Clinical Psychology Commons^™

Exploring The Relationship Between Discrete Cognitive Skills And Adaptive Skills In A Transdiagnostic Sample Of Children And Adolescents, Jacy L. Black

Doctor of Psychology (PsyD)

The relationship between intelligence and adaptive functioning has been well researched for neurodevelopmental disorders, including autism spectrum disorder and intellectual disability. However, the relationship between these constructs has yet to be fully explored in other clinical pediatric populations that exhibit significant deficits in adaptive functioning. This archival study investigated the relationship between cognitive functioning and adaptive behavior in a transdiagnostic sample of children and adolescents. Although past studies have examined these relationships utilizing estimations of generalized intellectual ability, the present research examined associations between adaptive skills and discrete cognitive skills, often referred to as cognitive domains. By identifying the association …

Basc-3 Adolescent Version For American Indian / Alaska Native (Ai/An) Adolescents With Learning Difficulties: Identifying Comorbidities, Benjamin L. Shannon

Doctor of Psychology (PsyD)

Deficiencies in cultural sensitivity among popular psychological assessment instruments can have significant consequences for diverse test takers, leading to inaccurate diagnosis, treatment planning, and intervention. The present study aimed to explore possible differences in mean raw scale scores between an AI/AN adolescent sample and BASC-3 SRP-A and TRS-A normative sample data, as well as to establish preliminary evidence to suggest an increased prevalence of social/emotional dysfunction for AI/AN adolescents diagnosed with multiple specific learning disabilities (SLDs). Archival BASC-3 SRP-A and TRS-A data, collected from students and teachers at a residential school for American Indian / Alaska Native (AI/AN) adolescents from …

Examining The Role Of Executive Functioning In Self-Care Of Type 1 Diabetes Among Youth, Erin Vogel

Doctor of Psychology (PsyD)

This study explores the relationships between youth executive functioning, symptoms of depression, the self-management (self-care) of Type 1 diabetes (T1D), and glycemic control, a proxy for diabetes-related health outcomes. Utilizing archival clinical data from a universityaffiliated pediatric diabetes clinic, the study tested a priori hypothesized associations between depressive symptoms, executive functioning, diabetes self-care, and health outcomes. Parent and youth measures included the Patient Health Questionnaire-9 to assess youth depression, the Diabetes Related Executive Functioning Scale-Short Form to assess youth executive functioning, and the Diabetes Self-Management Profile-Short Form to assess youth diabetes-related self-care behaviors. Hemoglobin A1c (HbA1c) assays were a secondary …

Sport-Related Concussions In Division Iii Athletes: A 10-Year Prospective Analysis Of Trends And Incidence, Shaylyn R. Thorne

Doctor of Psychology (PsyD)

Sports-related concussions (SRCs) among college athletes remain a growing area of concern due to a myriad of potential short and long-term implications. Understanding concussion trends and incidence in collegiate sports is critical for guiding prevention and management strategies. This study examined concussion injuries among NCAA Division III collegiate athletes at a single institution over a 10-year period. Analyses focused on trends in concussion incidence across sports, genders, and changes associated with institutional and NCAA policy updates. Results indicated that concussion incidence varied across sports and time, with higher rates in contact sports such as football and soccer. Significant differences occurred …

Relational Changes In A Study Of Youth Diagnosed With Cancer, Emily C. Larsen Avnet

Doctor of Psychology (PsyD)

This dissertation explores the relational experiences of youth with cancer within a metropolitan hospital. Through archival interviews with 10 participants, the study identifies seven themes that encompass the youths’ experiences of how a life-limiting illness impacts their relationships and the role it plays. The findings reflect the complexity of a life-limiting illness, particularly during the adolescence and/or pediatric phases of life. The study highlights the importance of relationships, perceived support, and the impact of a cancer diagnosis in youth’s lives and the lives of their loved ones. The results can inform caregivers, loved ones, medical teams, and mental health care …

Antisocial Personality Disorder And Trauma In Females, Marissa Lange

Doctor of Psychology (PsyD)

