Clinical Psychology Commons^™

Family Processes As Moderators Of The Impact Of Peer, School, And Neighborhood Influences On Adolescent Aggression, Alison Kramer-Kuhn

Theses and Dissertations

Despite theoretical support for the role of the family in providing a foundation to protect youth against risks for aggression, there is little published literature examining a protective influence. This study examined family functioning and perceived parental messages about fighting and nonviolence as moderators of the relation between risk factors and adolescent aggression. The specific risk factors included affiliating with a delinquent group of peers, attending a school with norms that support aggression, and witnessing violence within the community. Secondary analyses were conducted on data collected from a high-risk sample of 537 adolescents in 2 cohorts from 18 schools. Adolescents …

Female Adolescent Trauma Survivors Worldviews: Is This A Defining Moment In My Life Or Does This Moment Now Define My Life?, Carey Lynn Sorenson

Theses and Dissertations

What is your life experience? Do you feel you have taken an active role in your life experiences or do you feel as though life "just happens to you"? Trauma is an event that comes into one's life, without invitation, and can alter the meaning and value of every event thereafter. Many times, exposure to trauma can leave one feeling like he or she is a passive participant in life and that his or her efforts are fruitless.

This researcher tapped into the worldview of sixteen adolescent trauma survivors by conducting qualitative interviews to gain an understanding of how their …

Clarifying The Direction Of Effects Between Alliance And Client Involvement In Treatment For Child Anxiety In Community Settings, Nadia Islam

Theses and Dissertations

Alliance and client involvement are thought to be important therapy process factors in child psychotherapy; however, few studies have investigated them over the course of treatment. The present study examined change in alliance, client involvement, and the relationship between the two over time in an effectiveness study comparing cognitive behavioral therapy (CBT) and usual clinical care (UC) for child anxiety disorders. The sample included 40 clinically-referred children (57.50%, female, mean age = 10.81, SD = 2.11, 35.00% Caucasian, 32.50% Latino/Hispanic, 5.00% African-American, 7.50% mixed ethnicity, 20.00% not reported) and 39 therapists employed by community clinics. Two doctoral-level students comprised the …

Heart Rate Variability As A Moderator Of Trauma Writing Outcomes, Alison Eonta

Theses and Dissertations

Writing about personal traumatic experiences is associated with beneficial effects on physical and psychological symptoms compared with writing about emotionally neutral events. However, not everyone benefits from trauma writing to the same extent. The present study hypothesized that the effectiveness of trauma writing may be moderated by emotion regulation, as indexed by respiratory sinus arrhythmia (RSA). Research also shows that greater physiological reactivity is predictive of better trauma writing outcomes. Given the importance of physiological output in emotional processing, response training was developed and found to increase appropriate physiological reactivity. Because higher RSA is thought to indicate a more flexible …

Effectiveness Of A Cbt Intervention For Persistent Insomnia And Hypnotic Dependency In An Outpatient Psychiatry Clinic, Hannah Taylor

Theses and Dissertations

Previous research supports the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in patients with comorbid psychiatric diagnoses; however, questions remain about the effectiveness of CBT-I due to the fact that previous studies excluded patients with significant psychiatric symptoms and comorbid diagnoses. This study begins to address this gap in the insomnia literature by testing a five-session CBT-I intervention in a diverse sample of patients receiving mental health treatment in an outpatient psychiatry clinic (N=23) who continue to experience chronic insomnia despite receiving pharmacological treatment for sleep. Participants were randomized to CBT-I (n=13) or a treatment as usual control group (n=10). …

The Role Of Pain-Related Catastrophizing In Outcomes And Recovery From Minimally Invasive And Surgical Procedures For Treating Temporomandibular Disorders, Aaron Martin

Theses and Dissertations

The current study examined the ability of pain-related catastrophizing to predict outcomes following non-surgical and surgical intervention for temporomandibular disorders (TMDs). The interpersonal context of pain-related catastrophizing, referred to as the communal coping model, was also examined to determine if patient perceptions of punishing and solicitous responses from significant others would moderate or mediate relations between pain catastrophizing and outcomes. The role of pain duration as a moderator of the relation between pain-related catastrophizing and perceived significant other responding was also examined. A total of 94 patients were identified for which 65 had follow-up outcomes that could be examined. Patient …

Parents' Treatment Of Their Children's Pain At Home: Pharmacological And Non-Pharmacological Approaches, Ayala Y. Gorodzinsky

Theses and Dissertations

During childhood, individuals often experience pain on a daily or nearly daily basis (American Academy of Pediatrics and American Pain Society, 2001). Pain can be treated using pharmacological or non-pharmacological techniques. This study will focus on the techniques provided by parents, since parents most often treat children's painful experiences at home (Finley, McGrath, Forward, McNeill & Fitzgerald, 1996). The processes involved in parental decision-making regarding which techniques to use include a combination demographic, availability and perceived need factors (Andersen, 1995). Seven hundred and fifty-six parents of children 6 to 17 years completed a survey regarding use and effectiveness of pharmacological …

