Clinical Psychology Commons^™

Neuropsychological Profiles To Aid In Determining The Necessity For Neuroimaging Reviews: Providing Evidence For A Screener For Cerebrovascular Abnormalities, Kayla Blaire Miller

Theses and Dissertations

This study aimed to provide evidence for a white matter abnormality (WMA) screener by investigating whether commonly used neuropsychological measures of executive functioning and processing speed have predictive power for identifying high WMA burden.

Participants were administered a brief neuropsychological evaluation by a doctoral student under the direct supervision of a board-certified clinical neuropsychologist and underwent an MRI scan. A neurologist rated each participant’s MRI results using the Fazekas scale. A total of 178 participants were included, divided into two groups based on their Fazekas rating: low WMA burden (46%) and high WMA burden (54%).

A confirmatory factor analysis indicated …

The Effect Of Resilience: Exploring The Link Between Depression And Cognitive Performance In A Memory Disorder Clinic Population, Amanda Capriglione

Theses and Dissertations

Introduction: Research has consistently shown that depressive symptoms are associated with cognitive impairments, namely in memory, attention, and executive functioning (for a review, see Rock et al., 2014), particularly in individuals with mild cognitive impairment (MCI). As MCI is often a precursor to dementia, understanding and addressing modifiable factors that influence this trajectory is essential for prevention and intervention efforts. Resilience, defined as the capacity to adapt positively to adversity, has been identified as a potential protective factor against age-related cognitive decline. Prior studies (e.g., Laird et al., 2019b; Miller et al., 2023) suggest that resilience buffers against the cognitive …

Problematic Technology Use And Quality Of Life In College Students With Varying Levels Of Schizotypy, Joseph P. Skinner

Theses and Dissertations

Problematic Technology Use (PTU) has emerged as a growing concern with technology’s continual integration into daily living. Individuals higher in schizotypy may be particularly vulnerable to the negative consequences of digital environments. The present study cross-sectionally examined associations among schizotypy, PTU, and quality of life (QOL) in 533 college students using structural equation modeling. Consistent with hypotheses, greater total schizotypy was associated with higher PTU and lower QOL. Additionally, positive, negative, and disorganized schizotypy all uniquely predicted poor QOL with the negative domain demonstrating the strongest standardized association. Contrary to hypotheses, PTU did not significantly moderate the relation between total …

The Impact Of Stigma On The Mmpi-3 Scores Of An Indo-Caribbean Community Sample, Julia Persaud-Naipaul

Theses and Dissertations

Evaluation of personality and psychological disorders is accomplished through the use of psychometric measures. However, tests require interpretation of test responses using a normative criterion based on a particular population that may not fully consider the effect of cultural influences on an individual’s level of willingness to report psychological difficulties. For example, individuals in collectivistic cultures may not be as willing to self-report problems because mental illness is often perceived as a source of embarrassment and shame. One culturally unique population that has been overlooked in psychological assessment is the Indo-Caribbean population. Their specific cultural values, beliefs, attitudes, and practices …

Examining The Relationship Between Past Involvement In Sexual Violence, Gender, And Rape Myth Acceptance In College Student-Athletes, Sarah Baker

Theses and Dissertations

Sexual violence (SV) is a persistent concern on U.S. college campuses, with student-athletes at higher risk for both perpetration and victimization. Rape myth acceptance (RMA) reflects beliefs that excuse or downplay SV, but it is unclear how these beliefs relate to student-athletes’ personal experiences with SV. This study examined RMA based on past SV involvement and gender, with attention to individuals reporting both perpetration and victimization. Participants were 350 NCAA Division III student-athletes who completed measures of SV perpetration and victimization, RMA, and sexism. Analyses evaluated differences in RMA by past involvement in sexual violence and gender while controlling for …

How Young Mothers’ Interpersonal And Emotional Well-Being Impacts Parental Stress And Dating Violence, Jonathan Jin

Theses and Dissertations

This two-part dissertation investigated two distinct, yet interconnected aspects of young mothers’ wellbeing which span individual and interpersonal factors. Study 1 examined how adverse childhood experiences (ACEs) are related to parental stress, and how symptoms of anxiety and depression might mediate this association. Within a sample 255 young mothers with an average age of 22.2 (SD = 2.3), the pooled results of a parallel mediation model across 10 imputed datasets indicated a significant average direct effect of ACEs on parental stress (0.25, p < .01), suggesting that experiencing a history of ACEs was significantly associated with more parental stress. Study 2 examined the relationship between young mothers’ romantic attachment, emotion regulation, and dating violence (DV) victimization. In a different sample of 256 young mothers with an average age of 19.8 years (SD = 1.1), more avoidant (less secure) romantic attachment styles (β = 0.26, SE = 0.1, p < 0.01) and more anxious romantic attachment styles (linear component β = 3.81, SE = 0.9, p < 0.001 and quadratic component β = -2.86, SE = 0.9, p < 0.01) were significantly associated with greater DV victimization. Future research may extend this work by using longitudinal designs to test bidirectional links between interpersonal and emotional wellbeing factors among young mothers.

