Clinical Psychology Commons^™

Assessing Sexual Minority Women’S Barriers And Facilitators To Seeking And Accessing Mental And Physical Healthcare: A Mixed Methods Study, Charlotte A. Dawson

Psychology Theses & Dissertations

Sexual minority women (SMW) experience greater mental and physical health concerns when compared to heterosexual women. Three key areas of health SMW report these disparities are: mental health, binge eating/body size, and sexual and reproductive health. SMW also report difficulties accessing healthcare in these three areas. An exploratory sequential mixed methods design was utilized to assess barriers and facilitators to healthcare access for young SMW. Study 1 included 20 semi-structured interviews with SMW, resulting in themes of barriers and facilitators identified by participants. These themes were converted into scale items. In Study 2, an expert panel of mental and physical …

Affect, Mind-Body Factors, And Disordered And Intuitive Eating Behaviors: Examining Naturalistic Associations Among Young Women With Elevated Eating Disorder Symptoms, Kelly A. Romano

Psychology Theses & Dissertations

Objective: The present study examined whether three mind-body factors—emotion dysregulation, interoceptive sensibility, and mindfulness—that are theorized to be implicated in the onset and maintenance of eating disorder (ED) pathology mediated (Aim 1) and moderated (Aim 2) within-person associations between affect and women with elevated ED symptoms’ disordered and intuitive eating behavior use. Method: Participants included 150 young women with elevated ED symptoms who completed a 10-day ecological momentary assessment protocol. To address Aim 1, multilevel structural equation models examined whether the mindbody factors (separately) mediated momentary associations between negative and positive affect, and women’s disordered (dietary restriction, loss of control …

The Influence Of Minority Stress, Coping, And A Pandemic On The Relationship Between Sexual Orientation And Mental Health: A Mixed Methods Study, James Michael Macchia

Psychology Theses & Dissertations

For decades, scientific literature has shown that sexual minority individuals across populations are disproportionately affected by negative mental health outcomes when compared to their heterosexual counterparts. These disparities are largely attributable to minority stress. Coping is a significant factor that can impact the content and severity of mental health outcomes and coping behaviors have been shown to vary based on sexual orientation. Mental health outcomes may also differ between sexual minority subgroups due to additional factors such as double discrimination and bisexual invisibility/erasure. Moreover, factors such as internalized homophobia and community connectedness have demonstrated strong associations with sexual minority mental …

An Electrophysiological Examination Of Attentional Biases To Emotional Faces In Depression And Social Anxiety, Nathan M. Hager

Psychology Theses & Dissertations

Cognitive theories have proposed that major depressive disorder (MDD) and social anxiety disorder (SAD) involve attentional biases toward and away from specific environmental stimuli. Research has often examined these biases in response to emotional facial expressions, but evidence of attentional biases is mixed. An event-related potential called the N2pc offers advantages over other measures of attentional bias and may clarify conflicting findings. Studies on the N2pc and social anxiety have found consistent results, but there is little work examining depression. Previous N2pc studies are limited by the types of emotional faces they use and by comparing attention for emotional faces …

Racial Differences In Tobacco Use And Risk Factors Among Young Adults: Roles Of Expectancies And Emotion Regulation, Laurel Brockenberry

Psychology Theses & Dissertations

African Americans experience higher mortality from lung cancer and other smoking-related diseases than Caucasian Americans (Kochanek et al., 2016) despite engaging in cigarette and e-cigarette use significantly less or at comparable rates to other racial groups (CDC, 2015; Schoeborn, 2013). During adolescence, smoking prevalence is lower among African Americans than Caucasian Americans, but there is a “cross-over effect” whereby smoking rates become similar later in adulthood (Belgrave et al, 2010). The mechanisms driving this effect are poorly understood. Thus, examining motivating factors for tobacco use, such as outcome expectancies and emotion regulation, may be especially illuminating for young adult African …

Patient-Targeted Googling: A Mixed-Methods Examination Of Psychologists’ Perceptions And Practices, Emily L. Putnam

Psychology Theses & Dissertations

Patient-targeted Googling (PTG) refers to a healthcare professional searching their patient’s name or other identifying information on the Internet. Existing research is inconclusive regarding the prevalence and perceptions of PTG among psychologists, and the American Psychological Association (APA) Ethics Code lacks guidance on the topic. The present study used a mixed-methods approach with two arms of data collection (online survey, N = 94; and virtual focus groups, N = 36) to clarify PTG practices, explore PTG attitudes, and understand training and ethical guidance needs of psychologists and psychology trainees. Results revealed that 47.9% of psychologists and trainees reported having engaged …

