Clinical Psychology Commons^™

Fostering Positive Emotion Through Self-Compassion In Individuals With Chronic Pain., Melissa E. Ellsworth

Electronic Theses and Dissertations

Previous research in chronic pain has established that reducing or removing negative aspects of functioning, such as negative emotion, maladaptive thoughts and behaviors are associated with better outcomes in this population. More limited is the research on the role of positive aspects of functioning in those with chronic pain, specifically exploring the benefits of positive emotion and how this can be bolstered in individuals with chronic pain. Limited research to date has explored strategies to promote positive aspects of functioning, including savoring, gratitude, and mindfulness, but even more limited is research exploring the role of self-compassion as a resource for …

Understanding The Relationship Between Positive Affect And Cortisol In Lung Cancer Patients., Lauren Ann Zimmaro

Electronic Theses and Dissertations

Positive psychobiological processes within lung cancer patients are drastically understudied. This dissertation explores the nature of positive affect (PA) and potential associations with diurnal cortisol among lung cancer patients, given the prognostic significance of diurnal cortisol rhythms. Theoretical underpinnings and current literature involving PA, cancer, and diurnal cortisol are first reviewed. An original integrated model of PA and cortisol among cancer patients is then presented, from which the proposed dissertation study and analyses are derived. Sixty-one non-small cell lung cancer patients provided self-report assessment of mood (PANAS PA and NA subscales, CES-D PA subscale), medical and demographic characteristics, and 10-day …

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 …

Cross-Validation Of The Body Compassion Scale In A Sample Of Women In Perimenopause., Jennifer K. Altman

Electronic Theses and Dissertations

This study is a cross-validation of the Body Compassion Scale (BCS) to confirm its factor structure and to assess concurrent validity in women in perimenopause. Body compassion is a construct developed by the author referring to the level of compassion with which an individual relates to her body. It is based in contemporary mindfulnessand acceptance-based conceptual models. The body is central to the experience of women in perimenopause. Moreover, this important transition has been largely medicalized— with little attention given to experiential aspects of this natural phase of life. A total of 281 women in perimenopause completed online questionnaires assessing …

Screening Older Adults For Depression : The Relationship Among Clinical Discipline Training, Barriers, Attitudes, Norms, And Perceived Behavioral Control., Ronald W. Smith

Electronic Theses and Dissertations

Purpose of the Study: The purpose of this study is examine the influence of barriers on clinicians’ decisions to screen for depression in older adults or to refer to other health professionals. A second purpose is to explore how well the Theory of Planned Behavior is supported as a framework for understanding the likelihood of screening for depression and how the variables within the theory interact with barriers to affect clinician behavior. A final purpose is to explore characteristics of depression screening or referral of older adults by several clinical disciplines. Design and Methods: This study featured a …

Do Healthcare Students Endorsing Stigma Of Mental Illness Screen For Suicidal Ideation? An Evaluation Of Knowledge, Attitudes, And Behaviors, Dannel K. Petgrave

Electronic Theses and Dissertations

The stigma of mental illness endorsed by healthcare professionals has been linked to adverse outcomes. This issue underscores the need for early anti-stigma interventions in the context of professional training. The present study measured stigma change and suicide screening behaviors among medical, nursing, and pharmacy students enrolled in an interprofessional Communication Skills for Healthcare Professionals course. The Mental Health Knowledge Schedule (MAKS; Evans-Lacko et al., 2010), Opening Minds Scale for Health Care Providers (OMS-HC; Modgill, Patten, Knaak, Kassam, & Szeto, 2014), and the Marlowe-Crowne Social Desirability Scale Form C (M-C SDS Form C; Reynolds, 1982) was administered at baseline (T …

Acculturation And Cross-Cultural Adaptation Among Refugees: The Moderating Role Of Emotions, Ezdehar Z. Alsahow

Electronic Theses and Dissertations

As a result of venturing across language and culture boundaries, individuals may

be exposed to different ways of living and thinking in which may trigger changes in the

way they conceptualize themselves and others. However, such experiences are not

identical for everyone, and the circumstances facing the crisis of refugees would appear

to be exceptionally difficult.