The Latent Lens: Exploring Hetereogeneity In The Use Of Physical Restraints Via Latent Class Analysis And The Lens Model, Andrew Miele

Theses and Dissertations

Research on the use of physical restraints has revealed high rates of heterogeneity between clinical settings and an array of potential risk factors at both the patient and provider level. This is most evident in general medical hospitals, where patient populations are more heterogenous than other settings and physicians often can rely only on observable characteristics of patients to assess safety risks. More recent work has shown that coherent subgroups of restrained patients can be derived from demographic and clinical indicators. Identification of coherent patient subgroups may aid in understanding both the heterogeneity of the restrained patient population and differences …

Understanding Self And Others: Exploring The Relationship Between Maladaptive Personality Traits And Theory Of Mind, Christian Dellavella

Theses and Dissertations

The relationship between theory of mind (ToM) and maladaptive personality traits is a poorly understood but critical intersection between cognitive and clinical psychology. While some research has suggested certain personality characteristics may elevate ToM ability, others may contribute to deficits that lead to negative health outcomes and poor social functioning. Understanding how variability in the population’s ideological disposition affects our capacity to comprehend others’ perspectives and emotions is key to grasping the intricacies of social interactions. As the fields of clinical psychology and psychiatry begin to reclassify their diagnostic systems, it is critical to evaluate how novel conceptualizations of personality …

Moderators Of Change In Parent Child Relationship Quality In Trauma-Focused Cognitive Behavioral Therapy, Emilie Paul

Theses and Dissertations

The parent-child relationship may protect children against negative mental health outcomes after trauma. One aim of evidence-based interventions for trauma-related symptoms in children is often to improve the parent-child relationship, as seen in trauma-focused cognitive behavior therapy (TF-CBT). This study investigated changes in parent-child relationship quality during TF-CBT in child-parent dyads. Participants were families receiving TF-CBT through a community-based training clinic as part of an ongoing open trial of TF-CBT (N=287). Children reported on relationship quality at pre-, mid-, and post-treatment. Multilevel growth modeling examined changes in relationship quality across TF-CBT and moderating effects of caregiver symptoms, homework completion, and …

Do Friendship Features Moderate Associations Between Body-Related (Co)-Rumination And Disordered Eating Behaviors?, Annabel Grace Susanin

Theses and Dissertations

For young adults, the transition to college includes increased responsibility and academic pressures, as well as new living environments with same-age peers. The demands of this transition can contribute to increased stress and uncertainty in students, resulting in engagement of behaviors that negatively impact physical and mental well-being. Among these behaviors include disordered eating. In this project, we sought to better understand individual and social risk factors for developing disordered eating behaviors. We measured a cognitive process that can occur within the self (rumination) or between the self and others (co-rumination), two concepts previously linked to other internalizing disorders, including …

Parental Emotion Regulation: Associations With Child Affect And Emotion Socialization Behaviors, Jordan Holmén

Theses and Dissertations

Parenting is an emotional context in which parents often need to be able to regulate their own emotions in order to respond effectively to their child. Thus, how one regulates themselves may impact child outcomes. Supporting this notion, parent emotional regulation (ER) has been found to influence child adjustment (for a review, see Zimmer-Gembeck et al., 2021) and, more specifically, child affect (Hamzallari et al., 2022). For example, maternal suppression of emotions has been found to predict infant frustration (i.e., crying; Hamzallari et al., 2022). However, it is less clear how parent ER impacts child positive and negative affect. Theory …

Anger Coping And Its Relations To Ambulatory Blood Pressure Reactivity And Recovery: The Moderating Effects Of Ethnic Discrimination, Brandon Dial

Theses and Dissertations

Past research has found significant associations between anger coping (i.e., anger-in, anger-out, anger-control) and blood pressure. As these studies used retrospective surveys to measure anger coping and clinic measures of blood pressure, less is known about the relations of anger coping and blood pressure in daily life. This ecological momentary assessment (EMA) study tested whether momentary use of anger coping styles in the context of interpersonal interactions were associated with momentary blood pressure reactivity and nocturnal blood pressure recovery (i.e., blood pressure dipping). Lifetime perceived ethnic discrimination was tested as a moderator of the relations of anger coping and blood …

