Clinical Psychology Commons^™

Exploring The Relationship Among Postpartum Depression, Cognitive Distortions, And Relationship Satisfaction, Kylie A. Hastings

PCOM Psychology Dissertations

Postpartum depression is the most prevalent psychological disorder experienced following childbirth, impairs daily functioning, negatively impacts child growth and development, and is linked to maladaptive parent-child interactions. Previous research also suggests a link among distorted thinking, depression symptoms, and interpersonal tension. The current study explores the interplay among postpartum depression symptoms, cognitive distortions, and relationship satisfaction among postpartum individuals. Researchers examined how specific thinking errors, including catastrophizing, mindreading, and labeling, are associated with depression symptoms and relational experiences in the postpartum period. Using a quantitative survey design, data were collected from 90 participants using validated instruments: the …

Social Problem-Solving, Stress, Social Support As Predictors Of Distress Among First-Generation Students, Marisa Leib

PCOM Psychology Dissertations

First-generation students are steadily increasing in the United States, and currently comprise one third of today’s college undergraduate population (Stebleton & Jehangir, 2020). First-generation students are more likely to face various academic, social, economic, and cultural challenges when transitioning to higher education. The culmination of these stressors put first-generation students at risk for developing mental health conditions. Social problem-solving (SPS) is one variable that has been shown to buffer against the negative effects of stress among the general college student population. The purpose of the current study was to examine how specific variables contribute to psychological distress among the population …

Ptsd, Chaos, And Subjective Executive Dysfunction, And Its Impact On Qol, Emmy Y. Velazquez Santiago

PCOM Psychology Dissertations

Research with veterans suggests executive dysfunction associated with PTSD often results in problems with quality of life. Objective impairments in executive functions do not significantly correlate with subjective reports; despite this discrepancy, the perception of dysfunction impacts quality of life. Research indicates that perception of chaos/unpredictability can undermine the ability to perform executive functions. This study explored how the perception of chaos impacts the relationship between PTSD and subjective executive dysfunction and quality of life among veterans. A Pearson product-moment correlation was used to determine whether a relationship exists between PTSD symptomatology and subjective executive dysfunction and between subjective executive …

Loss Of Mooring And Acculturational Resilience: Understanding Resilience, Adversity, And Trauma Among Female Muslim Arab Refugees In The United States: A Qualitative Study, Norah Fahad Aldawsari

PCOM Psychology Dissertations

The phenomenon of resilience is found in the literature reviews of trauma and is considered an important element in overcoming adversity and traumas (Brown, 2015; Civan Kahve et al., 2021; Saul, 2022). Resilience is considered to be a cultural, contextual, and historical concept, and its conceptualization, illumination of influential factors, and identification of coping strategies can be considered unique from one culture to another (Saul, 2022). Many research studies highlight the importance of resilience when coping with adversity and trauma, as well as incorporating a strength-based therapeutic approach. This approach incorporates one’s social and communal interventions and elements and cultural …

Relationship Quality And Metacognitive Beliefs On Grief Outcomes Of Bereaved Cancer Caregivers, Katelyn Anderson

PCOM Psychology Dissertations

Cancer caregivers are a unique population among grief literature due to the typical experience of preparedness for the loss. Nevertheless, their responses may vary, with some experiencing significant distress resulting in prolonged grief disorder (PGD). PGD has higher risks for mental and health problems, creating an urgency to understand the underlying factors for appropriate treatment interventions. Research mainly examines automatic thought processes in grief coping processes, but there is minimal research on the influence of metacognitive beliefs on PGD. Furthermore, there is a limited understanding of how the quality of the relationship between the deceased and the caregiver influences PGD …

Revisiting The Global Measures Of Overall Neuropsychological Function And The Impact Of Race-Based Normative Data In Clinical And Forensic Populations, Zachary Thomas Dipasquale

PCOM Psychology Dissertations

This research investigated the impact of race-based normative data, the removal of a subtest, and the reason for referral on neuropsychological assessments. Three hypotheses were tested using various statistical methods. The first hypothesis predicted a significant difference in the Average Impairment Rating (AIR) when comparing European American normative data to African American normative data. The second hypothesis posited that the removal of the 12th composite score (Av-1) would significantly alter the classification of brain injury using the AIR. The third hypothesis proposed that a significant difference would be observed in the AIR, General Deficit Scale (GDS), and Halstead Impairment Index …