Antisocial personality disorder (ASPD) is a diagnosis reserved for individuals who feature deceitfulness, impulsivity, aggressiveness, recklessness, and irresponsibility. Evidence suggests that experiencing trauma is an etiological factor in developing antisocial traits in males. The prevalence of ASPD in the U.S. is three to one, male to female. However, research indicates females are substantially underdiagnosed due to exclusionary diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.-Text Revised; DSM-5-TR; American Psychiatric Association, 2013). The Personality Assessment Inventory (PAI) is a personality measure that features a conceptualization of ASPD that differs from the DSM-5-TR and includes more personality-specific …

The Effect Of Completing The Ace Questionnaire On Electrodermal Activity, Nicholas P. Cherry

Doctor of Psychology (PsyD)

The adverse childhood experience (ACE) questionnaire assesses the number of traumatic experiences during childhood and has been shown to predict negative health outcomes associated with more adverse events during childhood (Felitti et al., 1998; Mersky et al., 2013). While studies have examined the immediate impact of recent traumas on the individual’s physiology, few have examined the effect of administering questionnaires about past adverse events. This study utilized electrodermal activity to measure sympathetic nervous system activity while participants completed the ACE questionnaire compared to participants who completed a benign survey. Half of the ACE questionnaire participants were given a verbal prompt …

Waking The Nightmare: Understanding The Relationship Between Trauma And Sleep In Children, Jacklyn Ewald

Doctor of Psychology (PsyD)

This clinical dissertation expands upon previous research investigating the impact of trauma on children’s sleep quality. Prior research utilized subjective reports of trauma’s impact on sleep in children or objective measures which studied a specific traumatic event. This study used objective measures through cardiopulmonary coupling to study sleep in children with trauma exposure. Participants completed a questionnaire which included the Pediatric Adverse Childhood Experiences (ACEs) and Related Life Events Screener (PEARLS) or Adverse Childhood Experience (ACE) questionnaire, Pediatric quality of life scale, the Children’s Sleep Habits Questionnaire, and demographic information. Trauma was defined by endorsement of any items on the …

Vicarious Trauma And Doctoral-Level Trainees: Self-Care Practices, Elisabeth B. Gibson

Doctor of Psychology (PsyD)

Research reflects correlations between trauma history and motivation to pursue a career in clinical psychology and mental health professions. Professional longevity is a concern for clinicians in general, especially for clinicians with a trauma history who work with people suffering with trauma conditions. Trauma histories measured by adverse childhood experiences (ACEs), are likely to be present within students of doctor of psychology training programs, and may influence doctoral trainee readiness and ability to engage clients in clinical work. Self-care is thought to not only support overall well-being, but to also mitigate the negative consequences of stress associated with clinical work. …

Psychological Factors That Interfere With Provider Use Of Medication Assisted Treatment For Opioid Use Disorder, Courtney Spencer

Doctor of Psychology (PsyD)

Since the implementation of Medication Assisted Treatment (MAT) for treatment of Opioid Use Disorder (OUD), providers have struggled to obtain the necessary waiver (X-waiver) due to required federal applications, training, and guidelines around prescribing. Nevertheless, prescribers have gone through this arduous process to gain their X-waiver, but a unique phenomenon has occurred where some providers with an X-waiver are not utilizing their ability to prescribe MAT. The current study sought to uncover trends in providers prescribing practices while assessing possible factors involved including personality, compassion, compassion fatigue, personal connection, and confidence factors that may be associated with a willingness to …

Is Ego Strength A Trait That Contributes To Trauma Resilience?, Matt Hiltebrand,

Doctor of Psychology (PsyD)

Given the ubiquitous experience of trauma among first responders, there is a critical need to understand the traits that contribute to resilience in experiencing traumatic events. Strength of identity is associated with resilience in several meaningful life events including negative peer review, adjustment to significant change, and recovering from depression or anxiety (Kim & Choi, 2013). There is a scarcity of research that has examined ego strength as a trait that contributes to trauma resilience. The aim of this study was to explore the relationship between ego strength and the experience of trauma among veteran first responders (including, paramedics, firefighters, …

Bipolar Screening Among Spanish-Speaking Us Residents Using The Mood Disorder Questionnaire, Emanuel T. Recinos

Doctor of Psychology (PsyD)

The Mood Disorder Questionnaire (MDQ) is a self-report screening instrument used to detect Bipolar Disorder (BD). Psychometric properties of Spanish translations of the MDQ are from communities where both language and cultural differences are present. A Spanish version of the MDQ not been validated among United States individuals who identify Spanish as their preferred language of communication.