The Relation Between Referral Source And Completion Of Trauma-Specific Assessment And Therapy In A Community-Based Training Clinic, Olivia Fiallo

Theses and Dissertations

In the United States, more than 60% of youth experience at least one trauma by age 16, and about one-third develop a trauma-related disorder. Evidence-based trauma-specific cognitive behavioral therapies (TS-CBTs) exist, yet fewer than 20% of trauma-exposed youth receive trauma-focused treatment, with dropout rates as high as 75% after treatment initiation. Referral sources are gatekeepers to TS-CBTs and may be a key system-level factor shaping barriers to starting and staying in treatment. This study examined whether referral source was associated with entry into and completion of a full TS-CBT service delivery pathway in a community-based trauma clinic. Participants were 346 …

Don’T Hit Mommy! Associations Between Harsh Parenting And Aggression In Toddlerhood: The Moderating Role Of Temperament, Serah Betancourt

Theses and Dissertations

Physical aggression is known to be particularly common in toddlerhood. Further, harsh parenting practices and certain temperament traits in children have been found to be associated with aggressive behaviors. Recently, aggression has been demonstrated to be differentiated between provoked and unprovoked aggression. The current study examined early aggression and explored the mechanisms by which harsh parenting practices and temperament traits may predict different types of aggression and how that may also change depending on the stage of development in toddlerhood. That is, we proposed that harsh parenting would be more strongly associated with provoked aggression among toddlers with higher negative …

Vulnerable Narcissism In Borderline Personality Disorder: Impact On Emotion Dysregulation, Identity Disturbance, And Rejection Sensitivity In Psychiatric Inpatients, Lauren Baker Lloveras

Theses and Dissertations

Borderline personality disorder (BPD) is a severe personality disorder frequently seen in clinical settings due to high service utilization. It is characterized by emotion dysregulation, identity disturbance, suicidal behavior, fear of abandonment, and impulsive or risky behavior. BPD is categorized as a Cluster B personality disorder, alongside narcissistic personality disorder (NPD), which is defined by grandiosity, attention-seeking, and a lack of empathy. NPD can be further conceptualized across two subtypes: grandiose narcissism and vulnerable narcissism (VN). Unlike grandiose narcissism, VN has been largely neglected in research – despite overlapping features with personality and mood disorders, especially BPD. These shared features …

Substance Use Behaviors And Treatment Engagement In Individuals With Severe Psychopathology With And Without Comorbid Obesity, Rachel M. Madera-Arnold

Theses and Dissertations

Research has found significantly higher rates of both substance use and obesity among individuals with SMI compared to population samples which in turn can lead to worsening health outcomes. Despite this, there is limited research on the co-occurrence of obesity, substance use, and SMI and how these conditions may interact to affect patient outcomes. In addition, there are many gaps in the research regarding the relationship between substance use and body weight, appetite and/or eating behaviors. This study conducted a secondary analysis of the NSDUH 2021 survey that characterized substance use and disorders among individuals who had severe psychopathology, examined …

Examining Bidirectional Associations Between Mothers’ Beliefs About Emotions And Child Social-Emotional Outcomes, Sydney Sumrall

Theses and Dissertations

Social-emotional (SE) skills encompass the ability to recognize and regulate emotions, manage behavior to act on goals, and maintain social relationships (Abrahams et al., 2019). Parents play a crucial role in child SE skill development. According to theories of emotion socialization (ES), the beliefs parents hold about emotions shape parents’ ES behaviors, including teaching children how to understand and express feelings (Eisenberg et al., 1998; Gottman, 1996). Because emotion socialization practices are influenced by cultural values (Raval & Walker, 2019), the parent beliefs and ES strategies that best support children’s SE skill development may vary across families’ racial backgrounds. Although …

Social Media, Masculine Body Ideals, And The Drive For Muscularity: A Serial Mediation Model Across Sexual Identities, Sean P. Mcdaniel

Theses and Dissertations

Body image concerns among men are increasingly prevalent yet remain understudied compared to women’s experiences. Drawing on objectification theory, the present study examines the relationship between social media influence and men’s drive for muscularity through a serial mediation model. Specifically, the present study investigates whether the internalization of masculine body ideals and engagement in body surveillance behaviors mediate the link between social media influence and the drive for muscularity. Furthermore, the present study model attempts to explore how these processes differ across sexual identities, given evidence that sexual minority men face distinct sociocultural pressures regarding appearance. Adult male-identifying social media …

