Clinical Psychology Commons^™

How Animal-Assisted Therapy Is Understood And Perceived By Health Care Providers And The General Public In Canada, Healey M. Gardiner

Electronic Theses and Dissertations

The incorporation of dogs to assist humans with various activities has been documented for centuries. When a dog is included in treatment to meet an individual’s therapeutic goal it is known as Animal-Assisted Therapy (AAT). Little is known about how AAT is understood and perceived among healthcare professional and public populations in Canada. Although AAT has increased in popularly, limited research exists regarding its efficacy. Further, variation exists in the understanding and perceptions of AAT among the general pubic and healthcare professionals, possibly due to a lack of awareness of existing operational definitions and distinctions between classifications of “assistance animals.” …

Contributions Of Social Support To Mitigate The Impact Of The Covid-19 Pandemic On Pediatric Depressive And Irritability Symptoms, Alexandra Mactavish

Electronic Theses and Dissertations

Prior research, including my initial research on the mental health of children inSouthwestern Ontario, highlighted the broad, widespread impact of the COVID-19 pandemic on the mental health of adults, children, and youth, globally, including the potential for social support to attenuate the harmful impact of the pandemic. Social support, one’s belief that others will help in times of need, may protect against the impact of myriad life stressors on the development of psychopathology. The present study examines the potential for social support to mitigate the longitudinal impact of the COVID-19 pandemic on children’s irritability and depressive symptoms. Families (N = …

The Role Of Embodied Metaphor In The Relationship Between Vestibular Dysfunction, Anxiety And The Self, Kaitlyn Abrams

Electronic Theses and Dissertations

There is considerable evidence that vestibular dysfunction and anxiety are correlated. Clinical and philosophical arguments suggest that a loss of sense of self, experienced through symptoms like derealization and depersonalization, might contribute to this relationship. The present study used a mixed methods approach, including Systematic Metaphor Analysis, to analyze written short answer and quantitative survey data from one hundred and thirteen participants with vestibular disorders. The Systematic Metaphor Analysis revealed several primary metaphor concepts which elucidated the connections between concrete experience and abstract concepts in vestibular dysfunction. These included metaphors of Agency, Stability, Orientation, Self-Object, and Figure-Ground. Primary metaphors for …

Parental Self-Efficacy, Parenting Stress, And Mental Health Among Latina Mothers Of Young Children, Thania Galvan

Electronic Theses and Dissertations

Parenthood can increase the risk for mental health concerns, especially for Latina mothers. Poor maternal mental health can result in significant negative maternal and child outcomes, particularly if a mother’s mental health needs go unmet. In an attempt to better understand the factors that impact Latina mother’s mental health, this study explored the relations among parental self-efficacy, parenting stress, and mental health. It also explored mother’s self-reported resource availability and sociocultural factors as potential modifiable points of interventions in these relations.

Methods: The study was conducted using data from 132 Latina mothers that participated in a larger project examining stress …

Preconception Stress, Affect-Biased Attention, And Negative Affectivity: Assessing Pathways And Early Markers Of Psychopathological Risk In Infancy And Childhood, Danielle A. Swales

Electronic Theses and Dissertations

The developmental origins of mental health likely begin early in life and perhaps even prior to conception. Research is needed to elucidate pathways of risk and resilience in the development of psychopathology. The goal of the current dissertation was to explore how both preconception and postnatal experiences influence negative affectivity, a robust and transdiagnostic risk factor for later psychiatric symptoms. The present dissertation accomplished this goal by completing two independent studies, each of which are presented in the format of standalone journal articles. Study one focused on evaluating how preconception experiences, specifically maternal symptoms of post-traumatic stress disorder (PTSD), impact …

Fostering Trauma-Informed Schools By Considering The Experiences Of Teachers In Working With Trauma-Exposed Students, Allison A. Stiles

