Clinical Psychology Commons^™

The Role Of Impulsivity In Relation To The Co-Occurrence Of Binge Eating And Binge Drinking, Hannah Holst

Electronic Theses and Dissertations

Binge eating and binge drinking often co-occur, but the role of impulsivity in accounting for this relationship is under-investigated. Existing research acknowledges shared risk factors, yet the specific impact of impulsivity is a critical gap. Impulsivity, characterized by impulsive decision-making, is known in addictive behaviors. This research with a sample of college and community participants assessed binge eating, binge drinking, and impulsivity. Overall, binge eating and binge drinking were uncorrelated, contrary to previous research. However, impulsivity was associated with both binge eating and binge drinking. Gender differences were also noted, along with differences between the community and college samples. The …

Functional Cynicism, Michelle Fried

Electronic Theses and Dissertations

Trait cynicism, or “cynical hostility” as measured by the Minnesota Multiphasic Personality Inventory’s Cook-Medley Scale, is defined and studied as characteristics associated with psychopathology, interpersonal conflict, and negative health outcomes including heart disease and cognitive decline. Likewise, “organizational cynicism” is operationalized in industrial/organizational psychology for the purpose of describing and identifying an undesirable employee type in the workplace. This research proposes an alternative assessment. It reconnects cynicism with its roots in ancient philosophy by asking if cynical attitudes, despite their negative valence ascribed in the modern literature and conventional opinion, may serve a practical purpose. This study of Functional Cynicism …

Understanding The Psychological Significance Of Astrology In Millennial Women's Lives, Rachel June Floyd

Electronic Theses and Dissertations

In North America, astrology has been experiencing a resurgence in popularity. This is immediately remarkable given that the United States and Canada are industrialized, modern societies where astrology is widely lamented as a pseudoscience. This dissertation presents a phenomenological exploration of the underlying reasons for this cultural trend, particularly among the demographic that uses it most: millennial women. Existing psychological literature on astrology is primarily dominated by correlational studies or historical analyses and lacks the depth and richness of direct experiences of individuals engaging with this phenomenon. This study sought to address this gap within psychological literature specifically, by conducting …

Connections Between Polyvictimization, Daily Stress, Emotion Regulation, And Mental Health Symptoms: An Ecological Momentary Assessment Study., Zoe L. Bridges-Curry

Electronic Theses and Dissertations

Background and Objectives: Individuals who experience polyvictimization, or victimization across multiple life contexts, evidence particularly severe outcomes across a range of mental health diagnoses. Preliminary evidence suggests that emotion regulation difficulties and stress sensitization effects may help explain observed links between trauma exposure and mental health symptoms. However, the use of between-subjects designs to address within-subjects processes – a common approach across this literature – can result in erroneous interpretation of findings. Moreover, widespread reliance on retrospective trait measures of emotion regulation, daily stressors, and mental health symptoms have limited insight into the ways that these processes unfold in daily …

Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill

Electronic Theses and Dissertations

Obstetric violence includes acts of abuse, coercion, or disrespect that occur during the labor process. The present study explores how obstetric violence impacts a person’s postpartum psychosocial adjustment. This study used a subset of data (N = 339) from a larger online study, which attempted to explore multiple facets of a person’s postpartum health. The psychological constructs examined are postpartum depression and postpartum anxiety. Additional constructs assessed were protective and risk factors: self-compassion and medical mistrust. Self-compassion and medical mistrust were examined by using moderation models. Additional analyses were completed using simple regression models to explore whether obstetric violence predicts …

Indirect Aggression And Victimization: Investigating Instrument Psychometrics, Gender Differences, And Its Relationship To Social Information Processing, Taylor Steeves

Electronic Theses and Dissertations

The study of indirect bullying behaviors, relational aggression and social aggression, has been of theoretical importance and interest to researchers and psychologists within the last few decades. In this investigation, using a convenience sample of 451 late adolescents attending a private university in the mid-Atlantic U.S., I examined the factor structure of two measures of indirect bullying, the Young Adult Social Behavior Scale – Victim (YASB-V) and the Young Adult Social Behavior Scale – Perpetrator (YASB-P). Using confirmatory factor analysis (CFA), I found that the YASB-V comprised a four-factor model, differing from the model that had been identified in the …

Hoping As A Transformational Imperative In Puerto Rico: A Phenomenological And Grounded Theory Study Within Colonized Space, José Luiggi-Hernández