Objective

We propose that the validation of a Castilian Spanish version of the MDQ is needed for cross-cultural adaptation, determining optimal cut-off scores, and as an aid to the literature on BD prevalence, specifically BD among Spanish speakers of the United States.

Methods …

Preventing Burnout: The Role Of Personality And Awareness In Early Career Mental Health Professionals In Acute Settings, Whitney J. Standal Schollars

Doctor of Psychology (PsyD)

Burnout among health professionals had been increasing over the last decade, but amidst the global impact of COVID-19, burnout has contributed to a national health care crisis (Bednar, 2019; Sklar et al., 2021). Due to increased demand and patient acuity, entry-level mental health professionals (MHPs) in acute settings are specifically at risk (Morse et al., 2012; Simpson et al., 2018). Moreover, unique variables related to personality disposition and emotional vulnerability from trauma can create a predisposition for burnout (Alarcon et al., 2009). This study explored the impacts of personality and emotional awareness curriculum on managing stress amidst crisis work and …

Experience Of Loss And Resilience In Persons With Chronic Pain, Lauren Abshire

Doctor of Psychology (PsyD)

Chronic pain is one of the most common concerns people seek medical treatment for, yet it is historically difficult to treat. The current best evidence practice in chronic pain treatment is through a multidisciplinary team with psychologists implementing cognitive behavioral therapy or acceptance commitment therapy. These approaches are efficacious in decreasing pain-related behaviors and improving mood and quality of life. Resilience has also been shown to mitigate the impact of chronic pain. However, the sense of loss or grief related to the experience of chronic pain has been inadequately explored in the research literature and may be related to poor …

Adhd Performance On Nonverbal Measures Of Set Shifting And Working Memory, S. Hans Stoltzfus

Doctor of Psychology (PsyD)

The relationship between language and cognition is an area of inquiry among many psychologists (Pellicano, 2010; Russel, 1996). The connection between thoughts, verbal language, and nonverbal communication turned researchers towards the relationship between language and executive functioning. Executive functioning (EF) is described as tasks involving working memory, inhibition, and set shifting (Miyake and Friedman (2012)). Despite studies demonstrating the correlation between language deficits and lower executive functioning there is not consensus on the directionality of the relationship (Kuhn, et al 2014; Boting et al., 2017). Data from the Leiter International Performance Scale, Third Edition (Leiter-3) (Roid, et al., 2013) were …

Defining An Adult Screener For Fetal Alcohol Spectrum Disorder: A Study Of Court Populations, Allison Mushlitz

Doctor of Psychology (PsyD)

Very little information is known about Fetal Alcohol Spectrum Disorders (FASD) within corrections populations, yet research suggests higher prevalence rates among these populations compared to the general population (Burd, Selfridge, Klug, & Bakko, 2004). In order to evaluate FASD within a corrections population, an established behavioral screener, FAS BeST (Robins & Andrews, 2009), was adapted for adults along with a selected protocol of cognitive and neuropsychological testing. The study aimed to identify testing performance and response patterns unique to individuals with an FASD in order to develop a cognitive and behavioral profile, and to evaluate the Self-Report and Adult Other …

Cultural Humility And Grace In Explicitly Christian Programs, Tricha L. Weeks

Doctor of Psychology (PsyD)

Cultural Humility is a vital component of healthy attitudes characterized by lack of superiority towards other’s cultural experiences (Hook, Davis, Owen, Worthington, & Utsey, 2013). To date, no published research has examined the impact of cultural competency training on the development of Cultural Humility and Grace among doctoral psychology students. Utilizing Hook et al.’s definition of Cultural Humility, this study examined how participation in an American Psychological Association accredited clinical psychology program affected the Cultural Humility and Grace of enrolled students.