Electronic Theses and Dissertations

High rates of trauma exposure among youth in the United States and the detrimental effects of trauma on students’ psychosocial and academic outcomes are well-established. Such findings have engendered the emergence of trauma-informed schools across the nation. While research regarding trauma-informed schools has understandably focused on the needs of students, shockingly little is known about teachers’ experiences in working with trauma-exposed students. In particular, very few studies have examined the relationship between teachers’ indirect exposure to student trauma and related symptoms of secondary traumatic stress (STS), as well as factors that may predict STS levels or explain variation in the …

Is It Racism, Colorism, Or A Pigment Of Your Imagination? A Study On The Invisible Color Line, Yolanda Rodriguez

Electronic Theses and Dissertations

Participants were 324 self-identified ethnic/racial minority adults recruited from a southern university in the United States and an online community (MTurk workers) primarily ranging in age from 18-30 (78.4%). Participants completed a demographic questionnaire and a measure for each of the variables of interest. A moderated mediation analysis was conducted using PROCESS (Hayes 2013) model 8. It was hypothesized that acculturation modality (X) would predict skin lightening behaviors and attitudes (Y) through three mediators (M1: Discrepancy scores M2: Satisfaction with Skin Color and M3: Desire to Change Skin Color). Psychological well-being was predicted to be a moderator (W) of the …

Teaching Kids To Say "Ew!": Parent-Child Disgust Transmission, Brooklee Lightsey Tynes

Electronic Theses and Dissertations

Disgust is one of the six basic emotions but research suggests it is far more complex. As individuals respond to stimuli in different manners this suggests the emotion and its development may be shaped through learning principles and cultural practices (Rozin Lowery & Ebert 1994). It is imperative to understand how children’s disgust responses are shaped though observation classical and operant conditioning demonstrated by their primary caregivers. The current study examined the transmission of the emotion of disgust from primary caregivers to their children. Participants were 17 children (55.6% female) and one of their parents in Mississippi and Nebraska. The …

Empirical Support For Multidimensional Treatment Foster Care (Mtfc): A Critical Review, Jennifer Marie Ladner-Graham

Electronic Theses and Dissertations

Multidimensional Treatment Foster Care (MTFC), initially intended as a treatment for chronic juvenile offenders (adolescents having multiple contacts with the juvenile justice system), was designed as an alternative to placement within group facilities. MTFC allows the adolescent to remain in the community while receiving individual and family-based interventions. These interventions are dedicated to decreasing risk factors associated with offending (e.g., poor parental supervision, association with delinquent peers, poor academic performance) and increasing protective factors (e.g., effective parenting practices, healthy relationships with supportive peers, increased school involvement). MTFC has been utilized to meet the needs of a variety of populations (e.g., …

Wellness And Karate, Cristina Kumpf

Electronic Theses and Dissertations

The promotion of wellness is an integral part of the counseling field and is considered to be a central focus to the counseling process (Barden, Conley, & Young, 2015; Myers, 1992). The counseling profession adopted the concept of wellness because it harmonizes with many of the founding principles of the ACA and is seen as a process of questing toward optimal health and well-being in body, mind, and spirit (Barden, Conley, & Young, 2015; Myers, 1992; Myers, Sweeney, & Witmer, 2000). Additionally, ACA Code of Ethics (2014) state that counselors “engage in self-care activities to maintain and promote their own …

First Semester Academic Functioning Of College Students : The Role Of Stressful And Traumatic Life Events., Ashlee J. Warnecke

Electronic Theses and Dissertations

A large number of the nearly 20 million students who were attending American colleges in 2015 will not graduate. One factor that may affect the success of students is the influence of past experiences, including past adversity, or exposure to traumatic or non-traumatic stressors. The present study sought to better describe and understand the role of stress/trauma history in college students from low socioeconomic backgrounds. The potential relationship this history has with academic outcomes was explored. Additionally, as not all students with a history of stressful and traumatic life events struggle academically, self-reported resilience, as well as resiliency factors, were …

Using The Theory Of Planned Behavior To Predict Executives’ Intentions To Hire Psychologists In Federally Qualified Health Centers, Robert M. Tolliver