Electronic Theses and Dissertations

As the United States continues to restrict Puerto Rico’s self-determination and imposes oppressive institutions such as the Oversight Board, the people of the archipelago live in precarity and hopelessness. Limited psychological research on colonialism has focused on the detrimental impact of oppression and its influence on the development of fatalism and the inferiority complex. On the other hand, existing psychological theories of hope fail to describe how it is lived within the post-colonial context and to explain the ways in which this psychological phenomenon arises even in the face of systematic dehumanization. As Puerto Ricans show evident signs of hope …

The Effects Of Transcranial Direct Current Stimulation (Tdcs) On Facial Expression Approach/Avoidance In College Students And Faculty With Broad Autism Phenotype, Nicole R. Baker

Electronic Theses and Dissertations

Transcranial Direct Current Stimulation (tDCS) has been proposed as an alternative noninvasive therapy for individuals with autism. This study trained brain activity in college students and / or faculty with Broad Autism Phenotype (BAP) while eye tracking data was collected. The purpose of this study was to determine if tDCS training to the frontal lobes could increase approach toward social interactions in adults classified as BAP as demonstrated by eye-tracking measures in response to faces and gaze fixation. The study included 21 total participants recruited from the Science, Technology, Engineering, and Math (STEM) courses / professions at a Regional East …

Risk And Promotive Factors For Perinatal Mental Health Problems: Adverse And Benevolent Childhood Experiences And Contemporaneous Support And Stress, Jillian S. Merrick

Electronic Theses and Dissertations

Despite a growing body of research on childhood risk and promotive factors for perinatal mental health, as well as extensive research on adulthood risk and promotive factors for these problems, little research considers childhood and adulthood experiences alongside one another. The current study addressed this gap by examining childhood experiences, both adverse and benevolent, alongside contemporaneous sociodemographic stress and social support as predictors of depression and PTSD symptoms during pregnancy and at 3-4 months postnatal.

Participants were 175 ethnically-diverse women (M = 28.07 years, SD = 5.68, range = 18-40; 38.9% White, 25.7% Latina, 16.6% Black, 12.0% biracial/multiracial, 6.8% …

Childhood Maltreatment And Romantic Relationship Functioning During Pregnancy: Women’S Narrative Coherence About Partners And Couples’ Conflict Communication And Recovery, Laura M. River

Electronic Theses and Dissertations

Childhood maltreatment (CM) is associated with difficulties in romantic relationships in adulthood, including conflict, less support, and difficulties in communication. However, little is known about the impact of CM on romantic relationship functioning in the context of pregnancy, during which time romantic relationships are highly influential for family well-being. Additionally, very limited research has been conducted on fathers’ relationship experiences after a history of CM. In a set of two papers, this dissertation examined the effects of CM on 1) pregnant women’s narrative coherence about their romantic partners and 2) couples’ (pregnant women and babies’ fathers) observed conflict communication and …

Anxiety As A Compensatory Factor For Executive Functioning Abilities And Later Adhd Symptoms In Youth With Adhd, Rebecca Slomowitz

Electronic Theses and Dissertations

Higher ADHD symptoms have been associated with reduced executive functioning (EF) performance in children. However, an emerging body of research has suggested that in children with higher ADHD symptoms, higher levels of anxiety symptoms may contribute to buffered executive functioning (EF) performance, termed a compensatory interaction. However, results investigating this hypothesis have been mixed, possibly due to the use of smaller sample sizes, cross-sectional datasets, and infrequent testing of compensatory interaction effects between ADHD and anxiety symptoms. The current study expands upon the previous literature by testing for compensatory interactions between anxiety symptoms and ADHD symptoms (e.g., inattention and hyperactive-impulsive …

Sexual Trauma, Health, And The Moderating Effect Of Psychological Flexibility And Inflexibility, Gabrielle A. Caselman

Electronic Theses and Dissertations

Sexual trauma is linked to adverse health outcomes (e.g., D’Andre et al., 2011). Given the negative sequelae of sexual trauma, exploration of factors that influence the relation between sexual trauma and health outcomes is crucial. Current literature suggests that psychological flexibility and inflexibility may be factors in promotion of individuals’ health or pathology (e.g., Gloster et al., 2017). The current study sought to explore the variability in psychological flexibility and inflexibility among participants and the potential moderating effects of psychological flexibility and inflexibility on the relation between sexual trauma and both mental and physical health outcomes.

