Clinical Psychology Commons^™

Do Resiliency And Coping Skills Moderate The Relationship Between Mood Disorders And Parenting Styles Due To Parental Relationship Distress?, Tiffany Burks

Electronic Theses and Dissertations

Parental relationship dynamics such as intimate partner violence (IPV), interpersonal distress (IPD), and parental alienation (PA) can significantly affect both mental health and parenting practices. This study examined whether personal strengths, specifically resilience and problem-focused coping, could help buffer these negative outcomes. Correlational analyses showed that IPV, IPD, and PA were positively associated with symptoms of depression and anxiety. IPV and PA were also negatively associated with the use of an authoritative parenting style. In contrast, resilience and problem-focused coping were linked to fewer mood-related symptoms and greater use of authoritative parenting. Multiple regression analyses revealed that IPV significantly predicted …

Pilot Implementation Of Mom Power In The Appalachian Highlands: Acceptability And Effectiveness Of A Parenting Group For Mothers With High Psychosocial Need, Megan Wolff

Electronic Theses and Dissertations

Children need safe, stable, and nurturing relationships with a caregiver for optimal development. Maternal childhood adversity, traumatic life experiences, and mental health challenges can adversely impact parenting beliefs and behaviors in ways that compromise a caregiver’s ability to create and sustain a healthy caregiving environment for their child(ren). In the professional world of infant and early childhood mental health (IECMH), policies, providers, and programs work together to promote optimal child and family wellbeing to reduce the intergenerational transmission of risk and to empower resilience in families and communities. The present study investigated the feasibility, acceptability, and effectiveness of the pilot …

Exploring Young Adults’ Implicit Theories Of Emotion And Emotion Dysregulation On Parental Emotion Socialization And Internalizing Symptomology, Daryl Parungao

Electronic Theses and Dissertations

Research regarding emotion socialization suggests parents’ responses towards their children’s negative emotions, which may be characterized as either emotion dismissive or emotion coaching behaviors, are associated with children’s well-being into adulthood. A heuristic model of emotion socialization suggests that child-level factors related to emotion processing may moderate this association (Eisenberg, 1998), which warrants further examination when considering relevant risk factors for mental health disorders such as anxiety and depression. This dissertation explored how parent emotion socialization responses interact with young adults’ beliefs about the controllability of emotions and their difficulties with emotion regulation with regard to their impact on young …

Exploring Predictors Of Treatment Dropout In Primary Care Behavioral Health Using Andersen’S Behavioral Model Of Health Services, Mara W. Sindoni

Electronic Theses and Dissertations

A recent meta-analysis indicated a 19.7% dropout rate from outpatient mental health care. Andersen’s Behavioral Model of Health Services identifies predisposing, enabling, and need factors as potential predictors of treatment dropout. The Primary Care Behavioral Health (PCBH) model aims to improve accessibility of mental health care but research on dropout in this setting is lacking. This study examined bivariate relationships between Andersen's factors and dropout in PCBH, and interviewed participants about their intentions to attend subsequent PCBH visits. No statistically significant bivariate relationships were found, likely due to small sample size (n = 15). Reflexive Thematic Analysis identified two themes …

Adolescent Externalizing Symptoms And Parent Emotion Socialization: An Examination Of Longitudinal Effects And Differences By Adolescent Sex, Cheston West

Electronic Theses and Dissertations

Adolescence is an important developmental context with several changes in social and emotional functioning. Though adolescents are gaining independence from their caregivers, they still engage in dynamic interactions with their caregivers who remain key figures in their lives. When adolescents express emotions, caregivers engage in various behaviors in response to these expressions, a process known as emotion socialization. This process has mostly been examined as a parent-driven construct in which parent emotion socialization impacts child-level outcomes, namely internalizing symptoms, with limited research on externalizing symptoms. However, available literature demonstrates that child-level characteristics (e.g., externalizing symptoms) are linked to differences in …

Social Identity And Eating Behaviors: How Cultural Norms Impact Disordered Eating, Cierrah J. Fulenwider