Testing A Contextual Framework Of Intimate Partner Violence In Young Adults, Phoebe Tabb Hitson

Psychology Theses & Dissertations

Bell and Naugle (2008) proposed a comprehensive theoretical framework that includes multiple variables hypothesized to be involved in intimate partner violence (IPV) perpetration, including distal and proximal variables. The current study (1) assessed the extent to which childhood physical abuse victimization, interparental violence, insecure attachment, accepting beliefs about violence, sexism, stress, alcohol and marijuana use, relationship satisfaction, emotion regulation, and anger management were associated with physical IPV perpetration; (2) determined whether some of these variables influenced physical IPV perpetration more than others; (3) explored the mediation of distal variables by more proximal variables in predicting physical IPV perpetration; and (4) …

The Association Of Objectification And Discrimination With Partner Gender And Disordered Eating Behaviors In Bisexual Women, Rachel A. Amerson

Psychology Theses & Dissertations

Sexual minority women are at increased risk of negative outcomes compared to heterosexual women. Bisexual women report disparities when compared to both heterosexual and lesbian women. The disparities experienced by bisexual women also appear to vary based on the gender of their partner, with those partnered with men reporting more negative health outcomes than those partnered with women. One area in which heterosexual and sexual minority women’s experiences differ is in the experience of objectification or being treated as a body rather than a person. While objectification has been linked to negative outcomes, such as body shame and disordered eating …

What We Learn From Each Other: Vicarious Posttraumatic Growth Among Non-Helping Professionals Following Exposure To Peer Trauma Experiences, Tiphanie Gayle Sutton

Psychology Theses & Dissertations

Trauma can result in adverse psychological outcomes from survivors and the helping professionals who support them. Vicarious (or secondary) traumatization is common among helping professionals and can lead to compassion fatigue and burnout. However, empathetic engagement with trauma survivors and their stories has been shown to lead to positive vicarious outcomes, including vicarious posttraumatic growth. Vicarious posttraumatic growth has been linked to personal and professional benefits for helping professionals. However, positive vicarious outcomes after engagement with peer trauma experiences had yet to be explored outside of helping relationships. The present study found that vicarious posttraumatic growth in non-helping professionals was …

Contextual Factors Of Harsh Parenting: Investigating The Role Of Impulsivity And Parent Attribution Bias Under Conditions Of Household Chaos, Kelsey T. Ellis

Psychology Theses & Dissertations

The use of harsh parenting strategies as a form of disciplining child misbehavior has been identified as an underlying factor for child abuse; thus, it is important to examine underlying causal factors for harsh parenting. While not originally formulated around harsh parenting, social information processing models of reactive aggression have highlighted internal attributions and impulsivity as key processes in social decision-making. Therefore, the current study integrated these theoretical models to explore how these processes are involved in harsh parenting behaviors and how these processes may interact in the context of environmental factors such as household chaos. Results revealed significant direct …

Reevaluating The Factor Structure Of The Family Resilience Assessment Scale For African American College Students, Quandrea Rachelle Harper

Psychology Theses & Dissertations

The purpose of this study was to reevaluate the initial validation process of the Family Resilience Assessment Scale (FRAS) and to validate the measure for use with African Americans. Although the FRAS has been previously validated using a sample from the general population in the U.S. and has demonstrated cross-cultural utility, its applicability for use specifically with African Americans is inconclusive, as demonstrated by preliminary research findings. In the current study, data were collected from a sample of African American college students to conduct an exploratory factor analysis using all 66 items initially included in Sixbey’s validation study, and a …

Validation And Measurement Invariance Of A First-Generation College Student Identity Scale, Kelsie K. Allison

Psychology Theses & Dissertations

First-generation college students (FGCS) comprise approximately 56% of the U.S. post-secondary institution population, yet they face substantially more academic, financial, and additional unique issues than continuing-generation college students. Research on FGCS has been steadily growing in recent years, however, literature on identity for this population is sparse. To address these gaps in the literature, the aim of the current study was to adapt, validate, and establish full factorial measurement invariance across Black and White FGCS for a multidimensional quantitative measure of first-generation college student identity. The final sample included 425 current FGCS (81.2% female; M_age = 24.4 years, SD …