Determinants Of Medical Cannabis Use For The Treatment Of Anxiety: A Qualitative Study, Catherine Blasi

PCOM Psychology Dissertations

Anxiety is a disorder characterized by feelings of tension, excessive fear, and physiological changes. Specific classes of anxiety disorders have been recognized, including social anxiety disorder, generalized anxiety disorder, agoraphobia, specific phobia, panic disorder, and separation anxiety disorder. Cannabis is the most commonly used federal substance in the U.S. In recent years, medical cannabis has been increasingly utilized as a treatment option following approval in many U.S. states. At present, no literature addresses explicitly why individuals with anxiety choose to utilize medical cannabis as a treatment option instead of other longstanding treatment options, including psychotherapy and medication. Therefore, the purpose …

Attitudes Of Providers And Researchers Toward Harm Reduction Strategies, Portia Womer

PCOM Psychology Dissertations

The present study utilized a mix methods approach to examine the relationship between professional role, years of experience, and support for harm reduction strategies to treat Opioid Use Disorder. There were 84 participants who completed the online survey. The survey included both quantitative and qualitative questions about their professional role, years of experience, age, use of cognitive behavioral therapy for opioid use disorder, and support for harm reduction strategies. There was no significant association among years of experience and support for harm reduction strategies (including safe injection sites). Additionally, there were no significant findings among age and support for harm …

The Relationship Between Adhd-Specific Cognitive Distortions And Adult Adhd After Accounting For Clinical Syndromes And Personality Pathology, Carly Gerbi

PCOM Psychology Dissertations

Adults with attention-deficit/hyperactivity disorder (ADHD) experience many difficulties in daily functioning. It is theorized that some of the difficulties experienced by adults with ADHD result from cognitive distortions. Although previous studies have identified a preliminary relationship between cognitive distortions and ADHD, which may be accounted for by comorbid disorders; these studies did not measure ADHD-specific cognitive distortions after accounting for these comorbidities. The purpose of the current study was to assess the relationship between the frequency of ADHD-specific cognitive distortions, operationalized as ADHD Cognition Scale (ACS) and the severity of adult ADHD, operationalized as the Brown Executive Function/Attention Scale (BEF/A), …

Association Between Trauma History And Body Image, Depression, Posttraumatic Stress, And Relationship Satisfaction In Postpartum Women, Kristen Hawk-Purcell

PCOM Psychology Dissertations

The postpartum period can be a time of significant change and transition. Little is known about how a history of trauma may impact functioning during this critical time. English-speaking adult women (age ≥ 18 years, N = 61) who gave birth in the United States in the past year, but not in the last month, were in an intimate relationship, and did not use any assisted reproductive technology to conceive participated in the study. Participants were recruited through social media and online forums related to pregnancy and the postpartum period. They completed a demographic questionnaire, the PTSD Checklist for Diagnostic …

The Impact Of Gender Minority Stress On Eating Pathology And Body Checking Behaviors In Transgender And Non-Binary Adults, Klaudia Bialy

PCOM Psychology Dissertations

Transgender and gender non-binary (TNB) individuals commonly report diminished mental health when compared to cisgender individuals. TNB individuals experience unique stressors due to their gender identity such as gender-based discrimination and victimization, internalized transphobia, and non-affirmation of their gender. Due to these unique stressors, TNB individuals experience elevated rates of psychological distress such as anxiety, depression, and suicidality. Additionally, TNB individuals report body image issues and disordered eating. This study examined if gender minority stress predicts the relationship between body checking behaviors and eating pathology amongst TNB individuals. Simple linear regression models were used to assess the possible impact gender …

The Inventory Of Cognitive Distortions-Youth Version: The Development And Validation Of A Psychometric Test For The Measurement Of Cognitive Distortions In Youth, Kelsey Jones

PCOM Psychology Dissertations

Cognitive distortions are systematic biases in an individual’s thinking that maintain a person’s belief in their negative views of themselves or others, even in the presence of contradictory evidence. The Inventory of Cognitive Distortions (ICD), created by Yurica and DiTomasso, measures distorted thinking in adults. Currently, there is not a youth measure of distortions that adequately encapsulates the range of distorted thinking that may be present in youth. Therefore, the purpose of the current study was to create and validate a newly designed instrument of cognitive distortions, The Inventory of Cognitive Distortions-Youth Version (ICD-YV), with youth ages 11 to 17. …