Electronic Theses and Dissertations

Disordered eating behaviors (DEBs), such as frequent dieting, emotional eating, and obsessive “clean eating,” are increasingly prevalent in our society and have been linked to significant physical and psychological health risks. However, the role of sociocultural influences, such as discrimination and social media, are often overlooked. This study examined the relationship between disordered eating behaviors and perceived discriminatory experiences, social media use, physical self-description, and attitudes toward eating among undergraduate college students. The sample consisted of 110 undergraduate students. Participants completed an electronic survey comprised of the Everyday Discrimination Scale-S (EDS-S), Social Media Usage Scale (SMUS), Eating Attitudes Test-26 (EAT-26), …

The Relationship Between Anxiety, Self-Esteem, And Religiosity Among College Students At A Private Christian University, Maximo Fuentes Rojo Jr

Electronic Theses and Dissertations

ABSTRACT This study investigates the relationships among anxiety, self-esteem, and religiosity in a sample of 131 college students attending a private Christian university. Anxiety is a prevalent mental health concern for college students, often leading to detrimental effects on academic performance and overall well-being (Center for Collegiate Mental Health, 2020, 2022, as cited in Tan et al., 2023). Self-esteem, a critical component of self-concept, plays a significant role in mental health outcomes, with lower self-esteem linked to higher levels of anxiety (Baumeister et al., 2003; Beck, 1967). Religiosity has been identified as a potential coping mechanism, offering emotional support and …

Non-Suicidal Self-Injurious Behavior In Higher Education: Examining Its Prevalence And Correlates, Kacie N. Lancaster

Electronic Theses and Dissertations

The prevalence of non-suicidal self-injurious behavior (NSSIB) among college students has notably escalated despite advancements in mental health treatment. NSSIB is defined as intentional destruction of body tissue without suicidal intent. There is a growing need to understand NSSIB in the context of college students who experience unique stressors that influence their mental health. This study (1) determined the prevalence of non-suicidal self-injurious behavior among an undergraduate college student sample, (2) examined the relationship between NSSIB and sociodemographic variables (age, gender, ethnicity, socioeconomic status), (3) examined the relationship between NSSIB and the variables of psychiatric comorbidity, history of trauma, and …

The Effects Of Loving-Kindness Meditation (Lkm) On Relationship Satisfaction In Couple Therapy, Ruimeng Gao

Electronic Theses and Dissertations

This thesis explores the integration of loving-kindness meditation (LKM) into couple therapy sessions and its impact on relationship satisfaction. Meditation, historically rooted in religious practices, has increasingly been adopted in Western therapeutic contexts due to its demonstrated benefits for mental health and interpersonal well-being. Although mindfulness-based interventions have gained popularity in psychotherapy, research specifically examining the use of LKM in couple therapy remains limited. This study investigates whether incorporating LKM into therapy sessions enhances relationship satisfaction compared to standard therapy alone. Couples were randomly assigned to either a control group, which received standard therapy, or an experimental group, which practiced …

Excessive Before It Begins: A Critical Analysis Of Racialized Encounters Between Police And African American Men, Lucas Goodwin

Electronic Theses and Dissertations

In the last decade, the racial violence that plagues relations between African Americans and the police has been brought to the attention of the American public by means of cell phone video footage of police use of excessive, and at times lethal, force in encounters with African American men. The images of police brutality that have emerged in this time have outraged millions of Americans, sparking nationwide protests, as well as various social and political movements. While perspectives may abound regarding the causes and significance of such brutality, the data is clear on one thing: Police violence disproportionately harms African …

Neuropunk: A Discursive Ethnographic Study Of The Do-It-Yourself Transcranial Direct Current Stimulation Community, Erick Guzman

Electronic Theses and Dissertations

This dissertation seeks to understand the sociocultural contexts surrounding the do-it-yourself (DIY) use of transcranial direct current stimulation (tDCS) devices. TDCS is a non-invasive method of brain stimulation which has a history of use in (1) human brain mapping for basic neuroscience studies, (2) neuropsychological rehabilitation and the treatment of psychological disorders in clinical populations, and (3) cognitive enhancement in healthy people. However, its validity and effectiveness across these uses remain open to debate. Since the early 2010’s, tDCS has attracted a number of lay individuals interested in using it outside of formal scientific and medical contexts. These DIY tDCS …

Investigating Anomalous Experiences In Schizophrenia Spectrum Disorders, Pavan Brar