Emotion Regulation Difficulties And Substance Use: The Role Of Conscientiousness, Caitlyn M. Donnelly

Theses and Dissertations

Difficulties in emotion regulation have been consistently linked to substance use among college students. However, individual differences may influence this relationship. Conscientiousness, a personality trait characterized by self-control, planning, and goal-directed behavior, has been proposed as a potential protective factor. The present study examined associations among difficulties in emotion regulation, conscientiousness, and substance use behaviors, as well as whether conscientiousness moderates the relationship between emotion regulation difficulties and substance use. Using a quantitative, cross-sectional, correlational design, data was collected from college students recruited through a university participant pool. Participants completed self-report measures of emotion regulation difficulties, conscientiousness, and substance use …

The Effects Of A Work-Strengths Affirmation Intervention On Death Anxiety: Meaning And Self-Esteem As Mediators, Begüm Orhan

Theses and Dissertations

Death anxiety is a transdiagnostic construct and a universally experienced existential fear that has been linked to a wide range of psychological difficulties, including anxiety, depression, and impaired well-being. Despite its widespread impact, empirical research on targeted interventions for death anxiety remains limited. The present study aimed to address this gap by developing and evaluating an online, single-session, theory-based (i.e., Terror Management Theory, positive psychology) intervention focused on affirming personal strengths in the context of one's work. The intervention was designed to target work-strengths (i.e., leadership, adaptability)—an intersection of positive and vocational psychology.

College students from a large Midwestern university …

Parental Behavior, Attachment, And Sibling Outcomes In Asd Families, Bridget W. Mwaura

Theses and Dissertations

Neurotypical siblings of individuals with Autism Spectrum Disorder (ASD) often experience unique challenges, including increased familial stress and differences in parental treatment, which may affect the sibling bond. Grounded in the Attachment Theory and Siblings Embedded Systems Framework, this study examined relationships among attachment security, parenting behaviors and sibling relationship quality. It was hypothesized that secure parental attachment and helpful parenting behaviors would predict greater sibling closeness and lower conflict, and that attachment security would mediate the relationship between parenting behaviors and sibling relationship quality. Results from a sample of emerging adults (N=91) partially supported these hypotheses. Bivariate …

Psychometric Evaluation Of The Treatment Integrity Instrument For Elementary School Classrooms - Observer Report: Preliminary Evidence For Construct And Discriminative Validity, Cristian J. Rivera Nales

Theses and Dissertations

Treatment integrity is the degree to which a program and its practices are delivered as intended. Treatment integrity measures are critical for evaluating the effectiveness of evidence-based programs (EBPs) in effectiveness research, but few are designed for research conducted in community settings, such as schools. The Treatment Integrity Instrument for Elementary School Classrooms – Observer Report (TIES-O) is an observational measure used to assess the treatment integrity of teachers implementing EBPs in their classrooms. This study evaluated the psychometric properties of the TIES-O, which captures Adherence (frequency and thoroughness of delivery) Competence (skillfulness of delivery), and Differentiation (the extent to …

Internalizing Symptoms In Lgbtq+ Young Adults: Understanding The Roles Of Social Support And Resilience To Social Stigma, Chloe M. Sobolewski

Theses and Dissertations

LGBTQ+ young adults are at increased risk of adverse mental health outcomes including internalizing symptoms. The current study seeks to better incorporate strengths when modeling internalizing symptoms outcomes in LGBTQ+ young adults. The present study is secondary analysis of data collected as part of a three-wave longitudinal study. LGBTQ+ young adults (N = 250) completed baseline questionnaires assessing resilience to social stigma, types of perceived social support (i.e., family, friend, significant other), and internalizing symptoms. Moderation models were not practically or statistically significant; however, covariates (i.e., age, socioeconomic standing, and childhood basic needs) stood out in their significant contribution in …

Examining Youth Ethnic Identity And Parental Familismo As Protective Factors Against Bicultural Stress And Internalizing Symptoms In Latino Youth, Daniella Olivares

Theses and Dissertations

Adolescence is a critical developmental period marked by increased vulnerability to mental health challenges. For Latino adolescents living in the U.S., experiences of bicultural stress may heighten the risk for adverse mental health outcomes. However, cultural strengths–such as youth ethnic identity and parental familismo–may serve as protective factors. The current study examined whether youth ethnic identity and parental familismo moderated the relationship between bicultural stress and internalizing symptoms among a diverse sample of Latino youth in central Virginia. Latino adolescents (n = 60) completed measures assessing bicultural stress, ethnic identity, and internalizing symptoms, while parents (n = 60) reported on …