Electronic Theses and Dissertations

Health psychologists with training in integrated care are ideal candidates to work in Federally Qualified Health Centers (FQHCs). However, despite the large documented need for more behavioral health providers in FQHCs, psychologists are underrepresented in this setting compared to other behavioral health professions. The purpose of this study was to: 1) examine the specific beliefs that are most relevant to executives’ intentions to hire psychologists, 2) determine how executives’ perceived control over hiring psychologists varies by several demographic variables, and 3) examine how well the Theory of Planned Behavior (TPB) predicts executives’ intentions to hire psychologists. Method: Executives (N …

Biopsychosocial Models Of The Development Of Childhood Disruptive Behaviors, Anne Bernard Arnett

Electronic Theses and Dissertations

Hyperactivity/attention problems (HAP) and conduct problems (CP) are common and impairing disruptive behaviors in childhood and adolescence. Previous research has established that HAP and CP are highly comorbid, and that outcomes are worse for youth exhibiting both symptom clusters relative to youth with only one disruptive behavior type. Despite ample evidence that HAP and CP share common etiological factors and maladaptive outcomes, the nature of their developmental association remains unclear. This dissertation clarifies three important characteristics of comorbid HAP and CP development, in two replicate, longitudinal, population samples of youth. First, I test the theory that within-person variation in HAP …

Lesbian Couple Dynamics And Heterosexist Stressors: Building A Foundation For Culturally Competent Relationship Interventions, Shelby B. Scott

Electronic Theses and Dissertations

Lesbian relationships are severely underrepresented in the couples and family literature (Hartwell, Serovich, Grafsky, & Kerr, 2012). The current study sought to expand the basic science on lesbian couples with the overarching goal of informing evidence-based relationship interventions. The first aim of this study was to examine processes found to be important to relationship success in previous studies of couples in general, including communication, external support, household tasks, intimacy, and sex, as these processes are typically targeted in relationship interventions. The second aim was to examine the role of factors more specific to lesbian couples and related to heterosexist stressors …

Risk For Engagement In Nonsuicidal Self-Injury In Children And Adolescents, Andrea Lee Barrocas Gottlieb

Electronic Theses and Dissertations

Although NSSI engagement is a growing public health concern, little research has documented the developmental precursors to NSSI in longitudinal studies using youth samples. This study aimed to expand upon previous research on groups of NSSI engagement in a population-based sample of youth using multi-wave data. Moreover, this study examined whether chronic peer and romantic stress, the serotonin transporter gene (5-HTTLPR), parenting behaviors, and negative attributional style predicted the NSSI group membership as well as the role of sex and grade. Participants were 549 youth in beginning in the 3^rd, 6^th, and 9^th grades at …

The Impact Of Prefrontal Cortex "Warm Up" On Immediate Cognitive Reappraisal Ability In Older Adolescents With Elevated Symptoms Of Depression, Emma L. Peterson

Electronic Theses and Dissertations

Cognitive Reappraisal (CR) is a central component of Cognitive Behavioral Therapy for adolescent depression. Yet, previous research indicates that a brain region highly associated with successful CR in adults, the Prefrontal Cortex (PFC), is not fully developed until early adulthood. Thus, there is growing concern that CBT interventions directed at building CR abilities in depressed teens might be constrained by PFC immaturity. However, CR is an effective strategy for regulating affect. The current study evaluated an intervention aimed at enhancing CR performance through PFC “warm up” with a working memory task. Additionally, the study examined moderators of intervention response, as …

The Caregiver–Child Relationship, Youth Mental Health, And Placement Stability In A Child Welfare Sample, Laura A. Rindlaub

Electronic Theses and Dissertations

Objective: Healthy relationships between adolescents and their caregivers have been robustly associated with better youth outcomes in a variety of domains. Youth in contact with the child welfare system are at higher risk for worse outcomes including mental health problems and home placement instability. A growing body of literature points to youth mental health problems as both a predictor and a consequence of home placement instability in this population; the present study aimed to expand our understanding of these phenomena by examining the interplay among the caregiver-child relationship, youth mental health symptoms, and placement change over time. Method: The sample …

Internet Delivery Of Prep-Based Relationship Education For Older Couples, Benjamin A. Loew

Electronic Theses and Dissertations

Healthy marriage has been associated with increased longevity and better health in later life. At the same time, many older couples will confront age-related stressors that may result in relationship distress, such as declining health, decisions about retirement, and caring for elderly parents and/or adult children. Yet empirical knowledge of relationship dynamics among older couples is limited, and there appears to have been little development, provision, or assessment of research-based relationship services for this population.