Assessing The Quality Of Life In Spousal Caregivers Of Kidney Dialysis Patients, Mallory Christman

PCOM Psychology Dissertations

Caregivers are considered extended parts of the healthcare system. As the responsibilities of caregivers increase, they are more prone to develop a poorer quality of life (QOL; Avsar et al., 2013; Rafati et al., 2019; Sajadi et al., 2020; Turner & Finch-Guthrie, 2020). Further, as the prevalence of end-stage renal disease (ESRD) continues to increase, factors that impact coping and QOL should be evaluated.

Understanding the relationship between coping, social problem solving, and QOL may increase professionals’ ability to help caregivers flourish. However, little is known about the QOL in spousal caregivers of kidney dialysis patients in the United States. …

Examining Social Media Use, Connectedness, And Depression In Graduate Students, Marisa Gretz

PCOM Psychology Dissertations

This study examined the relationship between social media use, sense of connectedness, and depression among graduate students. Graduate students are at risk of depression and often disconnect from their social supports due to their program's demands. Literature on the impact of social media on depression is discrepant. The relationship between a sense of connection, the use of social media, and depression in a graduate student population is a novel area of research. Graduate students at The Philadelphia College of Osteopathic Medicine (PCOM) and other universities, including healthcare and non-healthcare-related disciplines, were included. Participants were recruited via social media or email. …

The Impact Of Trauma On Exposure And Response Prevention (Ex/Rp) Treatment Outcomes For Obsessive-Compulsive Disorder, Lindsey Salerno

PCOM Psychology Dissertations

Despite the high prevalence of trauma in treatment-seeking individuals with obsessive-compulsive disorder (OCD), the role of trauma in OCD treatment is under-studied. This study examined the relationship between trauma and treatment outcomes using a gold standard intervention for OCD—exposure and response prevention (Ex/RP) therapy. This study also investigated whether inherent traits (intolerance of uncertainty, anxiety sensitivity, emotion regulation, and perfectionism) act as mechanisms of change that mediate the relationship between trauma and Ex/RP treatment outcomes. Using data collected as part of a larger research study, analyses were performed for 76 adult patients with a primary diagnosis of OCD who completed …

Predictive Abilities Of Neuropsychological Measures On Functional Outcomes In The Mild Cognitive Impairment (Mci) And Dementia Populations, Morgan Bare

PCOM Psychology Dissertations

During the aging process, a decline in ability to perform everyday tasks is commonly observed. This is increasingly so for those with dementia and is a diagnostic requirement. These daily tasks require certain cognitive skills which can be measured by various neuropsychological measures. The purpose of this study is to examine which neuropsychological measures are able to detect various deficits in self-reported activities of daily living (ADL) and instrumental activities of daily living (IADL) in individuals with mild cognitive impairment (MCI) and dementia. It is hypothesized that Trail Making Test– B (TMT-B) would be the most sensitive predictor in functional …

Intuitions Across The Theistic-Atheistic Spectrum: A Convergence Of Social Psychology And Experimental Philosophy Research Paradigms, Janessa R. Brown

PCOM Psychology Dissertations

The aim of the present study was to examine what intuitions individuals have regarding factors related to religious belief and non-belief. This was achieved via the convergence of experimental philosophy and social psychology research paradigms. Participants were randomly assigned to one of three vignette conditions depicting either a theistic, agnostic, or atheistic universe or a non-vignette control condition. Participants reported intuitions in the context of the universe to which they were assigned on factors of death anxiety, awe, pure evil, and fine-tuning. Responses were compared across vignette conditions and by category of belief. It was hypothesized that group differences regarding …

Examining The Relationship Between Outcome Expectancies And Anxiety Severity In Patients Using Medical Marijuana, Paulina Syracuse

PCOM Psychology Dissertations

Many states have legalized marijuana for medical and recreational use despite it being classified as a Schedule I controlled substance. Although research regarding its efficacy is limited, one of the most common medical marijuana referral reasons is anxiety and patients often report experiencing reductions in anxiety. Many patients have beliefs about the effects of medical marijuana, called outcome expectancies, which may differ based on previous recreational marijuana use. These beliefs may influence anxiety outcomes, but this relationship is still unclear. The purpose of this study is to examine the relationship between patients’ medical marijuana outcome expectancies, previous recreational marijuana use, …