Electronic Theses and Dissertations

The self-disorder model provides a phenomenological framework for understanding how the core symptoms of Schizophrenia Spectrum Disorders (SSDs) are rooted in an instability of minimal selfhood. This instability involves a range of ‘anomalous experiences’: transformations in an individual’s perceptual field and sense of being an agent of action. The explanatory value of this theoretical model can be summarized in two claims about the role of anomalous experiences in self-disorders: (1) anomalous experiences express a common trait-like disturbance that is characteristic of SSDs, and (2) anomalous experiences contribute to the progression of self-disorders into SSDs. Although hypotheses consistent with the first …

Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas

Electronic Theses and Dissertations

Unresolved adverse and traumatic experiences in parents can amplify the risk of perpetuating intergenerational transmission of trauma. Parents’ positive and adaptive practices such as self-care might act as a protective factor against this ripple effect. This study investigated whether self-care moderated the relationship between parental ACEs, post-traumatic stress symptoms, and parental reflective functioning in mothers who are experiencing high psychosocial stress (n = 59) residing in rural Appalachia. Within our sample, there was no statistically significant linear relationship between our predictors, ACE score and PTSD symptoms, and our outcome of interest, maternal pre-mentalizing. We did not find empirical support for …

Perceived Stigma's Influence On The Association Between Suicide Risk Severity And Help-Seeking For Suicidal Crises, Donna Zastrow

Electronic Theses and Dissertations

Introduction: Unfortunately, research examining help-seeking for suicide is limited. This study examined age, race, gender, suicide risk severity, and perceived stigma as predictors of formal and informal help-seeking behaviors individuals engage in during suicidal crises, and explored perceived stigma as a moderator of the relationship between risk severity and help-seeking. Method: Data from 80 college students who had experienced a past suicidal crisis were analyzed using two moderation analyses. Results: Rates of formal (67.5%) and informal (86.2%) help-seeking were high in the study sample. Higher suicide risk severity was positively associated with formal help-seeking (b = …

Reproductive Coercion And Intergenerational Trauma: The Role Of Reproductive, Sex, And Relationship Education And Family Messaging, Maria-Ernestina Christl

Electronic Theses and Dissertations

Women’s knowledge of reproductive choices as well as ability to decide and implement those choices are critical to promoting healthy parent-child relationships and avoiding potentially harmful family dynamics. Reproductive coercion (RC) is a form of intimate partner violence in which abusive partners control reproductive outcomes of their partners. The field of RC is a relatively new field of study compared to the literature on IPV, and this study is one of the first to examine the role of formal and informal messaging women received in childhood related to sex, dating, and relationships in relation to RC. Furthermore, parenting attitudes were …

Examining The Effects Of Post-Traumatic Self-Blame And Shame On Response To Laboratory-Induced Pain, Adi Rosenthal

Electronic Theses and Dissertations

Extant research has made clear the link between self-criticism and engagement in non-suicidal self-injury (NSSI). As posited by the Defective Self Model of NSSI, individuals who experience feelings of self-hatred may perceive pain as deserved and engage in NSSI (Burke et al., 2021). Individuals exposed to interpersonal trauma are at higher risk of engaging in NSSI, and also frequently experience trauma-related self criticism, namely shame and self-blame. More work is needed; however, to understand how self-critical post-traumatic cognitions contribute to risk for NSSI engagement for interpersonal trauma survivors. The current study uses a combination of lab-induced pain and self-report measures …

A Phenomenological Examination Of The Perception Of Psychopathological Misdiagnosis In Gifted Men, Tina Glass

Electronic Theses and Dissertations

While the exact prevalence of psychopathological misdiagnosis in gifted children is unknown, it is an occurrence within the gifted population (Amend & Beljan, 2009; Batstra et al., 2012; Bishop & Rinn, 2019; Bishop & Rinn, 2020; Coon, 2014; Webb et al., 2016). However, there is a gap in the literature related to psychopathological misdiagnosis specific to gifted males. (Desmet & Pereira, 2021; Ecklund et al., 2014; Eren et al., 2018; Neu & Weinfeld, 2007; OECD, 2015; Preckel et al., 2015; Watts, 2022). This transcendental phenomenological study leveraged Bronfenbrenner’s Bioecological Model for Human Development (Bronfenbrenner & Morris, 2006) as a theoretical …

