harm acts (SH group); and (c) individuals with …

Empirical Identification Of Axis I And Axis Ii Symptom Subtypes Of Sex Addiction Using Lateny Profile Analysis, Maria Isabel Nino De Guzman

Dissertations

Sexual addiction is a disorder characterized by lack of control over sexual urges, pathological relationships and lack of intimacy, mood-altering experiences, and adverse consequences that tend to be disregarded by the person affected. Although not classified as a mental disorder in the Diagnostic Statistical Manual-IV-TR (DSM-IV-TR, APA, 2000) this distressful sexual manifestation is increasingly recognized as a clinical and public health problem. Previous studies suggest commonalities with addictive disorders and maladaptive personality traits. The purpose of the current study was to analyze personality configurations of individuals diagnosed as sex addicts and uncover specific subtypes or profiles associated to sexually addictive …

Does Psychopathy Predict Future Risky Sexual Behavior?, Jessica Jade Fulton

Dissertations

Risky sexual behavior (RSB), such as having sex with an unknown partner, is associated with a variety of negative consequences including sexually transmitted diseases and unplanned pregnancy. Previous research (e.g., Fulton, Marcus, & Payne, 2010) suggests that psychopathic personality traits as assessed by the Psychopathic Personality Inventory (Lilienfeld & Andrews, 1996) are associated with RSB. Self-Centered Impulsivity (SCI), which is characterized by impulsivity, irresponsibility, and reckless behavior, was positively associated with RSB among men and women. In contrast, Fearless Dominance (FD), which is characterized by fearlessness, manipulativeness, and social dominance, was positively associated with RSB among men but not women. …

Evaluating The Interpersonal Nature Of Humor: Mapping Humor Styles Onto The Interpersonal Circumplex, Jessica Erin Vaughan

Dissertations

The present study examined the interpersonal content of the four humor styles outlined in the Humor Styles Questionnaire in order to gather additional information about the interpersonal content of these humor styles. This was accomplished by projecting each of the humor styles onto the interpersonal circumplex. Each of the humor styles possessed significant interpersonal content and demonstrated interpersonal cohesion such that the maladaptive humor styles were located in the Cold-Hearted region and the adaptive humor styles were located in the adjacent octants of Gregarious- Extroverted and Warm-Agreeable. These findings suggest that the adaptive humor styles and maladaptive humor styles possess …

Narcissism And Interpersonal Relationships: Examining The Use Of Prosocial And Coercive Behavior Strategies Among Adolescents In A Residential Setting, Marion Tam'eca Wallace

Dissertations

The association between Machiavellianism and bistrategic control has been demonstrated in children and adolescents (Hawley, 2003). Machiavellianism shares several features with narcissism. The present study investigated whether adolescents with higher levels of narcissism were perceived by peers as engaging in prosocial or antisocial behaviors depending on the phase of the relationship and whether control strategies translated to peers’ ratings of likability. Forty-seven participants (43 males, 4 females) provided data for this study. Overall, individuals who reported higher levels of Machiavellianism also reported using more coercive behavior strategies. Self-reported narcissism was only associated with self-reported use of more coercive control strategies …

Social Cognitive Functioning And Social Competence In Children And Adolescents With Spina Bifida And Hydrocephalus: Social Cognitive Neuroscience As A Model, Caitlin Reid Roache

Dissertations

The purpose of the current study was to examine social cognition in children with spina bifida and congenital hydrocephalus (SBH) and to determine whether deficits in these domains are associated with poor social competence, utilizing concepts from social cognitive neuroscience. To build upon extant literature, multi-method assessments, multi-informant data, and a developmental, biopsychosocial perspective were utilized. Distinct aspects of social competence, as defined by social performance, social skills, and social adjustment, were considered.