Data were collected from students, faculty, and clinical supervisors across three training settings during the 2017-2018 academic year. Students …

Dissociation And Metacognition: A Mixed Methods Analysis, Richard E. Nalbandian

Doctor of Psychology (PsyD)

Dissociation commonly occurs as a defense against trauma and can be understood as a breakdown in metacognition. The present research investigated the relationship between trauma, dissociation, and metacognition in subjects with PTSD, a trauma-related disorder. Specifically, we investigated a potential inverse relationship between metacognition and dissociation in participants who have undergone psychoanalytic therapy. Participants were patients admitted to the Austen Riggs Center, who consented to be a part of the Follow Along Study (FAS), a longitudinal investigation spanning 15 years. Quantitative and qualitative analyses examined differences in themes of dissociation across initial and follow-up-clinical interviews. Quantitatively, all subscales for metacognition …

Experiences Of Hope, Resilience And Spirituality In Kenyan Children And Adolescents, Anne King

Doctor of Psychology (PsyD)

Resilience is a vital factor in overcoming adversity. The presence of hope and spiritual meaning have been demonstrated to contribute to resilience. Globally, there are millions of children and adolescents who have faced traumatic experiences including, but not limited to, the loss of their parents. The current study explored Kenyan children and adolescents’ experiences of resilience, hope and spirituality in the environment of a group home and school in Kenya. Mixed measures were utilized. Seventy-five participants ages 10-19 years old completed the quantitative measures including the CD-RISC, SEARS-C/A, the Children’s Hope scale, the Adult Hope scale, and a 1-item Spirituality …

The Effect Of Adverse Childhood Experiences On Psychosocial Wellbeing, Gabrielle C. Yundt

Doctor of Psychology (PsyD)

As a result of adversity, trauma, or maltreatment, a child’s primary defense is to engage in self-blame in order to maintain a belief in a safe world. Without intervention, these adaptive strategies may continue to shape the way survivors relate to themselves and make meaning out of negative events. This study hypothesized that participants with adversity in childhood have an increased likelihood of low self-compassion (indicating tendencies towards self-judgment, overidentification, and isolation). This study further hypothesized a positive correlation between posttraumatic growth, resilience and hardiness. Participants in this study were adults recruited from three online sites (social networking, online forum, …

Relationship Of Proximal Predictors Of Success In A Psyd Program On Alumni Distal Factors, Nicole Fontenot Ford

Doctor of Psychology (PsyD)

Due to the new Standards of Accreditation (SoA) by the American Psychological Association (APA), implemented in 2017, there is minimal research to evaluate how proximal competency factors within clinical psychology programs relate to distal outcomes of alumni. This study consisted of 65 doctoral psychology graduates who completed an APA alumni survey 2 and 5 years after graduation. Findings showed strong positive relationships between faculty mentoring, foundational knowledge, program support and clinical training. Results showed proximal factors of faculty mentoring significantly predicted graduates would be employed as psychologists, while program support (peers and faculty) significantly predicted lifelong learning of alumni. Career …

A Culturally-Sensitive Exploration Of Adversity And Resilience Among Trinidadians, Christabel Léonce

Doctor of Psychology (PsyD)

Research done by the Center for Disease Control (CDC) found that adverse childhood experiences (ACEs) such as abuse, household challenges, and neglect were linked to later health risks in life and overall well-being (CDC, 2019). Adverse experiences occur worldwide in a variety of culturally-specific ways. Research involving youth in Trinidad and Tobago outlines emerging concerns with violence in homes, communities, and schools (Baker-Henningham et al., 2009). Currently, however, there is limited data on adverse experiences and their long-term impact in Trinidad and Tobago. Trinidadians (n = 79), born and lived in Trinidad till 18 years was surveyed, ranging from ages …

Psychopathic Personality Traits In Students Entering Helping Professions, Sarah E. Gallup

Doctor of Psychology (PsyD)

Psychopathy is often misrepresented as a sign of criminality and deviance. However, current literature suggests that psychopaths make up approximately one-fifth of the general population. Some people use these characterological traits to their benefit in positions of leadership. In this study, students from a Christian university in the Pacific Northwest were selected to participate in a survey, based upon their chosen major (Business, Psychology, and Religion). It was hypothesized that Business students would have the highest total levels of psychopathy and religion majors would show the lowest levels of psychopathy. Since religion often serves as a protective factor, it is …

The Weight Of Shame And Trauma In Bariatric Patients, Jordan D. Stricklen

Doctor of Psychology (PsyD)

Past research has shown that Adverse Childhood Experiences (ACEs), including neglect and abuse, are correlated with obesity and other adverse outcomes in adulthood. Here it is proposed that childhood adversity follows a path to internalized shame, which then motivates a coping mechanism which can result in extreme obesity. Participants were gathered through a bariatric surgery program through support groups and as part of an amended intake process. They completed the ACEs as well as the Internalized Shame Scale (ISS). Data analysis attempted to find relationships between ACEs, the ISS, and each participant’s highest BMI at any point in the bariatric …