This paper aimed to address refugees’ attempt to acculturate and integrate into a

new society by examining potential moderating factors of emotional processes. The study

focuses on anger, anxiety, pride, and guilt; emotions that refugees carried with them

when they arrived to the new …

The Relationship Between The Dark Tetrad Using The Hexaco Personality Models In Relationship To Mental Toughness In College Athletes, Michael K. Ryerson

Electronic Theses and Dissertations

Dark Triad has been examined before in previous literature many different times. The Dark Tetrad is recently new to the field and does not have the same amount of literature as the Triad. The Dark Triad and Tetrad have been examined with the Big Five Personality model numerous times and have been negatively correlated in the previous research. However, most of the research examined did not use Honesty-Humility that the HEXACO Personality Model has incorporated into the Big Five Personality model. The topic of mental toughness has been researched numerous times since its acceptance as a personality trait. The difficulty …

The Effects Of One Neurofeedback Session On Eye-Tracking Distractibility When Completing Verbal And Visuospatial Search Tasks, Rebecca C. Recio-Swift

Electronic Theses and Dissertations

Attention Deficit Hyperactivity Disorder (ADHD) is a common and prevalent condition seen in all ages and throughout the world. School-aged and college-aged students seem to have the most difficulty in terms of academic performance, social functioning, and adaptive functioning. Visual attention and visual search are important aspects of attention. Visual attention drives what and how the brain processes and interprets information from the environment. Visual search is the ability to find a visual target within a set of distractors. Electroencephalography (EEG) Neurofeedback is the process of re-training brainwaves through operant conditioning. Neurofeedback (NF) has been suggested to be a non-invasive …

The Title, Laurent Turgeon-Dharmoo

Electronic Theses and Dissertations

The present dissertation seeks to address and redress clinical psychology’s disciplinary silence around the title of ‘Doctor’ and attempts to uncover possible meanings gathering around it by following several angles of disclosure: The self-disclosure angle recounts my own resistances and attempts at coming to terms with the title; The disciplinary disclosure angle critically reviews the scarce literature on the topic using discourse analysis; The empirical disclosure angle provides quantitative and qualitative analyses of data obtained from 27 Directors of Clinical Training and Training Clinic Directors, who were prompted to report how they use the title with various interlocutors, to outline …

Assessing Readiness For Group Therapy In Primary Care: An Initial Survey Exploring Need, Philip Randall

Electronic Theses and Dissertations

Primary care providers have become the front line of treatment for mental health in the United States. Group interventions have been argued to be an effective way to treat more patients with fewer resources, which could reduce the burden of psychopathology on primary care settings. Group therapy faces many barriers to successful implementation in primary care, including site constraints, provider perceptions, population needs, and recruiting difficulties. A survey was developed to assess primary care providers’ perspectives on these areas and distributed via online survey to practitioners in Appalachia; 28 providers responded. No hypotheses were supported, likely a result of the …

Chronic Pain Profiles And Past Bullying Experiences, Stephen Ratliff

Electronic Theses and Dissertations

The biopsychosocial model of chronic pain posits that chronic pain is influenced by factors such as depression, somatization, and psychological trauma (Gatchel, Peng, Peters, Fuchs, & Turk, 2007). Being bullied in childhood is one such factor that has been shown to be associated with chronic pain (Sigurdson, Wallander, & Sund, 2014; Voerman et al. 2015). Furthermore, those with chronic pain fit into one of three distinct psychological profiles (Williams, Urban, Keefe, Shutty, & France, 1995). The purpose of the current study was to examine the relationship between chronic pain profiles and reports of past bullying experiences. It was hypothesized that …

Fear Of Missing Out, Social Media Abuse, And Parenting Styles, Kylie Richter

Electronic Theses and Dissertations

With the increasing rise in technology use, particularly engagement in social media, it is important for researchers to gain a better understanding of the usage patterns along with the antecedents and consequences of heavy social media usage. In addition to the rise in social media usage, a new anxiety driven phenomenon is storming the research world, FoMO (Fear of Missing Out). To date, there has been little empirical research on the relationship between social media usage and psychological adjustment. This study aimed to investigate the relationships between FoMO, social media abuse, and parenting styles. It is theorized that because FoMO …