Guilty As Not (Re)Charged: Calling, Work-Recovery Guilt, And Their Effects On Recovery Experiences, Jeffrey Drake Terry

Psychology Theses & Dissertations

Public and scholarly interest in the concept of work as a calling has grown considerably over the past few decades (Thompson & Bunderson, 2019). Much of this research has focused on the positive outcomes of calling, including increased work engagement (e.g., Dobrow Riza et al., 2019) and job performance (e.g., Park et al., 2016). However, a few studies have focused on the negative outcomes of calling, such as limited psychological detachment from work (Clinton et al., 2017). According to Work as Calling Theory (WCT; Duffy et al., 2018), psychological climate and individual differences may help to explain why some individuals …

Implementing An Online, Integrative, Multi-Component, Group-Based Cognitive Behavior Therapy (Cbt) For The Reduction Of Caregiver Burden In Primary Familial Caregivers Of Persons With Dementia: A Preliminary Test Of Feasibility, Daniel Robert Schaffer

Psychology Theses & Dissertations

The purpose of this study was to examine the preliminary feasibility of an online, manualized, group-based, multi-component, cognitive behavioral therapy (CBT) treatment approach for the reduction of caregiver burden among family caregivers of persons with dementia. This study had five primary hypotheses: (1) the recruitment plan, as outlined within this study, would yield the target number of participants within a 12-month period; (2) the proposed group therapy protocol would produce a positive therapeutic climate, as operationalized by increased levels of perceived social support, perceived group cohesion, positive therapeutic alliance, and positive engagement; (3) this study would maintain adequate participant retention, …

Sleeping With The Enemy: Examining The Relationship Between Sleep And Pain In Post-9/11 Veterans, John L. Schwartz Jr.

Psychology Theses & Dissertations

United States veterans are a diverse group of individuals, yet as a result of their service, they share a unique set of customs, traditions, and values. Post-9/11 veterans are more likely to experience elevated levels of pain and poor sleep quality compared to their civilian counterparts; however, little is known about how beliefs related to veterans’ pain impact their sleep and how levels of pain acceptance influence the sleep-pain association. This study examined relationships between sleep and pain in a sample of 102 post-9/11 veterans. Results support associations between pain and sleep identified in other populations. Positive correlations were found …

The Influence Of Emotion Regulation And Neural Cognitive Control On Distress Tolerance, Alicia L. Milam

Psychology Theses & Dissertations

Tolerance of negative emotions has been associated with transdiagnostic negative mental health outcomes. Theory and research implicate emotion regulation and cognitive control as factors in tolerance of negative emotions. But their unique contributions to tolerance of negative emotions and interdependency have been unclear due to methodological limitations. This study aimed to explicate cognitive and emotional factors affecting distress tolerance in a non-clinical sample of emerging adults. Undergraduate psychology students completed self-report measures of emotion regulation ability and tolerance of negative emotions. The N2 ERP component elicited by a Go-NoGo task was also used as a neurophysiological marker of cognitive control …

Intention-Behavior Discrepancies For Alcohol Consumption Among College Students, Emily Kaye Junkin

Psychology Theses & Dissertations

Unplanned drinkers may experience elevated risk for drinking-related harm. Research examining unplanned drinking focuses on the unplanned nature of a drinking episode (i.e., did the student drink when no drinking was planned), yet this does not capture the importance of the unintended quantity consumed. For instance, a discrepancy between drinking intentions and actual consumption has the potential to differentially impact alcohol-related outcomes beyond what is accounted for by unplanned drinking episodes. Further, research has not investigated how college students’ unintended drinking is associated with alcohol-related consequences. Moreover, utilization of protective behavioral strategies (PBS) has been shown to decrease negative outcomes …

An Experimental Investigation Into The Impact Of Acute Stress On Alcohol Craving Through Implicit Coping Motives, Douglas J. Glenn

Psychology Theses & Dissertations

Drinking to cope with negative emotions is associated with many negative alcohol-related outcomes such as increased alcohol use, drinking-related problems, and alcohol use disorders. An acute stressor is one example of a stimulus leading to negative emotions that an individual may wish to avoid. Research has shown that acute stress positively relates to drinking. Specifically, previous experimental studies have shown that individuals exposed to a stressor drink more alcohol and have stronger urges to drink than those not exposed to a stressor. Thus, it may be that drinking to cope explains why people experience alcohol cravings after experiencing a stressor. …