Moderation analyses failed to …

Gratitude And Sleep Quality In Primary Care: Mediating Effects Of Health Self-Efficacy, Health Behaviors, And Psychopathology, Heather R. Altier

Electronic Theses and Dissertations

Sleep disturbances are prevalent among primary care patients, and psychological dysfunction, including stress, anxiety, and depression, are robust contributors to poor sleep health. Yet, the presence of potential protective characteristics, such as health self-efficacy and engaging in adaptive health behaviors, may mitigate such outcomes. Gratitude (i.e., recognition and appreciation of experiences, relationships, and surroundings), a positive psychological cognitive-emotional characteristic, may serve as a catalyst of these beneficial downstream effects, given its association with improved health functioning and sleep. In a sample of primary care patients (N = 869) from 50 urban and 30 rural practices in Germany, health self-efficacy …

Strong As A Mother: The Resilience Of Women Who Have Previously Experienced Infertility, Madison Hinkle

Electronic Theses and Dissertations

Infertility impacts numerous individuals during their reproductive journey. Yet, there is little research and information available that examines if having a history of infertility goes on to have further implications after an individual conceives and gives birth. Thus, the current study aimed to examine if infertility impacts the postpartum period, and if there were any particular risk or resiliency factors that contributed to this relationship. In this study, women aged 18 to 50, who had given birth within the last 12 months, participated in an online survey that assessed a variety of physical and mental health constructs. Overall, results largely …

Behavioral Indicators Of Reflective Functioning In Mother-Child Dyadic Interactions, Rachel Clingensmith

Electronic Theses and Dissertations

Positive parenting practices and secure attachments are consistently linked to healthy child outcomes (Ainsworth & Bowlby, 1991; Waters et al., 2000). Research on cognitive processes that scaffold parental behaviors which contribute to secure attachment is an essential contribution to the literature, particularly given the potential for early intervention with at-risk families. Parental Reflective Functioning (PRF) is a construct of increasing interest which has been linked to secure attachments and positive child outcomes, with one commonly used self-report measure of PRF being the Parental Reflective Functioning Questionnaire (PRFQ; Camoirano, 2017; Clingensmith, 2021; Luyten et al., 2017). As such, the purpose of …

A Pandemic’S Potential To Haunt: A Longitudinal Look At The Professional Wellbeing Of Tn’S Infant And Early Childhood Mental Health (Iecmh) Workforce, Robyn A. Dolson

Electronic Theses and Dissertations

Infant and Early Childhood Mental Health (IECMH) providers engage in uniquely relational work with high-risk families that expose them to the full advantages (i.e., compassion satisfaction [CS]) and disadvantages (e.g., burn-out [BO]) of a helper role. Though the pandemic seemed poised to escalate disadvantage, most early pandemic studies found high CS alongside elevated BO. Unfortunately, as COVID-19 has continued, CS has declined while BO has increased. Given the delayed COVID-19 impact on children, these changes may be particularly acute for IECMH providers. Using a longitudinal cohort of 27 IECMH providers, this study aimed to describe and quantify changes in professional …

The Initial Validation Of A Self-Care Belief And Behavior Questionnaire In The Iecmh Workforce, Julia Najm

Electronic Theses and Dissertations

The Infant and Early Child Mental Health (IECMH) workforce is essential in improving the lives of vulnerable children and families. IECMH practitioners are exposed to challenging emotional experiences which increases their risk of internalizing disorders, burnout, and emotion regulation difficulties, especially in the time of COVID-19. Thus, it is important to identify possible interventions to increase provider wellness in the face of taxing work. The construct of self-care offers a promising area of study as a possible intervention point. However, current operationalizations of self-care have been limited and have emphasized behavioral components rather than cognitive components (e.g., beliefs) pertinent to …

Embodied Fatness In Boys: A Critical Phenomenological Study, Sean Leadem

Electronic Theses and Dissertations

This dissertation was an exploratory study of experiences of fatness in boyhood using a hermeneutic phenomenological qualitative method. The author conducted in-depth, open-ended interviews with participants who identify as men and for whom fatness or related body-difference was an issue in childhood or adolescence to gather data on the meanings of fatness for boys and the men they become. Data analysis was organized around the existential dimensions of embodiment, temporality, and relationality. Themes emerging from this analysis included a) the discovery of fatness as ambiguous meanings mediated by others, b) fatness as a problem in a horizon that does not …