Schizotypy And Health Promotion: The Mediating Role Of Depressive Symptoms, Michael Rice

Electronic Theses and Dissertations

Introduction: In general populations, schizotypy and depressive symptoms may be present at sub-clinical levels. Previous research has shown that schizotypy may negatively associate with underlying factors of health promotion. Furthermore, depressive symptoms have also been shown to negatively correlate with underlying factors of health promotion. Method: Undergraduate students and Mturk users were asked to complete an online questionnaire consisting of surveys measuring schizotypy, depressive symptoms and health promotion. Results: A meditation model showed a significant negative indirect effect of schizotypy through depressive symptoms on health promotion. Additionally, schizotypy positively predicted health promotion when depressive symptoms were controlled. …

Potential Relationship Between Vascular Depression And Autobiographical Memory Specificity In An Older Adult Population According To The Car-Fa-X Model, Manuel Herrera Legon

Electronic Theses and Dissertations

Vascular depression is a type of depression that has its onset later in life, and it has been associated with cardiovascular or metabolic diseases. Depression can be costly and associated with other health problems, which is why it becomes imperative to uncover the multiple mechanisms of action for depression symptomatology. A proposed mechanism of action for the emergence of depressive symptomatology is poor autobiographical memory specificity according to the CaR-FA-X model. However, it remains unclear whether this mechanism contributes somehow to the vascular depression specific type. The purpose of this research was to determine the potential relationship between the mechanisms …

Young Adult Development And Caregiving: Disposition And Involvement In Care, Nicholas James

Electronic Theses and Dissertations

Caregivers are a diverse group of individuals with a variety of backgrounds and roles; however, research has widely overlooked young adults in this population. This study investigated young adult caregiver circumstance, burden, and use of support services with the purpose of improving future caregiving research and interventions. Study 1 compared burden and circumstance among young, middle aged, and older adult caregivers (N = 285) in addition to developmental indicators among young adults caregiver and demographically matched non-caregiver peers (n = 225). Study 2 surveyed caregivers from each age group (N = 151) on barriers to care, treatment preferences, and interest …

Olfaction, Memory, And Presence In Warfighters: Do The Scents Of War Matter?, Benson Munyan

Electronic Theses and Dissertations

Background: Exposure therapy (EXP) is a first-line intervention for combat-related PTSD. EXP works by repeatedly exposing the patient to the feared stimuli, situation, or physical sensations in the absence of actual danger until the stimuli no longer evoke maladaptive responses. Over the past decade, multiple technologies have been introduced to augment the EXP process by presenting multi-sensory cues (e.g., sights, smells, sounds) to increase patients' sense of presence. Exploratory research has only broadly examined the effect of odorants on the patient's sense of presence during simulated exposure tasks. This study hypothesized that those with autobiographical memories similar to the virtual …

Rumination And Executive Dysfunction: Risk Factors For Vascular Depression, David Brush

Electronic Theses and Dissertations

Introduction: The widely-supported vascular depression hypothesis is underspecified with respect to cognitive mechanisms by which high cerebrovascular burden (CVB) and neuropathology relate to depressive symptoms. Integration of the vascular depression hypothesis with the CaR-FA-X model, a framework of affect regulation mechanisms, suggest that Rumination (R) and executive dysfunction (X) may increase due to altered recruitment of the dorsolateral prefrontal cortex resulting from high CVB and underlying neuropathology. This process would contribute to depressive symptomatology among older adults with high CVB. The progression of examined hypotheses included mediation models examining mechanistic relationships between predictors (CVB, DLPFC activation), cognitive correlates (rumination, executive …

Childhood Experiences And Domestic Violence: The Role That Interpartner Violence Plays In Relationship Functioning And Parenting Behaviors In Adulthood., J'Nelle Stephenson