Body Dissatisfaction And Disordered Eating Among College Women’S Social Networks: An Investigation Of Perceived Changes Following A Dissonance-Based Body Image Intervention, Rachel I. Macintyre

Psychology Theses & Dissertations

Body dissatisfaction is associated with numerous health consequences and is pervasive among college women. Effective interventions exist that reduce body dissatisfaction in college women by helping them resist sociocultural pressures to conform to the appearance ideal, such as the Body Project. Yet research is limited on whether social and behavioral processes help participants reduce their engagement in sociocultural appearance-ideal messages and contribute to the intervention’s effectiveness. The primary purpose of the present study was to examine these social and behavioral processes, including the changes in college women’s social networks associated with their participation in the Body Project. Undergraduate and graduate …

Investigating The Role Of Denial In Interpersonal Formulations Of Binge Eating Among Black And White College Women: An Ecological Momentary Assessment Study, Lindsay Marie Howard

Psychology Theses & Dissertations

Binge eating is a prominent concern with 2.8 million Americans meeting criteria for binge eating disorder and an additional 10-15% reporting loss of control and overeating behaviors that fail to meet diagnostic criteria. Despite the risk associated with binge eating in emerging adulthood, studies exploring differences in binge eating between Black and White college women have been limited. Black women may be more likely than White women to deny disordered eating behaviors, such as binge eating, due to pressure to reflect historical body positive ideals and heightened stigma regarding mental health issues in Black communities. Denial is worthy of attention …

Campus Gatekeeper Trainings: An Analysis Of Question, Persuade, Refer (Qpr) And Safetalk, Gabrielle M. Ramsey-Wilson

Psychology Theses & Dissertations

Suicide prevention gatekeeper trainings seek to equip learners with knowledge about suicide, skills to recognize suicide risk and intervene, and awareness of referral resources. Although these trainings are widely used, research is limited on their utility and impact on increasing intent to intervene in a suicide crisis. The current study aimed to evaluate two gatekeeper trainings, SafeTALK and Question, Persuade, Refer (QPR), on a college campus using a pre-test/post-test design to examine this gap in the literature and provide evidence to help shape gatekeeper trainings in the future. Because the theory of planned behavior has been demonstrated to be an …

A Model Of Individual, Relationship, And Societal Factors And Mental Health And Well-Being In Partnered Sexual Minority Women: The Central Role Of Relationship Satisfaction, Charlotte A. Dawson

Psychology Theses & Dissertations

Sexual minority women (SMW) are at increased risk for mental health disorders, substance abuse, and physical health problems compared to heterosexual women. For heterosexual individuals, romantic relationships have been found to be protective against a variety of health issues. Less research, however, has focused on the association between romantic relationships and health in same-sex couples. The purpose of this study was to examine the potential protective nature of being in a relationship for SMW and to test a model investigating the central role of relationship satisfaction in the association between individual, relationship, and societal factors and mental health and well-being …

Testing A Model Of Sexual Minority Orientation In Individuals With And Without The Broad Autism Phenotype, Lydia Ruth Qualls

Psychology Theses & Dissertations

Individuals with Autism Spectrum Disorder (ASD) and the Broad Autism Phenotype (BAP) are more likely than individuals with typical development (TD) to report a sexual minority orientation (e.g., Bejerot & Eriksson, 2014; DeWinter et al., 2017; Qualls, Hartmann, & Paulson, 2018). There has been no research on how existing theories of sexual orientation might explain the development or increased likelihood of sexual minority orientation in these individuals. The aim of this study was to operationalize and test the fit of an existing model of sexual orientation (Worthington, Savoy, Dillon, & Vernaglia, 2002) in individuals with TD, BAP, and ASD.

Participants …

Morally Injurious Experiences, Trauma-Related Guilt, And Substance Use Among Iraq And Afghanistan Combat Veterans, Allison T. Battles

Psychology Theses & Dissertations

Exposure to morally injurious experiences (MIEs), or stressors that transgress deeply held moral beliefs, are risk factors for hazardous alcohol use and drug abuse among combat veterans. Guilt following a traumatic event also has a negative impact on veteran’s mental health and is conceptualized as a core symptom of moral injury that may elicit secondary outcomes, including substance use. Significant gaps remain in our understanding of the way MIEs and trauma-related guilt relate to hazardous alcohol use and drug abuse symptoms. Most prior research on MIEs and substance use have been limited to veterans sampled from the general population and …