Early Indicators Of Academic Difficulties In Children With Neurofibromatosis Type 1, Kelly M. Janke

Theses and Dissertations

Neurofibromatosis type 1 (NF1) is a genetic neurocutaneous disorder, with an estimated incidence of 1 in 3,000 persons. It is phenotypically variable disorder associated with elevated rates of intellectual disability and learning disabilities, attention problems, speech and language impairment, and executive functioning deficits. Research investigating the presentation of NF1 in preschool-age children is limited, but the data available indicate that cognitive difficulties are present and can be identified at an early age. There is also evidence from the general population that early neuropsychological deficits can be used to predict concurrent and later learning difficulties. The goal of the current study …

The Therapeutic Expression Of Anger: Emotionally Expressive Writing And Exposure, Cory James Patrick

Theses and Dissertations

The following reports on multiple studies in a line of research examining the use of emotionally expressive writing as a means of altering the experiences of state anger and negative affect. This line of research has also sought to develop an iterative economic version of the prisoner's dilemma game as a behavioral measure of changes in state anger. Preliminary studies demonstrated evidence that expressive writing about an angry memory does trigger initial activations of state anger and negative affect but that subsequent repeated writing does lead to reductions in activation of state anger and negative affect. The current study sought …

The Effects Of Preventative And Restorative Safety Behaviors On Contamination Fear, Amy Rachel Goetz

Theses and Dissertations

Recent research suggests that safety behaviors may not preclude cognitive change or treatment gains in exposure-based therapy for obsessive-compulsive disorder (OCD). However, it is relatively unknown what categories of specific behaviors may be detrimental to the therapeutic process. Some researchers argue that classifying safety behaviors based on their function may be the best solution. The current study sought to examine the extent to which different safety behaviors enhanced or weakened treatment outcomes for contamination fear and washing symptoms. Fifty-one non-clinical students were randomly assigned to one of three conditions: (1) exposure with no safety behaviors (NSB), (2) exposure with preventative …

Refinement And Pilot Testing Of A Culturally Enhanced Treatment For Depressed African-Americans, William Michael Bowe

Theses and Dissertations

A multitude of evidence suggests that while African Americans are adversely impacted by depression, they still experience significant health disparities in the receipt and acceptability of treatments for the disorder. This study, conducted in two phases, was an initial attempt to address some of these disparities. Phase 1 explored the acceptability and feasibility of implementing a group behavioral activation psychotherapy that incorporated culturally adapted components to address specific risk and protective factors for depression experienced by African Americans. Overall, adequate levels of feasibility were obtained for the organic recruitment of participants from community nursing centers in Milwaukee and the administration …

Risk Assessment In Corrections: An Analysis Of Variables Related To Suicide Attempts And Self-Mutilation, Melissa Ann Fine

Theses and Dissertations

Suicide and self-mutilation risk assessment is a complicated process, especially within a correctional setting. According to the Bureau of Justice Statistics, over 50% of incarcerated individuals have a mental health illness, further reinforcing the need for concise, evidence-based risk assessment practices. The Virginia Department of Corrections collected data on suicide attempts, completed suicides, and incidents of self-injurious behavior for 17 months with a measure created to assess risk factor found in the community. Results indicated that numerous factors were related to suicide attempts, however only having made prior suicide attempts, the presence of a major depression diagnosis, and placement in …

The Relation Between Patterns Of Beliefs About Fighting And Social Information-Processing: Differences In Cognitions, Goals, And The Response-Decision Process In Adolescents, Denicia Titchner

Theses and Dissertations

Beliefs about aggression play a key role in how youth interpret and respond to social situations and are related to aggressive behavior. Adolescents may report beliefs supporting aggression and engage in aggression due to reinforcement within their environment, rather than due to maladaptive social information-processing (SIP) biases. The purpose of this study was to examine adolescents’ patterns of beliefs about aggression and how these patterns relate to SIP. This study used latent class analysis (LCA), the Articulated Thoughts in Simulated Situations paradigm, and a Problem Solving Interview to examine differences in SIP between adolescents with varying patterns of beliefs about …

Evaluating The Effects Of A Group Cognitive Behavioral Therapy For Veterans With Posttraumatic Stress Disorder And Insomnia: A Pilot Study., Laurin Mack

Theses and Dissertations

Combat and war zone veterans are particularly vulnerable to developing Posttraumatic Stress Disorder (PTSD) due to the increased risk of experiencing trauma inherent in military service. Insomnia and nightmares are core symptoms of PTSD and can be factors in the development, maintenance, and exacerbation of PTSD. However, sleep disturbance has received relatively little attention from a treatment point of view until recently. Recent research has demonstrated that cognitive behavioral therapy for insomnia (CBT-I) and imagery rehearsal therapy (IRT) for nightmares are effective stand alone and combination treatments for sleep disturbance in civilian and veteran populations. Although group interventions are lower …