Moral Objections To Pornography: Does The Reason For Opposition Affect Consumption?, Grant Parker

Electronic Theses and Dissertations

Recent literature has suggested a link between self-described “problematic” pornography usage or pornography addiction and moral incongruence (Grubbs et al., 2022; Guidry et al., 2019). That is, when someone is morally opposed to pornography, they feel worse about their use of it. As of yet, however, no link has been established between specific reasons for objecting to pornography and their effects on consumption. Participants were 54 adults selected randomly using Amazon’s MTurk survey distribution platform. Respondents completed demographic questions and 6 scales measuring frequency of pornography use, objections to pornography, self-perceived problematic porn use, external and internal shame, God representations, …

Dyadic And Ecological Associations With Intimate Partner Violence (Ipv): Using Hierarchical Linear Modeling To Differentiate Ipv From Community Crime, Rachel Carpenter

Electronic Theses and Dissertations

Research on intimate partner violence (IPV) and intimate partner sexual violence (IPSV) has largely focused on individual and dyadic-level risk factors, but recently studies have explored how the surrounding environment is associated with IPV/IPSV. Studies that have explored community-level variables typically only use IPV/IPSV samples and do not first compare indicators of IPV/IPSV to those of general crime in those same communities. To address these gaps, this study was conducted in two parts. Data were retrieved from the Tennessee Bureau of Investigation Reporting System, County Health Rankings and Roadmaps System, the US Census Bureau, and other sources. Study 1 first …

Preference For Abstinence-Based Recovery And Public Stigma Toward Substance Use Disorders, Diamond Meadows

Electronic Theses and Dissertations

The present study drew from the publicly available Amerispeak survey (n = 6,515) and examined public stigma towards different substances, the relationship between preferences for abstinence-based recovery and stigma toward each substance, and whether perceived dangerousness of substances moderates the relationship between preferences for abstinence-based recovery and public stigma. The results indicate that the general public has greater stigmatizing attitudes towards methamphetamine use disorder than cocaine use disorder, opioid use disorder, and alcohol use disorder. Furthermore, a preference for abstinence-based recovery was associated with greater stigmatizing attitudes toward all SUDs. The perceived dangerousness of a substance did not moderate the …

Attitudes Towards Mental Health, Spiritual Seeking, And Well-Being, David Mitchell

Electronic Theses and Dissertations

Religion plays a crucial role in many peoples’ lives, shaping the way they interact with the world and react to stressors. The Relational Spirituality Model (Sandage & Shults, 2007) posits that individuals’ relationship with God resembles humans’ relationships with one another. That is, relationships consist of intimacy and closeness as well as independence and time away from each other, otherwise known as dwelling and seeking. Previous literature has analyzed the relationship between spiritual coping and well-being, yet none have analyzed the relationship between spiritual seeking and overall well-being using attitudes towards mental health as a moderator. Participants were 84 undergraduate …

A Qualitative Study Into Modern Psychoanalytic Joining And Mirroring Through Psychotherapeutic Exchanges, Tricia Shihui Wang

Electronic Theses and Dissertations

This dissertation intends to address current deficits in knowledge regarding the modern psychoanalytic interventions of joining and mirroring, including substantial definition issues in the literature and the absence of current writings on the psychotherapeutic interventions of joining and mirroring in practice. The focus of the study was on the ever-dynamic landscape between modern analytically-informed practitioners and their clients in psychotherapeutic exchange(s) that the practitioners believed encompassed joining and/or mirroring interventions. Participants were six experienced practitioners who described their clinical work as being informed by modern psychoanalysis and who have engaged or were currently engaging in individual psychotherapy with a client. …

Neurocognitive And Momentary Assessment Of Fear-Based Mechanisms Underlying The Transition From Partial To Full Remission In Anorexia Nervosa., Caroline Christian

Electronic Theses and Dissertations

Background. Anorexia nervosa (AN) is a serious psychiatric illness, with high mortality, chronicity, and societal costs. Many individuals with AN that are weight restored do not to fully remit from cognitive-affective symptoms (e.g., fear of weight gain) maintaining the disorder, contributing to the poor outcomes. This critical stage of AN is called partial remission. AN is characterized by high levels of fear and avoidance, which may prevent full remission; however, the role of fear-based mechanisms (i.e., fear approach; avoidance) in partially-remitted AN remains untested. Methods. In the current study (N = 55 partially-remitted AN), participants completed two behavioral paradigms …