Developing A Comprehensive Cognitive Model Of Math Achievement, Nina Anderson

Electronic Theses and Dissertations

Recently, downward trends have been reported in U.S. children’s math performance following school disruptions during COVID-19 amidst longstanding concerns for instruction and curricula within the subject. In support of efforts to remedy these declines, the current work presents two studies dedicated to identifying cognitive factors that are most strongly related to math performance, and which therefore offer promising potential targets for assessment and intervention. Both studies use data from the Colorado Learning Disabilities Research Center, which includes participants ages 8 - 16 and multiple well-validated measures of all constructs of interest. Study 1 tests three alternative latent cognitive models of …

A Radical Ethnography Of Asian American Mental Health, Sofia Huang

Electronic Theses and Dissertations

Anti-Asian racism and violence in the U.S. both historically and currently impacts the Asian American community, leading to widespread fear and negative mental health consequences for Asian Americans. This has been widely discussed in the media due to the rise in anti-Asian rhetoric and attacks during the COVID-19 pandemic. However, psychological literature does not typically address the effects of the history and politics of Asian America on Asian American mental health. In particular, psychological literature does not engage with radical political perspectives which situate Asian American mental health within the broader context of structural oppression and processes of racialization. This …

Lateral Others In The Trauma Narrative: The Place Of The Sibling In Accounts Of Abuse And Neglect, Michelle Browne

Electronic Theses and Dissertations

The present study aimed to investigate the place of the sibling in narratives of developmental trauma as well as the sibling relationship’s impact on the formation of sense of self. Another area of interest was the impact of congruence versus incongruence in the narrative between siblings. In other words, this study sought to illuminate the impact when the sibling is understood to have reached different conclusions about shared experiences of abuse and neglect.

This study is grounded in the literature on siblings from psychoanalytic, attachment, and family systems perspectives. A series of narrative interviews were conducted with participants who identified …

Examining Associations Between Parental Meta-Emotion, Child Adhd Symptoms, And Socioemotional Impairments., Meaghan Flynn

Electronic Theses and Dissertations

Children with elevated attention-deficit/hyperactivity disorder (ADHD) symptoms are at increased risk for social and emotional problems compared to typically developing peers. Emerging research has suggested targeting parental emotion socialization practices to enhance socioemotional development among this population. Interventions have explored how targeting specific emotion socialization behaviors may promote emotional and social functioning for youth with ADHD; however, little research has evaluated how underlying parental attitudes may influence these behaviors and outcomes. Parental meta-emotion philosophy (PMEP) refers to an organized set of thoughts and beliefs on how parents view the purpose of emotions, expression of emotions, and how these beliefs are …

Testing The Feasibility And Acceptability Of A Mindful Self-Compassion Group Workshop Among Individuals With Eating Disorders: A Pilot Study., Brenna Mary Williams

Electronic Theses and Dissertations

Background. Shame and self-criticism are mechanisms shown to influence eating disorders (EDs). Self-compassion has been theorized to target shame and self-criticism and is a protective factor against EDs. One intervention shown to increase self-compassion and reduce shame and self-criticism is the Mindful Self-Compassion program (MSC). However, MSC has yet to be tested among individuals with an ED diagnosis. The current study investigated the feasibility, acceptability, and preliminary outcomes of MSC delivered in a live, online format among individuals with an ED. Methods. Sixty-one participants completed baseline questionnaires measuring ED symptoms, trait self-compassion, self-criticism, and shame. Participants also answered questionnaires at …

Associative Stigma Among Criminal Legal Staff: Measurement And Relation To Job Factors, Shania Siebert

Electronic Theses and Dissertations

A sizeable portion of the United States (U.S.) population works within the criminal legal system, and individuals who have legal involvement are a highly stigmatized population. Research suggests working with stigmatized populations can result in the transfer of stigma to professionals, referred to as associative stigma. While qualitative studies indicate there are negative perceptions related to working in criminal legal settings, there is no quantitative research on criminal legal staff’s experience with associative stigma and how it impacts job-related factors. The purpose of this study was to 1) examine the psychometrics of an adapted measure to quantitatively assess associative stigma …

Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger

Electronic Theses and Dissertations

Two risk factors for anxiety and depression in adolescence were examined: co-rumination, which occurs when friends excessively talk about problems; and psychological inflexibility, which occurs when one avoids negative feelings and fails to act on values. I hypothesized that psychological inflexibility would exacerbate the effect of co-rumination on adolescent anxiety and depression. Participants were 167 adolescents (Mage = 14.60 years, SD = 1.3; 65.7% cisgender males) who completed standard measures as part of an online survey. Results indicated no moderation effect, but there were main effects of co-rumination and psychological inflexibility on depression symptoms. Co-rumination may relate to …

Make It Funny! Developing A Novel Humor-Based Digital Positive Psychology Intervention To Investigate The Influence Of Duchenne Laughter And Mirth On Psychological Distress In Daily Life, Joshua Semko

Electronic Theses and Dissertations

The aim of the present research was to develop a novel digital humor-based PPI (Make it Funny!) to investigate the influence of Duchenne laughter and mirth on psychological distress in daily life. Participants (N = 159; Age_­median­ = 39 years; 47.77% biologically female; 68.15% White) were tasked with completing Make it Funny! or a placebo activity every day for 7 days. Duchenne laughter frequency had a small negative cross-sectional moderation effect on the relationship between the occurrence of stressful events psychological distress (t(79.71) = -2.33, b = -10.89, p = .022). Within participants, Duchenne laughter …

Sources Of Sexual And Romantic Education: Associations With Sexual Minority Men’S Sexual Experiences And Romantic Relationship Quality, Charlie Huntington

Electronic Theses and Dissertations

Individuals with sexual minority identities experience a variety of poorer mental and physical health outcomes, including those related to sexual and romantic quality, relative to heterosexual individuals (Beaulieu et al., 2017; CDC, 2021). These poorer romantic, sexual, and psychological outcomes may be attributable in part to lacking access to affirmative and relevant modeling of sexual minority experiences, such as through sex education (Gillespie et al., 2022; Keiser et al., 2019). This study aimed to understand how sexual minority men learn – in ways potentially both helpful and unhelpful – about romantic relationships and sexual activity, and how these experiences are …

Circumcision—Deal With It! A Clinical Ethnography Of Intactivism At American Intersections, Benjamin M. Gaddes

Electronic Theses and Dissertations

On a routine trip to the grocery store, or while scrolling online, you might encounter the provocative and puzzling discourse of Intactivism, a viral, single-issue social movement that opposes infant male circumcision, and wonder “Huh? Why is this here, now?” This project situates Intactivism in a history of circumcision and anti-circumcision that spans from ancient Sumerian tents to the front pages of Reddit. It takes an immersive qualitative clinical ethnographic approach, nested in a broader cultural psychology that is non-reductive and pluralistic, to articulate an Intactivist ethos in its public and private dimensions. Methods include participant-observation, interviews, and framework discourse …

Symptom Clusters In Individuals Seeking Treatment For Gambling Disorder, Blaine Stiglets

Electronic Theses and Dissertations

The fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5) presents the criteria for Gambling Disorder (GD) as a unidimensional construct where each additional symptom corresponds to increased severity. Many individuals experience addiction symptoms in specific symptom clusters, with membership to one profile of symptoms or other better-representing disorder severity than raw symptom counts. This study explored whether similarly informative symptom clusters exist among adults seeking treatment for gambling harms. The sample included 444 adults (Mage= 44.95) who completed an assessment of DSM criteria for GD at intake. Through a latent class analysis of GD criteria, three …

Do Emotion Dysregulation And Internalized Shame Mediate The Relationship Between Borderline Personality Disorder Symptomology And Criminal Involvement?, Madison Smith

Electronic Theses and Dissertations

Borderline personality disorder (BPD) is a severe and debilitating mental disorder that is over-represented within the criminal legal system (CLS), with 15-29.5% of individuals in the CLS meeting criteria. However, little research has examined mechanisms leading to criminal involvement within this population. Potential mechanisms include positive/negative emotion dysregulation and internalized shame, which (aside from positive emotion dysregulation) have been linked to criminal involvement in other populations. Research has yet to examine these constructs as mechanisms explaining criminal involvement among individuals with BPD. This study examined positive/negative emotion dysregulation and internalized shame as mechanisms of the relationship between BPD and criminal …

The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell

Electronic Theses and Dissertations

There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …