Clinical Psychology Commons^™

The Interplay Between Friendship Quality And Emotion Regulation In The Prediction Of Weight-Related Concerns Among Adolescent Girls, Vasavi Ganesan Shanthi

Master's Theses and Doctoral Dissertations

Adolescent girls are especially vulnerable to weight-related concerns such as body dissatisfaction, disordered eating, and body surveillance. These issues are often linked to difficulties in emotion regulation (ER) and the quality of friendships. This study explored how ER and friendship quality, both independently and interactively, predict these weight-related issues. A sample of 106 girls aged 11–21 completed questionnaires on ER, friendship quality, body dissatisfaction, objectified body consciousness, and disordered eating behaviors. Results from hierarchical regression analyses showed that greater ER difficulties were significantly associated with increased body dissatisfaction, emotional eating, and restrained eating. Additionally, negative friendship quality predicted emotional eating. …

Integrated Behavioral Health In Pediatric Primary Care: Identifying Latent Patient Subgroups And Differential Outcomes, Karen Glownia

Master's Theses and Doctoral Dissertations

Fifty percent of children do not receive care for their mental health concerns, while 95% are seen annually within primary care by age 6. Individual, cultural, and systemic barriers limit access to mental health care. Integrating mental health services into primary care has the potential to increase awareness, reduce costs, and decrease stigma. However, integrated primary care often relies on a brief and targeted intervention approach that may not be suitable for all families. Therefore, it is important to examine differential outcomes within this setting. Methods: This study analyzed retrospective data from 3,494 new patient medical records at a large …

Examination Of Barriers To Accessing Integrated Behavioral Health Care, Alyssa Buthman

Master's Theses and Doctoral Dissertations

Research has found that pediatric integrated behavioral health (IBH) significantly increases utilization of behavioral health services, but there are still families who are missing out. The purpose of the current study is to examine characteristics that may influence or impede utilization of an IBH referral. Phase 1 utilized survey methodology paired with electronic medical record review in a sample of 24 caregivers to pediatric patients to investigate whether parent-reported perceived stigma of accessing mental health care, barriers to accessing health care in general, and child symptom severity uniquely predicted referral utilization. Phase 2 used electronic medical record data in a …

The Relationship Between Adverse Childhood Experiences, Parenting Behavior, And Parenting Self-Efficacy In African American Families With Low-Income, Maleek Holmes

Master's Theses and Doctoral Dissertations

Early trauma is linked to adverse adult outcomes, including parenting deficits. While prior research has emphasized specific trauma types and severe parenting deficits, less is known about how cumulative trauma shapes normative parenting behaviors. Parenting self-efficacy (PSE) has been proposed as a potential mechanism linking early adversity to later parenting practices, though under-researched. This study examined the relationships between adverse childhood experiences (ACEs), PSE, and positive parenting behaviors in a sample of 56 caregivers of preschool-aged children enrolled in Head Start. PSE was significantly associated with greater use of limit-setting, positive behavior support, and proactive parenting strategies, reinforcing its role …

Self-As-Context Moderation Of Relationship Fusion: A Comparison Of Intimate And Familial Relationship Impact On Weight Concern, Carly Carrasco-Wyant

Master's Theses and Doctoral Dissertations

This study explored how fusion in important relationships relates to weight concern and whether these effects are moderated by self-as-context perspectives and racial and ethnic background. Grounded in acceptance and commitment therapy (ACT) and relational frame theory (RFT), eight models were constructed to evaluate influence of important others when absent or present and when moderated by self-as-context, racial and ethnic background and in multiple moderation models analyses using data from 1,323 participants. Results indicated that fusion with family was significantly associated with greater weight concern, when family was absent (ß = 0.10, p = .03) and present (ß = 0.12, …

The Pathways Of Father-Child Attachment: Examining Conflict Communication, Emotion Regulation, And Psychopathology In Emerging Adults, Kanica Bhutoria

Master's Theses and Doctoral Dissertations

Emerging adulthood is marked by instability, identity exploration, and heightened vulnerability to mental health difficulties. Parental attachment relationships shape emotion regulation and conflict communication during this transition, with implications for psychopathology. Using a cross-sectional survey design, this study examined associations among attachment-related anxiety and avoidance toward mothers and fathers, conflict communication, emotion regulation strategies, and psychopathology in 334 emerging adults. Participants completed measures of parental attachment; conflict communication; behavioral and cognitive emotion regulation strategies; and internalizing, externalizing, substance use, and crime-related symptoms. Attachment-related anxiety toward both parents was associated with elevated internalizing symptoms. Greater conflict communication with fathers was uniquely …

Predicting 18-Month M-Chat-R/F With Pediatractmv3.0 Motor And Social/Communication/Cognition Domains, Ryan Krebs

Master's Theses and Doctoral Dissertations

Background. The developmental cascade framework suggests early delays in one system can impact others. Infants born preterm or with autism spectrum disorder (ASD) often show such delays. Methods. The study included 498 infants enrolled in PediaTracTM a novel caregiver-report measure. The convergent validity of PediaTrac with the Ages and Stages Questionnaire (ASQ-3) was examined, along with its ability to predict ASD risk at 18 months using cross-sectional (9- and 12-month) and longitudinal (0–12-month) latent traits of motor (MOT) and social/communication/cognitive (SCG) abilities. Results. Strong convergent validity was found between PediaTrac and ASQ-3 domains at both time points. MOT at 9-months …

Exploring The Effects Of Interviewer Body Language Availability During A Videoconference Behavioral Health Interview, Efthymia Orkopoulou

Master's Theses and Doctoral Dissertations

This experiment sought to explore whether an interviewer’s body language availability would have any effects on participants’ interactional engagement levels, positivity-negativity of interaction, and their nonverbal synchrony. Six participants answered questions about their well-being during a Zoom interview. Participants were exposed to three Near and three Far video framing conditions alternating every 10 min. Results showed that body language availability did not have reliable effects on the examined nonverbal communication indices. Time, however, did have some significant and close-to-significant effects on certain variables. Treatment reversal graphs showed that body language availability may reliably impact some participants’ responding. However, the rarity …

Family Context And Executive Functioning In Preschool-Age Children, Kristin Aho

Master's Theses and Doctoral Dissertations

Executive functioning is predictive of school readiness, successful life endeavors, and other positive outcomes. The literature frequently explores how child executive functions are associated with characteristics of mother-child interactions as well as adverse environmental conditions such as poverty and chronic stress. Fewer studies, however, have taken a more nuanced approach to understanding how features of the immediate environment, such as family context, help or hinder the development of executive functions in young children. To address this gap, the current study explored how aspects of family context are associated with executive performance in a sample of preschool-age children. Specifically, the study …

The Role Of Bicultural Identity Integration In The Relationship Between Discrimination And Well-Being, Jasmine Chananna

Master's Theses and Doctoral Dissertations

Previous research indicates that experiencing discrimination from dominant group members and having a less integrated bicultural identity are associated with negative psychological outcomes for bicultural individuals. Further, bicultural identity integration (BII) has also been found to mediate the relationship between discrimination from dominant group members and well-being. However, there is insufficient research exploring the impact of discrimination from one’s heritage group members. Thus, this study aimed to explore the impact of in-group discrimination on psychological adjustment and self-concept clarity. This study also aimed to explore BII as a mediator between in-group or out-group discrimination and psychological outcomes. Correlational analyses supported …

“We Gon’ Be Alright”: How Resiliency & Africultural Coping Behaviors Factor Into African American College Students’ Intentions To Seek Mental Health Services, Taylor Garland

Master's Theses and Doctoral Dissertations

Background: African Americans, apprehension toward utilizing mental health services (MHS) has a long history in the United States. The low rates of utilizing MHS can result in detrimental health consequences, both mental and physical, despite there being a developing literature base on how evidence-based treatments are effective in therapy with African Americans.

Objective: There is expansive literature on several factors (e.g., stigma, cultural mistrust) that contribute to African Americans’ hesitancy concerning seeking MHS. The current study aimed to add to this literature base. Specifically, this study sought to acknowledge both African American college students’ choices to use alternative coping strategies …

Stepping In The Right Direction? Exploring Mental Health Providers’ Beliefs About, Training In, And Use Of Stepped-Care Practices, Caroline Lucy

Master's Theses and Doctoral Dissertations

Interventions that can be efficiently and effectively delivered to a larger number of people are needed to address the large, unmet need for mental health services. Stepped-care models have the potential to address this need and provide benefit to a significant number of patients while managing provider burden. The present study sought to clarify providers’ current use of, beliefs about, and training in stepped care practices, as well as barriers to its use. Providers generally agreed with the model and believed in the effectiveness of lower intensity methods. While the majority endorsed engaging in multiple stepped practices, few reported explicitly …

Social Media Use In Adolescence: Longitudinal Relationships With Social Functioning And Psychopathology, Aidan P. Schmitt

Master's Theses and Doctoral Dissertations

Social media use and psychopathology are both prevalent during adolescence; however, the relationship between these two variables is not yet fully understood. Research on these topics is generally myopic in that it focuses on a brief window of time (e.g., cross-sectional studies), a small number of variables (e.g., hours spent per day; depressive symptoms), and uses single reporters and measures (e.g., adolescent report using a questionnaire). Extant literature shows moderate relationships between frequency of social media use and depressive symptoms; however, most studies do not use statistical methods that investigate bidirectionality or parse apart between-person and within-person effects, so effects …

Feasibility And Acceptability Of A Pediatric Primary Care Physician Training For Anxiety Screening And Psychoeducation, Julie A. Wojtaszek

Master's Theses and Doctoral Dissertations

Anxiety is one of the most prevalent psychological conditions in the pediatric population with significant impacts that often extend into adulthood. Pediatricians are in a unique position to screen and briefly intervene to facilitate early treatment and prevent long-term sequelae, but they often do not have adequate training. The current study addressed this gap with a brief online educational workshop that had two aims: to promote (a) screening for anxiety and (b) appropriate evidence-based interventions. Fifty-three providers participated, and 38 completed surveys preand post-training. Findings support the acceptability of the training, improved knowledge related to anxiety, and an increased readiness …

Initial Evaluation Of The Reliability And Validity Of An Assessment-Based Approach To Identifying And Addressing Barriers To Caregiver Treatment Adherence, Eleah Sunde

Master's Theses and Doctoral Dissertations

Caregiver-mediated behavioral interventions are a critical and evidence-based treatment of childhood behavioral concerns. However, caregivers face many barriers to adherence that can reduce the effectiveness of these interventions. The purpose of this study was to evaluate the effectiveness of a training protocol delivered over telehealth within an integrated behavioral health setting, evaluate the reliability and validity of an assessment tool (i.e., the Performance Diagnostic Checklist - Parent), and examine patterns of engagement (e.g., missed sessions, dropout rates) that caregivers experienced. Eight caregivers enrolled in the study and received a child-directed interaction protocol, which included instruction, a video model and skill …

Pathways From Parental Adverse Childhood Experiences To Child Emotion Regulation: The Role Of Parent Emotion Regulation And Emotion Socialization, Sarah E. Freeman

Master's Theses and Doctoral Dissertations

The present study evaluates the mediating role of parent emotion regulation (ER) and parent emotion-related socialization behaviors (ERSBs) in the relation between parent adverse childhood experiences (ACEs) and child ER. Caregivers of children ages 2 through 5 (inclusive) completed traditional and expanded ACEs scales, the Difficulties in Emotion Regulation Scale Short Form, the Coping with Toddlers’ Negative Emotions Scale, and the Emotion Regulation Checklist. Data analysis involved correlation and mediation analyses. Parent difficulties in ER statistically mediated the association between parent ACEs and child ER such that a higher expanded ACEs score was associated with more parent difficulties in ER, …

Examining The Intention-Behavior Gap: The Impact Of The Food Environment On The Eating Behaviors Of Low-Income African American Women, Karen Glownia

Master's Theses and Doctoral Dissertations

The current study investigated environmental barriers to the intention-behavior gap. The food environment was examined as a moderator between motivation for healthy living and actual eating behavior. A sample of 55 low-income African American women (M_age = 30.25, SD = 7.46) completed self-report motivation and eating behavior questionnaires. The food environment was measured by the number and proportion of healthy and unhealthy food retailers in one’s neighborhood using ArcGIS mapping software. The results showed that greater motivation was associated with less unhealthy eating when there was relatively equal access to nearby unhealthy and healthy food retailers. When given …

Parenting, Neighborhood Characteristics, And Disruptive Child Behavior In Low-Income African American Families, Alyssa Buthman

Master's Theses and Doctoral Dissertations

The purpose of this study is to further examine the multifaceted relationship between parenting, neighborhood characteristics, and child disruptive behavior. Examining data from a low-income, African American preschool sample, this study investigated how self-reported neighborhood characteristics and observed parenting behaviors uniquely predicted observed disruptive behavior in children. Findings supported the strong relationship between parenting behaviors and child disruptive behavior where parenting sensitivity and engagement were predictive of fewer child disruptive behaviors while verbal and physical parenting interference and intrusiveness was predictive of greater disruptive child behavior. Neighborhood characteristics did not directly relate to parenting or child behaviors. However, neighborhood characteristics …

The Role Of Caregiver-Reported Emerging Social Attention In Predicting Duration Of Orienting And Social Communication, Casey E. Swick

Master's Theses and Doctoral Dissertations

Early identification of atypical development could lead to opportunities for earlier intervention, ultimately improving developmental outcomes. Early signs of atypical attention, social attention, and social communication development emerge in infancy, yet age at diagnosis of neurodevelopmental difficulties does not typically occur until well after the first year of life. In order to achieve this goal of early identification, sensitive and accessible tools are needed to identify infants at risk for atypical development. This study examined whether caregivers could report on emerging social attention behaviors in the first days to weeks of life with a novel, experimental scale (PediaTrac SSIP). This …

A Comparison Of Forensic Populations Using The Validity Scales On The Mmpi-3, Steven W. Steinert

Master's Theses and Doctoral Dissertations

Examining the impact of different factors influencing the validity of an individual’s self-report during a psychological assessment is important in ensuring valid clinical findings and useful recommendations. These factors are often referred to as response biases. There are multiple types of response bias that can negatively influence the validity of self-reports in clinical assessment contexts. Specifically, individuals undergoing an assessment can be impacted by non-contentbased response bias, overreporting, and underreporting of psychological impairment and/or distress. Minnesota Multiphasic Personality Inventory (MMPI) instruments are amongst the leading tools within professional psychology used to identify response bias. The most recent iteration, the MMPI-3, …

Screening For Energy Restriction In Middle And Late Life, Kate Happel Krautbauer

Master's Theses and Doctoral Dissertations

The most commonly used screening tools for disordered eating, the Eating Attitudes Test (EAT-26) and Eating Disorders Examination–Questionnaire (EDE-Q), rely on the detection of shape and weight concerns to identify potentially dangerous caloric restriction among adolescent girls and young adult women. It is unclear how accurate these measures are at detecting restriction among adults 40 years and older. These adults may be vulnerable to developing or maintaining restrictive eating patterns when healthcare providers recommend weight loss as a preventative health measure or when acute or chronic illnesses (e.g., diabetes or cancers) impact eating. The present online study (a) evaluated the …

Primary Care Behavioral Health In The Time Of Covid-19, Michael Vriesman

Master's Theses and Doctoral Dissertations

People are commonly receiving mental health treatment from primary care providers rather than from behavioral health providers. To address this issue, the healthcare system has begun to integrate behavioral health providers into primary care clinics, known as integrated primary care (IPC). Research suggests that IPC can lead to a number of benefits, including increased likelihood of patients receiving the appropriate standard of care, as well as reduction in healthcare costs due to medical cost offset. While IPC is a promising method of healthcare delivery, additional research is needed to optimize this system. Additionally, the onset of the COVID-19 pandemic has …

Predictors Of Treatment Outcome In A Family-Based Hospitalization Program For Adolescents With Anorexia Nervosa, Kellsey Launius

Master's Theses and Doctoral Dissertations

Family-based treatment (FBT) is the first-line treatment for adolescents with anorexia nervosa (AN). Although FBT works for many, it does not work for everyone. The current study explored variables that are believed to impact treatment outcome in FBT, (a) initial weight gain, (b) parental criticism, and (c) obsessive-compulsive features, and investigated three additional factors expected to predict positive treatment outcome, (d) fear of food, (e) exposure to feared foods, and (f) parent-child concordance. Participants were 240 children, adolescents, and young adults with AN or other specified feeding or eating disorder (OSFED) enrolled in a family-based partial hospitalization program (PHP). Pearson …

Mental Health Service Utilization, Knowledge, Stigma, And Protective Factors In A College Student Sample: The Influence Of Racial Categories And Student-Athlete Status, Jasmine M. Morigney

Master's Theses and Doctoral Dissertations

Students of color and student-athletes undergo unique stressors in college, such as discrimination and time constraints, that impact their mental health needs. They have shown more mental health stigma and less service utilization. This study explored these variables and groups using secondary data analyses from the 2019-2020 Healthy Minds Study (HMS). The current study hypothesized that utilization would be associated with stigma, knowledge, and resilience. Additionally, student-athletes and students of color would report less utilization and more stigma and resilience. Results indicated that students of color reported no difference in utilization and less stigma and resilience than White students. Student-athletes …