The current study was designed to investigate: (1) differences in social cognition between children and adolescents with SBH and the general population, (2) potential neuroanatomical predictors of …

The Relationship Between Infant Crying And Father Well-Being, Leslie Katch

Dissertations

Infant excessive crying and fussing has been linked to adverse maternal outcomes such as increased depression and stress, and decreased feelings of parenting self-efficacy. Infant crying has also been identified as the number one trigger caregivers report prior to an abusive action, placing infants who cry excessively at risk. Fathers and male caregivers have been identified as the primary offenders in the majority of infant abuse cases, suggesting a particular risk between fathers and infants who cry excessively. However, the relationship between excessive crying and fathers has not been explored to the same extent as mothers. In an effort to …

The Direct And Indirect Impact Of Pain Intensity, Weight Status, And Activity Involvement On Social Competence Outcomes In Children And Adolescents With Spina Bifida, Bonnie S. Essner

Dissertations

The purpose of this study was to test a mediated effects model in which youth with spina bifida who have greater pain, are more overweight, or have worse motor control were expected to have fewer friends and to display worse social performance in part because their higher degree of condition severity interferes with their involvement in developmentally-appropriate activities.

Data for the current study were drawn from the first wave of a larger, longitudinal study of psychosocial adjustment of children and adolescents with spina bifida. The sample was comprised of 108 children and adolescents with spina bifida and shunted hydrocephalus, ages …

Measures Of Executive Functioning And Their Relation To Functional Outcomes In A Sample Of Youth With Attention-Deficit/Hyperactivity Disorder (Add), Amy Marie Lyons Usher

Dissertations

The current study examined two commonly used neuropsychological assessments of executive functioning in a sample of children and adolescents with attention-deficit/hyperactivity disorder (ADHD). The Test of Everyday Attention for Children (TEA-Ch) is a performance-based, objective measure of executive functioning, and the Behavior Rating Inventory of Executive Functioning (BRIEF) is a subjective, parent-report measure. Confirmatory factor analysis (CFA) was used to establish the factor structures of these measures to determine their appropriateness with a sample of youth with ADHD. The association of these assessment tools with functional outcomes (academic achievement, social functioning) was examined to establish their ecological and incremental validity. …

Neuropsychological Functioning, Parenting Behaviors, And Healthcare Behaviors Among Youth With Spina Bifida, Lauren Kelly O'Hara

Dissertations

Objective This study was designed to examine whether neurocognitive functioning (attention and executive functions) and parenting behaviors (acceptance, behavioral control and psychological control) are associated with medical adherence and autonomy among preadolescents and adolescents with spina bifida. Methods Questionnaire and observational data were collected from a sample of 8 to 15 year olds with spina bifida (n = 139) and their mothers, fathers, and teachers. Youth also completed neuropsychological testing. Results Youth with spina bifida demonstrated impairment on measures of attention and executive function, based on questionnaire and test data. Attention, executive function, and parenting behaviors were associated with medical …

A Mediational Model Predicting Adjustment In Affluent Adolescents: The Role Of Parental Perfectionism, Perceived Parental Pressure, And Organized Activity Involvement, Edin Randall

Dissertations

The current cross-sectional study evaluated the relative contributions of parental perfectionism (i.e., self-oriented, other-oriented, and socially prescribed), perceived parental pressure, and organized activity involvement (i.e,. intensity) on depressive symptoms, anxiety, substance use, and life satisfaction in a sample of affluent adolescents. Findings indicated that parental perfectionism, and specifically other-oriented and socially prescribed perfectionism, is an important contextual factor negatively influencing affluent adolescent adjustment. Additionally, perceived parental pressure was found to have robust associations with adolescent adjustment and to explain the link between parental perfectionism and adolescent adjustment. Furthermore, the current study revealed a synergistic association between intensity of organized activity …

Women's Cognitive Appraisals Of Their Birth Experience As Predictive And Maintaining Factors Of Postpartum Posttraumatic Stress Symptom Severity, Lauren Carr Spooner

Dissertations

Empirical support has accumulated for evidence of posttraumatic stress symptoms following approximately 30% of childbirth experiences (Olde, van der Hart, Kleber, & van Son, 2006). Researchers have suggested that there is a complex relationship among predisposing, precipitating, and maintaining factors that impact postpartum PTSD (Slade, 2006). Anxiety, perception of support, and negative cognitions are such factors that have been shown to significantly correlate with PTSD symptoms (Foa & Rothbaum, 1998; Olde et al., 2006; Soet, Brack, & Dilorio, 2003), but have not been studied together in relation to PTSD associated with traumatic birth. The current study controlled for trait anxiety …