In the current study, 93 individuals representing 61 older-adult couples participated in a randomized, waitlist-controlled trial of an online version of the Prevention and Relationship …

Attentional Processes Associated With Victimization History And Posttraumatic Symptomatology In Women Exposed To Intimate Partner Violence, Ryan B. Matlow

Electronic Theses and Dissertations

Exposure to intimate partner violence (IPV) puts women at risk for severe and chronic physical and mental health consequences, including elevations in IPV-related psychopathology and increased risk for future victimization. Previous research has examined attention as one of the key information processing mechanisms associated with elevated psychopathology and risk for victimization; however, the nature of attentional processing in response to IPV-related information in women exposed to IPV is poorly understood. Therefore, the current study aimed to further understanding of associations between attentional processing, IPV exposure, and related distress using measures of eye movement and subjective interpretations of IPV-related information. A …

Examining The Alliance-Outcome Relationship: Reverse Causation, Third Variables, And Treatment Phase Artifacts, John Paul M. Reyes

Electronic Theses and Dissertations

Psychotherapy research reveals consistent associations between therapeutic alliance and treatment outcomes in the youth and adult literatures. Despite these consistent findings, prospective associations are not sufficient to support the claim that the alliance is a change mechanism in psychotherapy. The current study examined the direction of effect of the alliance-outcome relationship, the contribution of early symptom change in treatment to the development of therapeutic alliance, and the potential for pretreatment interpersonal functioning characteristics to be third variables that account for the association between alliance and outcome. Participants were adolescents with depression and a history of interpersonal trauma that presented to …

Molecular Genetic Basis Of Opposite Gene By Environment Interactions In Reading Disability And Attention Deficit/Hyperactivity Disorder, Jennifer Rosenberg

Electronic Theses and Dissertations

The goal of this study is to better understand the genetic basis of Reading Disability (RD) and Attention Deficit Hyperactivity Disorder (ADHD) by examining molecular G x E interactions with parental education for each disorder. Research indicates that despite sharing genetic risk factors, RD and ADHD are influenced by different types of G x E interactions with parental education - a diathesis stress interaction in the case of ADHD and a bioecological interaction in RD. In order to resolve this apparent paradox, we conducted a preliminary study using behavioral genetic methods to test for G x E interactions in RD …

Re-Examining The Stop-Signal Task To Test Competing Theories Of Ad/Hd, Laura E. Santerre-Lemmon

Electronic Theses and Dissertations

The current study tested two competing models of Attention-Deficit/Hyperactivity Disorder (AD/HD), the inhibition and state regulation theories, by conducting fine-grained analyses of the Stop-Signal Task and another putative measure of behavioral inhibition, the Gordon Continuous Performance Test (G-CPT), in a large sample of children and adolescents. The inhibition theory posits that performance on these tasks reflects increased difficulties for AD/HD participants to inhibit prepotent responses. The model predicts that putative stop-signal reaction time (SSRT) group differences on the Stop-Signal Task will be primarily related to AD/HD participants requiring more warning than control participants to inhibit to the stop-signal and emphasizes …

The Impact Of Shyness On Loneliness, Social Anxiety, And School Liking In Late Childhood, Charity M. Walker