The Role Of Infant Sleep In The Relationship Between Cumulative Risk And Infant Social-Emotional Development, Michelle Lobermeier

Master's Theses and Doctoral Dissertations

The current study aimed to understand the effect of cumulative risk on the social-emotional functioning of infants. Additionally, this study examined sleep as a potential protective factor, which may promote healthier social-emotional outcomes despite risk. A sample of 325 caregiver-infant dyads completed established developmental, behavioral, and caregiver questionnaires as well as PediaTrac^TM, an experimental tool to track infant and toddler development. More cumulative risk exposure was not associated with typical social-emotional development but was associated with more problem behaviors at 12 months and lower sleep efficiency at 9 and 12 months. Higher sleep efficiency was also associated with …

Examining Psychological Distress In Parents Of Children With Food Allergies And Asthma During The Covid-19 Pandemic, Kelsey L. Hill

Master's Theses and Doctoral Dissertations

The COVID-19 pandemic in the United States (U.S.) was anticipated to have a tremendous impact on mental health, leading to heightened anxiety, depression, and post-traumatic stress disorder. The current study examined the psychological impact of the COVID-19 pandemic in parents of children with food allergies and asthma compared to parents of healthy children, examined associations between disease-specific measures and broad measures of anxiety, and explored moderating variables impacting the relationship between COVID-19-related stressors and psychological outcomes. A national sample of 265 parents completed an online survey between April and June 2020. Parents of children with food allergies and asthma experienced …

The Role Of Premorbid Factors And Adverse Childhood Experiences In The Persistence Of Symptoms Post Mild Traumatic Brain Injury (Persistent Postconcussive Symptoms), Tiffany Andersen

Master's Theses and Doctoral Dissertations

Every year, more than 2.8 million individuals sustain a traumatic brain injury (TBI) in the U.S. At least 75% of these are designated as mild TBI (mTBI). While most are expected to spontaneously recover within days to weeks, a substantial minority continue to experience various somatic, cognitive, and affective symptoms for months/years postinjury. Several biopsychosocial factors (e.g., cognitive reserve, psychiatric illness) may influence the persistence of postconcussive symptoms (PPCS). Adverse childhood experiences (ACE) may be another psychosocial factor that influences PPCS, but few studies have assessed the relationship between ACEs and TBI. This study aimed to replicate previous findings and …

Parental Control: The Role Of Maternal Depression, Sleep, And Executive Function, Amanda Hicks

Master's Theses and Doctoral Dissertations

Parental depression negatively impacts parenting practices, yet other factors such as sleep and executive function may also impact behaviors. Specifically, depression and sleep may impact behaviors through their influence on executive function. The current study examined both the mediating role of executive function on the relation between depression and sleep on parental control and the moderating role of sleep on the relation between depression and executive function on control with mothers of toddlers. Results showed that depression was positively associated with sleep problems and boys were more likely than girls to experience negative control. Socioeconomic status was positively associated with …

Neurocognitive Resilience In Children Born Late And Moderate Preterm (Lamp): Predictors Of Outcomes In Attention, Working Memory, And Executive Functioning, Heather C. Hennrick

Master's Theses and Doctoral Dissertations

This study sought to broaden the findings of the current research on the relationship between late and moderate preterm (LAMP) birth and long-term neurocognitive outcomes—specifically those related to attention-deficit/hyperactivity disorder (ADHD). The purpose of this study was to better understand the relationship between gestational age (GA) and ADHD by (a) comparing prevalence of diagnosis between term-born and LAMP children, (b) comparing ADHD behavioral symptom severity between term-born and LAMP children, (c) and by examining neurocognitive status between term-born children and LAMP children (with and without ADHD diagnoses). The study also examined other factors that contribute to the relationship between GA …

Increased Rape Victims Scale Attitudes After Relational Rejection: The Roles Of Entitlement And Shame, Lilah Clevey

Master's Theses and Doctoral Dissertations

This project examined whether social or romantic rejection impacted participants’ endorsement of victim blaming beliefs toward sexual assault survivors. Participants were randomly assigned to read one of five vignettes, including a woman romantically rejecting a man, socially rejecting him, romantically accepting him, socially accepting him, or a neutral control story. After reading the vignette, participants were administered a scale assessing their endorsement of beliefs that blame survivors of sexual assault for their assault. It was hypothesized that cisgender men that read vignettes about being rejected by a woman would endorse significantly more victim blaming beliefs and that participants’ own levels …