The Clinical Utility Of A Short Form Version For The Rey Complex Figure Test (Rcft) In Identifying Visual Memory Impairments With Older Adults, Adam D. Christmann

PCOM Psychology Dissertations

The aim of this study was to examine if a short-form version of the Rey Complex Figure Test (RCFT-SF) was equivalent to the measure’s standard administration procedures as part of a neuropsychological battery for testing visual memory in an older adult population as well as the impact of anxiety on their performance. The RCFT-SF consisted of a similar administration procedure to the standard form (e.g., copy, immediate recall, delayed recall, and recognition trial) while reducing the period between the immediate and delayed recall portions of the measure to 10 minutes. Participants involved with this study were divided into two groups, …

The Association Between Neuroticism, Self-Esteem, And Peer Interactions And Disordered Eating And Body Checking Behavior In Female College Athletes, Alyssa Hertz

PCOM Psychology Dissertations

Numerous studies have investigated whether participation in collegiate sports is a risk or protective factor for disordered eating attitudes and behaviors. The purpose of this study was to evaluate potential psychosocial factors (neuroticism, peer relations, and self-esteem) that may contribute to increased risk for disordered eating or maladaptive body checking behaviors in female college athletes. This anonymous, cross sectional, online study recruited 206 participants. Participants completed screening questions, a demographic questionnaire in addition to the Eating Attitudes Test-26, Rosenberg Self-Esteem Scale, Body Checking and Avoidance Questionnaire, Inventory of Peer Influence, and Ten Item Personality Inventory. There was no significant relationship …

Cognitive Distortions, Partisan Strength, And Authoritarianism: Exploring Potential Factors Contributing To The Current Partisan Divide, Brooke C. Singer

PCOM Psychology Dissertations

Over the past two decades, the number of Americans on the extremes of the political spectrum has more than doubled, and politically motivated aggression has increased. In addition, an unprecedented division has emerged between the left and right on fundamental political values and animosity continues to rise. The purpose of this study was to explore factors that potentially contribute to political polarization and animosity in the United States, including authoritarianism, strength of partisan commitment, and distorted thinking. The participants for this study comprised 513 individuals from the general population of the United States recruited from online platforms. Participants completed an …

Are Narcissism And Entitlement Associated With Higher Rates Of Violence And Unsuccessful Treatment Completion?, Melissa Chipollini

PCOM Psychology Dissertations

Following the dimensional-categorical model of personality functioning, this study used archival data to examine the degree to which narcissism and entitlement determined engagement in violent acts and treatment completion. The study reviewed MCMI-III/IV scores, discharge summaries, and violence histories for a sample of 105 individuals who were referred for forensic outpatient services by the court. One-way ANOVAs were used to assess all four of the hypotheses (a) individuals with more than one violent act (vs. one violent act) would have significantly higher mean scores on the MCMI-III/IV entitlement subscale, (b) individuals with more than one violent act would have significantly …

Do Law Enforcement Officers’ Attitudes And Knowledge Impact Their Likelihood Of Administering Naloxone?, Nicole Alexis Gulkis

PCOM Psychology Dissertations

Law enforcement officers (LEOs) are integral public service providers who have been called upon by government personnel across state and local government bodies to aid in combating the opioid epidemic. As LEOs are often the primary front-line workers who encounter opioid overdose scenarios, more states across the nation are training LEOs to administer naloxone. The emergence of Coronavirus (COVID-19) has complicated LEOs’ involvement with naloxone administration because of shifts in policing strategies and occupational safety procedures. Given the current pandemic, concerns about contraction and transmission of COVID-19 must be considered for LEOs working in the frontlines of these concurrent public …

Examining The Dunning-Kruger Effect In Autism Knowledge, Information Sourcing, And Endorsement Of Vaccination Policy, Alexandra Reed

PCOM Psychology Dissertations

The purpose of this study was to further examine the Dunning-Kruger effect as it relates to knowledge of autism, source of information, and endorsement of vaccination policy. Specifically, the study assessed the relationship between confidence in autism awareness and the belief that vaccines cause autism. It also examined the relationship between the source of information regarding autism and vaccines and vaccination attitudes. Last, it assessed whether individuals with higher confidence levels in the internet would be more likely to have both anti-vaccination attitudes and lower awareness of autism facts. Adult participants (N = 199) were surveyed on various social media …