Electronic Theses and Dissertations

It is estimated that approximately 25% of women and 7.6% of men report experiencing violence from their romantic partner during their lifetime. Additionally, in households where interpartner violence occurs, there are between 3.3 and 10 million children in the United States alone. It is important to understand the cycle of domestic violence that can occur, as it can inform us about expected outcomes across time. This study examined mothers' childhood exposure to their own parents' domestic violence. It was hypothesized that childhood exposure to domestic violence would be related to unhealthy intimate relationships and to the development of maladaptive parenting …

Sleep Disturbances Among Firefighters: The Impact Of Shift Work On Sleep And Cognition, Jeremy Stout

Electronic Theses and Dissertations

A comprehensive sleep assessment of 45 firefighters was conducted over 9- days in an effort to determine the impact of their 24 hour work and 48 hour off work schedule on their sleep duration, sleep quality, processing speed, sustained attention, vigilance, and mental health. Chronic patterns of poor sleep are associated with an increased likelihood of performing poorly on tasks that require processing speed and sustained attention/vigilance which could lead to firefighters' suboptimal work performance or an increased risk of injury. Firefighters completed sleep actigraphy, self- report measures, as well as neuropsychological sub-tests at their beginning of their shift and …

The Efficacy Of A 6-Week Evidence-Based Support Group For Caregivers Of Dementia In A Primary Care Setting, Mona Shah

Electronic Theses and Dissertations

More than 16 million Americans provide unpaid care for those with Alzheimer's disease and other dementias. Extant literature has well documented the increased risk for physical, emotional, social and financial burden associated with caregiving. While intensive support groups may be well-suited to caregiver needs, they are often difficult to implement given financial, personnel and resource constraints. Thus, the purpose of this study is to examine the efficacy of a theoretically-based, 6-week caregiver support group in a community primary care setting. The group focuses on self-care, behavior management techniques and interdisciplinary caregiver resources. A total of 22 participants completed the active …

The State Of Trauma-Informed Care In The Preschool, Ellen Kolomeyer

Electronic Theses and Dissertations

This study aimed to provide a foundational knowledge base from which to begin bridging the gap between research on trauma-informed, relationship-based therapeutic interventions in early childhood preschool classrooms and the practice of such classroom-based interventions. Specifically, this study identified several specific predictors (e.g., funding) and barriers (e.g., lack of knowledge and training in assessment instruments and referral options) to gaining trauma-informed knowledge and engaging in trauma-informed practices in preschool classrooms. Individuals in leadership roles at preschools were sampled anonymously with regard to their current trauma-informed knowledge and program practices. Participants included 98 preschool leaders from Florida, 36 preschool leaders from …

Subjective-Objective Discrepancies Among Patients With Sleep Complaints In The Patient-Centered Medical Home, Keri Bayley

Electronic Theses and Dissertations

Sleep misperception – the discrepancy between objective and subjective measures of sleep – has been shown to be prevalent among patients with insomnia and may be a promising target for sleep intervention. This study examined sleep misperception in a diverse outpatient medical sample using consumer-grade wearable actigraphs (i.e., Fitbit Charge HR™). Forty-four self-identified problem sleepers aged 20 to 79 participated in the study. Participants completed sleep diaries for one week while also tracking their sleep using the Fitbit Charge HR™. After receiving a personalized sleep report based on these data, participants repeated another week of sleep assessment. Sleep misperception was …

Alcohol Pathology And The Triarchic Model Of Psychopathy: The Role Of Protective Behavioral Strategies And Impulsivity, Matthew Kramer

Electronic Theses and Dissertations

OVERVIEW: Psychopathy has been an area of growing interest in psychology for the last half century. Currently, the most common conceptualization of psychopathy breaks it down into two factors: primary and secondary psychopathy. More recently, psychopathy has been viewed through a more nuanced model, the Triarchic Model of Psychopathy. The present study examines the relationship between the three facets of the Triarchic Model and alcohol pathology via aspects of impulsivity and Protective Behavioral Strategies (PBS). METHOD: A college student sample of n = 967 individuals who endorsed consuming alcohol completed surveys regarding the Triarchic Model, impulsivity, PBS use, and alcohol …

How Much Is Enough? Trauma Recall And The Exposure Therapy Process, Krystal Morrison