Metacognitive Changes In Individuals With Severe Mental Illness In Response To Psychoanalytic Therapy, David Neal

Doctor of Psychology (PsyD)

Objectives. Metacognitive deficits are thought to be closely related to functional impairment in a variety of mental health disorders. Understanding metacognitive differences between groups may provide insight into etiology and treatment of mental illness. This study sought to investigate group differences in metacognition and metacognitive changes over time in response to long-term psychodynamic psychotherapy amidst a population with severe mental illness diagnoses, specifically borderline personality disorder (BPD), narcissistic personality disorder (NPD), and schizoid personality disorder (SPD).

Methods. Twenty-eight participants meeting inclusion criteria were selected from amongst participants in the Austen Riggs Center’s (ARC) 11-year Follow-Along Study (FAS). For each participant, …

The Obstacles To Receiving Grace In A Substance Abuse Population, Bradley Johnson

Doctor of Psychology (PsyD)

Grace has been important throughout the history of Christianity, and it is also relevant in the contemporary positive psychology movement. Nonetheless, the construct of grace has been left relatively unexplored through theoretical or empirical investigation in the social sciences. The few psychological explorations of grace found in the current literature can be roughly divided into four categories: advocating for grace, theoretical development, measuring grace, and empirical studies of grace. The current study examined the obstacles to grace experienced by patients in a substance abuse recovery program. Seven obstacles were first identified by a group of 25 participants through the use …

Emotional And Spiritual Well-Being As Predictors Of Burnout Among Doctoral Clinical Psychology Trainees, Garret L. Blankenship

Doctor of Psychology (PsyD)

It has been observed in prior studies that student spiritual engagement and attribution tends to decline throughout graduate clinical training in psychology (Eisele, 2016; Fisk et al., 2013). This is problematic considering the inverse relationship between spirituality and stress (Calicchia & Graham, 2006) and the protection it provides against burnout. Also protective against burnout, and correlated with spirituality, is Emotional Intelligence (EI; Kaur, Sambasivan, & Kumar, 2013). Both EI and spirituality are related to lower burnout, less depression, and greater life-satisfaction (Kroska et al., 2017). Despite burnout being a common experience for graduate students in medical school (Amir, Kumari, Olivetta, …

A Program Evaluation On The Effectiveness Of Chronic Pain Management In A Rural Community, Sylvia D. Ramirez

Doctor of Psychology (PsyD)

Chronic pain is a well-known, significant problem in the United States, affecting approximately 55% of adults in Western countries. Opioid use to manage chronic pain impacts individual’s social, psychological, and physiological health. The shortcomings of monotherapy, such as opioid use, have been led to extensive research to develop and assess the outcome of multi-disciplinary evidence-based programs. Rather than eliminating pain, interventions focus on pain management and improving quality of life, independence, and mobility. This quasiexperimental study examined the effectiveness of the Persistent Pain Program (PPP), an 8-week Cognitive Behavioral Treatment program and movement therapy intervention for patients living in a …

Do Calories Count? Examining The Impact Of Calorie Awareness On Food Selection, April V. Rose

Doctor of Psychology (PsyD)

This study examined whether purchasing behavior of patrons in a college campus cafe changed when calorie information was provided. It compared weekly sales on food items before and after calorie information was posted for a group of target items (n = 6) that had calorie counts posted in fall 2017 and two groups of comparison items. Archival sales data were collected using the existing point-of-sale system. Sales of target items, which had calories displayed next to them, dropped significantly when compared with sales of the same items during the previous year. Sales of target items also dropped significantly when compared …

Evaluation Of Parental Stress And Appointment Satisfaction In A Feeding Disorders Clinic, Erin L. Besser

Doctor of Psychology (PsyD)

More than one-quarter of the pediatric population in the United States struggles with feeding or swallowing challenges, many of which become chronic, lifelong disorders. Diagnosis and treatment of feeding and disorders can be challenging due to the interplay of behavioral and medical factors that create food refusal by the child. Treatment of feeding disorders is difficult, as it requires comprehensive involvement of parents and caregivers, which can be demanding and stressful. Parental stress may include anxiety, fear, and frustration with the child(ren) with feeding or swallowing disorders and can negatively affect health outcomes for children. Specialty clinics designed to address …