Electronic Theses and Dissertations

Shyness is associated with several emotional, social, and academic problems. While there are multiple difficulties that often accompany shyness, there appear to be some factors that can moderate negative effects of shyness. Research has demonstrated that certain parenting factors affect the adjustment of shy children in early childhood, but there is minimal research illuminating the effect of parenting factors in older age groups. The first purpose of this study was to examine relationships between shyness and loneliness, social anxiety, and school liking. The second purpose was to investigate whether the quality of the relationship between a parent and a 10- …

Phonological Memory And Broader Language Development: Longitudinal And Etiologic Relations, Robin Leonhardt Peterson

Electronic Theses and Dissertations

The current research investigated the relationship of phonological memory (PM) to vocabulary and syntax learning in school-age children with and without language disorders. Previous research has established that PM and broad oral language skills covary, but disagreement remains about the reason for this association. Opposing theoretical viewpoints emphasize the importance of either bottom-up (PM influences vocabulary and syntax acquisition) or top-down (vocabulary growth influences PM skill) factors. In three longitudinal studies, we tested competing bottom-up and top-down explanations of the PM-broad language link. Study 1 utilized a structural equation modeling approach to understand PM and broad language relations from age …

Family Coping As A Protective Factor For Poor Children, Catherine Decarlo Santiago

Electronic Theses and Dissertations

This study examined family influences on coping and adjustment among 90 low-income Latino middle school children (46% Female; Average age = 11.38, SD = .66) and their primary caregivers (93% Female; Average age = 36.12, SD = 6.13). All participants identified as Hispanic/Latino, with 75% of families identifying as Mexican-origin Latino, 77% of parents identifying as immigrants, and 32% of children identifying immigrants. All children participating in the study were receiving free or reduced lunch, a poverty indicator. Hierarchical linear modeling analyses revealed that family reframing is related to fewer symptoms of psychopathology and that familism enhances the protective effect …

Trajectory Of Quality Of Life In Advanced Parkinson's Patients Receiving Bilateral Subthalamic Nucleus Deep Brain Stimulation, Karl S. Chiang

Electronic Theses and Dissertations

Quality of Life (QOL) in Parkinson's disease (PD) patients after Deep Brain Stimulation (DBS) neurosurgery generally improves between 3 to 24 months post-operatively. However, QOL beyond 2 year follow-up is generally unknown. This study examined the QOL in 16 advanced PD patients who received DBS at an average of 7.5 year follow-up with the Parkinson's Disease Questionnaire (PDQ-39). Participants had an average Disease Duration of 20.57 years (SD 5.7) and a mean Age of 63.50 (SD 8.05). Linear regression analyses suggested a constellation of changes involving Time, Age, and Disease Duration. As Time progressed since DBS intervention, the PDQ-39 Cognitions …

Gene X Environment Interactions In Developmental Dyslexia, Lauren M. Mcgrath

Electronic Theses and Dissertations

The goal of this project was to advance understanding of the complex multifactorial etiology of developmental dyslexia, or reading disability (RD), by investigating gene x environment (G x E) interactions. This project tested for G x E interactions using molecular genetic methods and measures of psychosocial and bioenvironmental risk factors. There are two competing predictions that can be derived from existing G x E models about the expected direction of interactions in RD. There could be "diathesis-stress" interactions in which the effects of genotype are stronger in risk environments, or there could be "bioecological" interactions in which the effects of …

Mitigating Risk For Anxiety Among Preschool-Age Children Living In Poverty: Evaluating The Impact Of Adult-Provided Social Support On Autonomic Stress Reactivity, Brian Cory Wolff

Electronic Theses and Dissertations

Poverty increases children's exposure to stress, elevating their risk for developing patterns of heightened sympathetic and parasympathetic stress reactivity. Repeated patterns of high sympathetic activation and parasympathetic withdrawal place children at risk for anxiety disorders. This study evaluated whether providing social support to preschool-age children during mildly stressful situations helps reduce reactivity, and whether this effect partly depends on children's previously assessed baseline reactivity patterns. The Biological Sensitivity to Context (BSC) theory proposes that highly reactive children may be more sensitive than less reactive children to all environmental influences, including social support. In contrast, conventional physiological reactivity (CPR) theory contends …