Coping Self-Efficacy As A Potential Moderator Of The Relationship Between Sexual Orientation And Negative Mental Health Outcomes, James M. Macchia

Psychology Theses & Dissertations

Sexual minority individuals (i.e., those who identify as a sexual orientation other than heterosexual) have consistently been linked to an increased risk of negative mental health outcomes. The process of coping can impact the content and severity of said outcomes, and one’s ability to cope is often predicted by the concept known as coping self-efficacy (i.e., one’s belief in his or her ability to cope). This study aimed to assess the effects of sexual orientation, coping self-efficacy, and their interactions on mental health by looking at different aspects of coping self-efficacy as potential moderating variables. Self-perceptions of coping skills were …

The 23: Racial And Other Demographic Differences In The Assignment Of Risk Factors For Individuals Found Not Guilty By Reason Of Insanity In Virginia, Dominique Raquel Blanchette

Psychology Theses & Dissertations

Not Guilty by Reason of Insanity (NGRI) acquittees uniquely walk the line of involvement in both the criminal justice and mental health systems, both of which have literature indicating the presence of underlying racial biases related to practices and outcomes. The current study examined 366 forensic charts from an inpatient psychiatric hospital in Virginia to examine potential differences in the number of risk factors assigned for NGRI acquittees based on a variety of demographic variables. Information about demographic characteristics, psychiatric history, and criminal history was recorded and analyzed. It was hypothesized that younger age, male gender, a psychotic diagnosis, violent …

Mindfulness And Its Impact On Adaptive Coping And Psychological Well-Being: An Intervention For Undergraduate Students, Charles Bradley Freligh

Psychology Theses & Dissertations

The concept of mindfulness has been shown to positively impact psychological well-being, and one application of mindfulness-based interventions has been the development and implementation of courses specifically for college students, a population that has been shown to be particularly vulnerable to the negative impacts of stress. While these interventions have displayed beneficial outcomes, the mechanisms of how mindfulness exerts its impact remain unclear. One potential mechanism of mindfulness’ enhancement of well-being may be through its cultivation of an adaptive coping style in which an individual becomes more likely to approach and investigate stressors rather than avoid them. In this study, …

Investigating A Multimodal Approach To Clinical Diagnosis Of Mild Cognitive Impairment And Alzheimer’S Disease, Sean M. Flannery

Psychology Theses & Dissertations

An estimated 5.8 million Americans suffer from dementia due to Alzheimer’s disease (AD), with that number projected to grow to 13.8 million by mid-century (Alzheimer’s Association, 2019). Mild cognitive impairment (MCI) describes the stage between normal cognitive decline that comes with aging and a dementia diagnosis (Peterson, 1999). Due to a lack of a cure or particularly effective treatment, a major goal of treatment is to focus on improving quality of life (Budson & Solomon, 2016). An early and accurate diagnosis can address this goal in a variety of ways. Despite the high prevalence and immense amount of research in …

Alcohol Use And Drinking-Related Eating Restriction Behaviors Among College Students, Peter Preonas

Psychology Theses & Dissertations

The combination of eating restrictions and alcohol use is a prevalent problem on college campuses. Some students engage in eating restrictions prior to drinking to limit their overall caloric intake or to enhance intoxication effects. To date, limited research suggests that drinking-related eating restriction behaviors are associated with additional and unique health risks relative to high-risk drinking or eating restrictions alone. As such, additional research examining this unique, risky set of behaviors is warranted. Consequently, the present study aimed to address gaps in the literature by further examining the risks associated with drinking-related eating restrictions and testing trait factors related …

A Multi-Dimensional Model Of Sexual Stigma And Relationship Satisfaction Among Female Same-Sex Couples: The Self-Fulfilling Prophecy Of Rejection Sensitivity, Alexander Thomas Shappie

Psychology Theses & Dissertations

Sexual stigma is associated with impaired relationship functioning among sexual minority couples and is associated with a variety of negative outcomes that result in an inequitable burden for members of this population. While there is considerable evidence that sexual stigma and minority stress are related to individual health outcomes, less research has examined relationship health. The present study provides an important contribution to the literature because it was the first to offer a dyadic model that tested the relatedness between all three individual-level manifestations of sexual stigma (i.e., enacted, internalized, and perceived sexual stigma) and relationship satisfaction among same-sex couples. …