Executive Functioning In Persons Undergoing Hemodialysis, Alexandria Diguiseppe

PCOM Psychology Dissertations

Chronic kidney disease (CKD) is a condition in which damaged kidneys cannot properly filter blood throughout the body. This results in excess fluid and waste products to remain in the bloodstream, which can lead to other health complications if not treated. Kidney failure occurs when an individual has 10-15% of optimal kidney functioning, resulting in toxic levels of waste in the bloodstream. Recent literature has demonstrated that individuals receiving dialysis have poorer cognitive functioning compared to the general population, especially in regard to executive functioning. The purpose of the current study was to identify the executive functioning abilities in a …

Predictors Of Postdeployment Distress In Female Veterans, Shalonda C. Griffin

PCOM Psychology Dissertations

The female veteran population is expected to increase over the next few decades, representing approximately 16.3% of the living population by the year 2042. Although research exists in regard to the entire veteran population, research relating to female veterans is lacking. The purpose of this study was (a) to identify factors associated and predictive of postdeployment distress and (b) to identify and explore stressors specific to female veterans’ experiences once they separate from the military. Findings from the study revealed significant relationships between the predictive factors (i.e., Life Events, Support, and Family Experiences) and criterion variables (i.e., Perceived Stress and …

The Relationship Between Locus Of Control, Affective Disorders, And Weight Loss Expectations In Adults Seeking Bariatric Surgery, Rachel Brookland

PCOM Psychology Dissertations

Bariatric surgery is the most effective long-term treatment for severe obesity. Although bariatric surgery results in significant weight loss for many patients, variability exists in expectations surrounding postoperative outcomes. Therefore, this study examined two psychosocial factors that may contribute to variability in weight loss expectations among adults seeking bariatric surgery: affective disorders and locus of control. Specifically, it was hypothesized that individuals scoring higher on external measures of locus of control would report lower weight loss expectations for surgery than those scoring higher on internal measures of locus of control (as measured by the Levenson’s Multidimensional Locus of Control Scale, …

The Association Between Sluggish Cognitive Tempo, Big Five Personality Factors, And Comorbid Clinical Syndromes In Adults Seeking Treatment For Adhd, Lauren Truskey

PCOM Psychology Dissertations

Sluggish cognitive tempo (SCT) is a cluster of symptoms, including daydreaming, mental confusion, slowed thinking, and hypoactivity, that are believed to overlap and be frequently comorbid with attention deficit/hyperactivity disorder (ADHD). Research examining the relationship between personality and symptoms of SCT in adults with ADHD is limited. The purpose of the current study was to determine whether a relationship exists between SCT, Big Five personality factors, and ADHD, after accounting for comorbid anxiety and depression in a clinical adult sample. Archival data from a university-based outpatient clinic specializing in the assessment and treatment of adult ADHD were collected from an …

The Effects Of Child-Adult Relationship Enhancement (Care) Training In Reducing Restraints And Staff Injuries, Pali Payne-Storey

PCOM Psychology Dissertations

Inpatient hospitalization provides a way to treat and stabilize children and adolescents with mental health issues, including externalizing behavioral problems. However, little research exists concerning effective evidence-based approaches to treating externalizing behaviors in inpatient psychiatric settings. Physical restraints, chemical restraints, and seclusion are often used to calm violent outbursts by patients, despite evidence indicating such measures cause psychological and physical trauma to patients and employees. The Child–Adult Relationship Enhancement (CARE) program is an alternative approach designed to reduce externalizing behaviors by fostering better relationships between patients and staff. CARE is based on the premise that when adults create positive interactions …

Cognitive Mechanisms Underlying The Relationship Between Social Media Use And Depressive Symptoms, Mary Le

PCOM Psychology Dissertations

Social media continues to grow in popularity but has been associated with diminished mental health in some users. Social media provides a platform for social comparison, which influences how individuals evaluate their traits, abilities, and successes in achieving life milestones and, in turn, may impact psychological functioning. The primary objective of this study was to determine whether social comparison and cognitive distortions mediated the relationship between social media use and depressive symptoms in younger adults. In total, 175 adults between the ages of 18 and 29 years were recruited online (64.6% male, 34.9% female; 45.7% Asian). Participants completed anonymous surveys …