The Effects Of Stigma On Quality Of Life And Psychological Outcomes In Participants With Varying Reports Of Subjective Cognitive Decline., Lauren Flaherty

Electronic Theses and Dissertations

Background: Diagnostic labels such as cognitive impairment, dementia or MCI often carry associated stigmatization. Stigma can lead to social isolation and rejection; increasing the likelihood of loneliness, depression, and anxiety. Depression and anxiety can be predictive of cognitive function; depression and anxiety are linked to stigma. Subjective cognitive decline (SCD) can be indicative of actual cognitive impairment. Subjective impairment and stigma can significantly predict quality of life. The aim of the proposed dissertation study was to explore whether higher SCD scores associate with more internalized stigma, and if this stigma mediates the relationship between SCD and depression, SCD and …

Validating An Internet Gaming Disorder Measure During Covid-19: Video Game Use, Distance Learning, And Impacts Of Covid-19 On Gaming Behavior, Christin Collie

Electronic Theses and Dissertations

For most students, playing video games is a popular, enjoyable activity to do in their leisure time. While many people play video games for fun, some do develop problems associated with their play. Excessive engagement in video game play can lead to significant impairment and clinically significant levels of harm. However, there are several important gaps in the research literature which limit understanding of potential harm. First, little is known about the gaming behavior of students, ranging from middle-school to graduate school, specifically as it relates to their reasons for playing video games and their time spent playing. Second, concerns …

Coping Strategies And Self-Compassion As Protective Factors In The Infant And Early Childhood Mental Health Workforce, Megan Wolff

Electronic Theses and Dissertations

The mental health field experiences high levels of stress, resulting in a greater risk of poor professional quality of life, likely exacerbated by the additional stress associated with COVID-19. The present study examined the effect COVID-19 stress had on the professional quality of life of the infant and early childhood mental health (IECMH) workforce and whether coping strategies and self-compassion acted as protective factors. Results indicated that higher COVID-19 stress was associated with higher burnout and secondary traumatic stress (STS) and lower compassion satisfaction (CS). The results also showed that the pathway from COVID-19 stress to burnout was moderated by …

Analyzing Emerging Adulthood Narratives And The Role Of Anxiety In Developmental Functioning, Daryl Parungao

Electronic Theses and Dissertations

Emerging adulthood is a developmental period characterized by the themes of identity exploration, instability, feeling in-between, being self-focused, and exploring possibilities (Arnett, 2006). Emerging adults are at higher risk for anxiety as they navigate novel developmental experiences and responsibilities (Kranszler et al., 2019). This study explores whether these themes map on to the experiences of modern-day emerging adults, and whether developmental functioning corresponds to anxiety. College students completed standard questionnaires and provided free-text responses about adjusting to adulthood. Identity exploration and instability were perceived as the most positive and negative aspects of aging, respectively, though response-type varied by participant demographics. …

Borderline Personality Disorder And Violent Crime: The Moderating Role Of Sex And Race, Genevieve Allison

Electronic Theses and Dissertations

People receiving treatment for substance use disorders (SUD) are at risk of justice involvement. Although it is well-established that borderline personality disorder (BPD) increases risk for criminal involvement, it is unclear whether this relationship exists among people with SUDs. Furthermore, prior research has found sex and race differences in the relationships between BPD and justice involvement as well as violence, but these moderators have not been explored within a substance using sample. The current study utilized a sample receiving SUD treatment to examine whether BPD is associated with prior violent charges and, if race and sex moderated this relationship. Results …

Parent Emotion Socialization And Emerging Adult Internalizing Symptoms: Differences And Moderation By Rurality, Cheston West

Electronic Theses and Dissertations

Emerging adulthood is a unique developmental period from late adolescence to late 20s during which individuals experience a multitude of developmental transitions and are at an increased risk for internalizing symptoms. Parent emotion socialization in childhood can also contribute to risk for internalizing symptoms and is shaped by parent gender and sociocultural context. Rurality is a sociocultural context that has implications for parenting, but less research has explored how parent emotion socialization varies by rurality. The present study examined maternal and paternal emotion socialization in relation to rurality and emerging adult internalizing symptoms. Participants were 270 emerging adults (18-29 years …