Electronic Theses and Dissertations

Prevailing theoretical models of posttraumatic stress disorder (PTSD) as well as exposure therapy (EXP) methodology suggest that recall of a trauma is crucial to altering the conditioned fear response associated with PTSD (Benito & Walther, 2015; Craske et al., 2008; Foa & Kozak, 1986). However, it is unclear whether limited recall of the event impacts the EXP process and treatment outcomes. This study examined whether incomplete trauma recall affected pre-treatment PTSD severity, Initial Fear Activation (IFA), Overall Fear Activation (OFA), Within-Session Habituation (WSH), Between-Session Habituation (BSH; overall extinction), average length of EXP sessions, number of EXP sessions, and post-treatment PTSD …

Emotion Socialization And Families Of Children With And Without Adhd., Danielle M. Walerius

Electronic Theses and Dissertations

Emotional competence (EC) represents several distinct emotional skills found to be strongly associated with children’s socioemotional outcomes. EC is thought to develop through a process known as emotion socialization (ES), whereby children’s emotions and emotion-based behaviors are socialized through interactions with parents and/or other primary figures. The present study examined ES across families of children with and without ADHD in order to clarify the role ES plays in the development of EC in typically developing (TD) children versus children more prone to EC impairments due to intrapersonal characteristics (e.g., inattention, disinhibition, etc.). Forty-eight children 5 to 8-years-old (23 with ADHD, …

Predicting And Promoting Health-Related Quality Of Life For Parents Of Children With Autism: A Mixed-Methods Approach, Laura Delustro

Electronic Theses and Dissertations

The present study used a mixed methodology approach to understand factors that predict and promote health related quality of life (HRQOL) for parents of youth with Autism Spectrum Disorders (ASD). The first component of the study used quantitative analyses to determine the extent to which study variables predict HRQOL for parents of youth with ASD (N = 365). Findings show that HRQOL is positively impacted by increased total annual household income, increased age of the child with ASD, male gender, and tangible support. HRQOL was negatively impacted by increased age of the parent, increased parental perceptions of burden, and …

Examining Variables Associated With Age Of First Concern And Diagnosis In Children With Autism Spectrum Disorder, Amy Mathews Creel

Electronic Theses and Dissertations

Abstract

Autism Spectrum Disorder is a disorder that is present during a child’s early developmental ages; affects that child’s ability to communicate and socially interact with others; and involves the presentation of restrictive interests and/or repetitive behaviors. Autism Spectrum Disorder (ASD) symptoms/behaviors are recognized by parents and can be reliably diagnosed at age two but often are not diagnosed until after age four. Delay in diagnosis results in loss of important intervention services that can improve the well-being of children with ASD. This study examined ethnicity, severity of symptoms, and type of symptoms and their effect on the age at …

Exploring A Multifactorial, Clinical Model Of Thought Disorder : Application Of A Dimensional, Transdiagnostic Approach., Mara Ann Hart

Electronic Theses and Dissertations

Background: Bleuler saw thought disorder as the core defining feature of psychotic phenomena, reflective of the “splitting of the psychic functions” that occurred when, in the process of thinking, one’s ideas and feelings disconnect, becoming fragmented and competing functions. Unfortunately, interest in thought disorder as the conceptual core of psychosis was lost with rise of the modern DSM system, paralleling the shift towards a more simplistic, categorical way of defining psychiatric disorders. Aims: This study examined thought disorder from a dimensional perspective, with the aim of disentangling qualitative heterogeneity and diverse sources of influence. Analyses were based on …

The Roles Of Anxious Rearing, Negative Affect, And Effortful Control In A Model Of Risk For Child Perfectionism., Nicholas William Affrunti

Electronic Theses and Dissertations

Our understanding of perfectionism and its developmental trajectory and impact on children has experienced a recent growth. Research has shown that child perfectionism is associated with a number of negative outcomes including anxiety and depressive disorders, hopelessness, poor psychosocial treatment outcomes, and researchers have not found it to be associated with actual achievement. As such, research has begun to examine the developmental risk factors that predict for its development. The current study proposes utilizing a developmental psychopathology approach, one that purports a complex interaction among internal, external, risk and protective processes in the developmental of perfectionism. Specifically, the study examined …