Conceptual Concerns Regarding The Content Validity Of The Construct Of Gender Dysphoria In The Diagnostic And Statistical Manual Of Mental Disorders, Fifth Edition, Text Revision, Waverley Vesely

Theses and Dissertations

The diagnostic classification of gender dysphoria in the DSM-5-TR elicits a number of clinical, political, and philosophical concerns, ranging from those that are diagnostic and taxonomical in nature to those that fall within the domains of ontology, phenomenology, and hermeneutics. Part of the reason for the complexity of studying the diagnostic and nosological validity of gender dysphoria as an extant diagnostic classification is that, unlike many disorders, gender dysphoria is inextricably tethered to identity. While the recent change from gender identity disorder to gender dysphoria has nominally removed the status of disorder, in practice, both clinicians and the general population …

The Relationship Between Symptom Catastrophizing And Sociocultural Factors Among Adults With Persistent Sympathetic Activation Syndromes, Whitney M. Redemer

Theses and Dissertations

Persistent Sympathetic Activation (PSA) has emerged as a potential unifying mechanism underlying a range of complex chronic health conditions yet remains poorly characterized within biomedical and psychosocial research. Limited research has delineated how PSA manifests across diverse populations or how diagnostic and sociocultural factors shape lived experiences of this phenomenon; thus, the objective of the present study was to examine whether diagnostic certainty – operationalized as provider-confirmed versus self-suspected PSA-related diagnoses – is associated with symptom catastrophizing, and whether this relationship varies as a function of sociocultural factors. Drawing on data from a larger study aimed at characterizing the lived …

Netflix And Kill: The Role Of True Crime Consumption In The Development Of Acquired Capability For Suicide, Chandler Jayne Mcdaniel

Theses and Dissertations

The Interpersonal-Psychological Theory of Suicide (IPTS) identifies acquired capability as a key factor contributing to suicidal behavior. Previous research has shown that violent media exposure can increase suicidal risk through desensitization, imitation, and trauma activation. However, little is known about the role of true crime consumption (TCC), a popular form of violent media engagement, in relation to IPTS constructs. This study examined whether TCC predicts acquired capability for suicide, perceived burdensomeness, and thwarted belongingness. A total of 215 participants were retained after data cleaning. Hypotheses predicted that higher TCC would be associated with higher acquired capability (H1), that TCC would …

Cyberbullying Victimization And Suicide Behavior: The Roles Of Social Anxiety And Body-Related Comparison Among Young Latina Adults, Monica Elena Ochoa

Theses and Dissertations

Suicide behavior rates have increased over the years in the United States among Latinas and adolescents/young adults. Previous research has identified relationships between various body-related concerns, (e.g., body dissatisfaction, appearance comparison, and body shame) cyberbullying, social anxiety, and suicidal ideation, yet minimal research has examined the relationship of these factors and how they interrelate to explain suicide risk in Latina young adults. This study investigated whether body dissatisfaction, appearance comparison, and body shame had indirect effects on suicide behaviors through the interaction of cyberbullying victimization in 194 Latina college students. The results of this study found that cyberbullying victimization mediated …

The Role Of Differentiation Of Self And Self-Construal On Satisfaction With Life And Psychological Well-Being In A Brazilian Sample, Kavya Dhaipulle

Theses and Dissertations

The present study intended to confirm the self-construal dimensional model and to examine the cross-cultural applicability of Bowen’s Family Systems theory in the Brazilian context. Bowen’s concept of Differentiation of Self (DoS) has gathered substantial empirical evidence for its association with well-being; however, only a few studies have examined these constructs within Latin American cultures, including Brazil. Recent studies have indicated that independent and interdependent self-construal coexist in many Latin American cultures, such as Brazil. Therefore, the current study examined how the unique blend of independent and interdependent values in Brazilian culture relates to their DoS, overall psychological well-being, and …

The Moderating Effects Of Community Involvement On The Association Between Witnessed Community Violence And Mental Health Outcomes Among Black Adolescents, Curtisha Tamara Shacklewood

Theses and Dissertations

Black youth and adolescents are at a disproportionately high risk for experiencing community violence exposure (CVE) and the potential influence it may have on psychological functioning. Research posits that Black youth who experience community violence are at a significantly higher risk of experiencing elevated internalizing symptoms (e.g., depression) and externalizing symptoms (e.g., delinquency). Previous research has utilized the ecological model to investigate interpersonal protective factors that potentially buffer the effects of CVE, including parental support and family characteristics. However, there is little research that explores community-level factors, such as community activities (e.g., youth activities and parental perception of collective efficacy) …