The Role Of Family Organization In Family Health History Communication About Cancer, Vivian M. Rodríguez

Theses and Dissertations

Family health history (FHH) has been recognized as an important tool in cancer prevention and health promotion. To date, literature on FHH discussions about cancer have largely focused on patient-physician communication or the dissemination of cancer-specific genetic tests results within the family. Fewer studies have sought to identify family factors that may promote FHH discussions, yet this type of information could be used to identify families needing support in having these conversations. Thus, the present study examined relations between family organization (cohesion and flexibility), communication openness, and FHH communication about cancer within a diverse group of women recruited from an …

Validation Of The Behavioral Activation For Depression Scale - Short Form (Bads-Sf) With Spanish-Speaking Latinos, Maria Magdalena Santos

Theses and Dissertations

Accumulating empirical support for Behavioral Activation (BA) for depression's efficacy has drawn attention to its promise as a treatment modality with ease of dissemination. Given its pragmatic approach, it may be well-suited to address depression in communities that have been traditionally hard to reach, such as those inhabited by Latinos in the U.S. BA for Latinos (BAL) with depression has garnered support as a viable treatment option. Further treatment evaluation will require the use of a validated measure of activation, which is the treatment's hypothesized mechanism of change, to measure treatment progress and outcome. Kanter and colleagues developed the Behavioral …

Relations Between Fine Motor Skill And Parental Report Of Attention In Young Children With Neurofibromatosis Type 1, Christy Casnar

Theses and Dissertations

Neurofibromatosis type 1 (NF1) is one of the most common genetic disorders presenting in approximately 1 in 3,000 live births. NF1 is a highly variable condition with a large number of complications. A common complication is neuropsychological problems, including developmental delays and learning difficulties that affect as many as 60% of patients. Research has suggested the children with NF1 often have poorer fine motor skills and are at greater risk for attention difficulties than the general population. Furthermore, recent research is beginning to demonstrate a relationship between fine motor skills and attention in older children; however, very little research has …

Subgrouping Individuals With Generalized Social Phobia: A Classification Based On The Pattern Of Attentional Bias, Jennifer Turkel

Theses and Dissertations

Findings on the pattern of attentional biases in social phobia are mixed. Specifically, some support hypervigilance, some support avoidance, and others evidence an even more complex pattern of vigilance-avoidance. Despite the seemingly contradictory directions of attentional allocation, vigilance and avoidance do not need to be mutually exclusive. They may instead exist within the same person over an extended temporal course of processing. The primary aim for the current study was to examine whether individuals with generalized social phobia characterized by hypervigilant vs. avoidant patterns of attention bias would display different profiles of social anxiety symptoms and their related cognitive and …

A Qualitative Analysis Of Latina Adolescents' And Their Mothers' Perspectives On Adolescent Dating Violence, Carla Shaffer

Theses and Dissertations

Adolescent dating violence is a prevalent and disconcerting reality for many adolescents. Communication with others (e.g., parents, older siblings, friends) about dating violence may buffer some negative outcomes associated with experiencing dating violence. Although researchers are attending more to this public health problem, what we know about the messages that adolescents receive about dating violence is limited, especially for Latina teens. To address this gap in the literature, 18 Latina adolescents (14-17 years) and their mothers participated in semi-structured interviews to explore their beliefs about what dating violence means to them, messages that are shared about dating violence with mothers …

Antisocial Behavior From Adolescence To Early Adulthood: Heritability, Stability, And Correlates Using A Longitudinal Twin Sample, Ashley Dibble

Theses and Dissertations

The purpose of this study was to examine the heritability, stability, and outcomes of antisocial behavior from adolescence into adulthood in a longitudinal twin sample. Specifically, the genetic and environmental influences on conduct disorder, adult antisocial behavior, and alcohol dependence were examined. The influence of genes and environment on the relationship between these disorders was also examined. The study utilized a subset of FinnTwin12, a population-based twin study that consists of five consecutive birth cohorts. The subsample consisted of 1035 twin pairs (N = 2070) and of that 2070, 1854 completed the intensive interview at age 14. At age 22, …

The Ticking Of The “Biological Clock”: Worry About Future Fertility In Nulliparous Women, Karen E. Kersting

Theses and Dissertations

Abstract

Title: The Ticking of the “Biological Clock”: Worry about Future Fertility in Nulliparous Women

By: Karen Kersting, M.A., M.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.

Virginia Commonwealth University, 2013.

Major Director: Kathleen M. Ingram, J.D., Ph.D.

Associate Professor of Psychology

Department of Psychology

Modern women are waiting until later in their lives to have children than women of previous generations, a trend influenced by a number of factors including financial stability, dating norms, and career goals and responsibilities. As women age, their fertility may decline …