Clinical Psychology Commons^™

The Role Of Child Maltreatment On Personality From Adolescence To Young Adulthood, Morgan T. Cohen

Theses and Dissertations

Historically, a defining feature of personality characteristics has been their stability and consistency across time. However, research over the past decade has established patterns of personality change across the lifespan, with the most mean-level trait change occurring between 20 to 40 years old (Roberts & Mroczek, 2009), making young adulthood a fruitful developmental period to study personality change. There are several factors that can influence personality trait change and some literature has suggested that major life events such as childhood adversity can impact the stability and change of personality traits across time. The present study uses two waves of data …

When Crying Turns To Hitting: Examining Maternal Responses To Negative Affect, Brooke Edelman

Theses and Dissertations

Most children exhibit some form of physical aggression in the first years of life, and physical aggression is particularly common in toddlerhood (Hay, 2005; Lorber et al., 2017; Lorber et al., 2019; Nærde et al., 2014; Tremblay & Nagin, 2005). Further, aggression is conceptualized as a byproduct of frustration and related negative affect (Berkowitz, 1989), and early physical aggression is empirically linked to anger (Lorber et al., 2015). The current study is part of a body of research examining early aggression and will explore the mechanisms by which children’s negative affect escalates to aggression in a brief conflict episode. Given …

Predictors And Mediators Of Eating Disorder Pathology In Individuals With Eating Disorders, Alexandra Allam

Theses and Dissertations

Over the past decade there has been accumulating evidence that attention-deficit/hyperactivity disorder (ADHD) and eating disorders frequently co-occur, but little is known about the possible mechanisms that might account for their co-occurrence. Likewise, relatively little research has examined the ways such comorbidities impact the maintenance of or recovery from eating disorder (ED) symptoms after treatment. In this cross-sectional study, we recruited 95 adult participants who had received an ED diagnosis and 24-hour treatment for an ED in the past 10 years, and obtained measures of ADHD symptoms and ED symptoms to explore their association and possible mediators thereof. In particular, …

Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr

Theses and Dissertations

Pediatric asthma disproportionately affects children living in urban areas and within families reporting an income below the poverty threshold. Home interventionist models of care, utilizing interventionists from the communities they serve, have been found to improve pediatric asthma symptoms and reduce Medicaid costs. Home interventionists, such as community health workers (CHWs) and Healthy Homes assessors (HHAs), focus on connecting care among schools, providers, and homes, and empowering families in accessing resources to overcome barriers to care. However, research is just beginning to understand how home interventionists create positive change among families within low-income, urban communities. This dissertation study used a …

Sustaining Breaths For Restorative Rest: A Preliminary Evaluation Of Sleep, Mental Health, And Cognitive Function Following Hypoglossal Nerve Stimulation For Obstructive Sleep Apnea, Elliottnell Perez

Theses and Dissertations

Introduction: Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that produces repetitive obstruction or collapse of the upper airway. Positive airway pressure (PAP) therapy is the gold standard treatment for OSA. Hypoglossal nerve stimulation (HNS) is considered an alternative treatment for patients who are unable to tolerate PAP therapy. The purpose of the study was to examine sleep, mental health, and cognitive health outcomes before and after HNS to determine its viability as an alternative treatment.

Methods: The study utilized a single-group, pretest-posttest design. Objective and subjective sleep was measured using actigraphy, sleep diary, and questionnaires. Objective and subjective …

Using A Single Measure To Assess Adherence And Differentiation In Family Therapy For Adolescent Externalizing Problems, Stephanie Violante

Theses and Dissertations

Family therapy is considered a well-established treatment approach for adolescent externalizing problems; however, research examining its effectiveness when delivered in routine practice settings has produced mixed results. The accurate interpretation of these inconsistent results requires an understanding of what therapeutic techniques were delivered, including those that were prescribed (i.e., adherence) and those that were non-prescribed (i.e., differentiation), suggesting the need for a measure that can concurrently assess treatment adherence and differentiation. The current study examined the extent to which an observational measure of an array of therapeutic techniques for youth emotional and behavioral problems (the Therapy Process Observational Coding System …

Addressing Death Distress In Caregivers Of Patients With Malignant Glioma, Kelcie D. Willis

Theses and Dissertations

The field of psychosocial oncology seeks to improve the quality of life of patients and families affected by cancer. This task becomes increasingly important when there are limited, non-curative treatment options, a high probability of recurrence, and rapid functional decline, such as in the case of a malignant glioma (MG). Indeed, the diagnosis of a MG is associated with negative sequalae that often translates to higher caregiver burden. Caregivers—who must manage the functional decline of the patient, changes within the family, and a complicated medical system—often feel overwhelmed, isolated, and ill-equipped to handle these myriad responsibilities. While they also report …

Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall

Theses and Dissertations

This study aims to assess 1) patterns of family functioning and 2) longitudinal associations between family functioning patterns and well-being in a vulnerable cohort of children with chronic illness. Caregivers of hematology (16.4%) and oncology (83.6%) patients ages 7-20 (N=55; M_age = 13.3 [SD = 2.7]; 52.7% female; 45.5% non-Latinx White, 38.2% Black or African American, 12.7% Latinx, 1.8% Asian, and 1.8% multi-racial,) reported on family functioning via the Family Assessment Device. Cluster analyses identified three mutually exclusive clusters: one high adaptive group, one moderate adaptive group, and one maladaptive group. Group membership was not significantly …

Physical Activity In Adolescents With And Without Adhd: Longitudinal Associations With Sleep, Adhd, And Internalizing Symptoms, Caroline N. Cusick Lowman

Theses and Dissertations

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) are at risk for developing clinically significant sleep problems and comorbid internalizing symptoms. Physical activity (PA) has significant positive associations with a variety of health outcomes, including sleep and aspects of mental health. As such, the US Department of Health and Human Services recommends adolescents receive at least 60 minutes of moderate-to-vigorous PA (MVPA) per day. However, it is unknown whether adolescents with ADHD have different patterns of physical activity compared to their peers. Importantly, it may be that PA can serve as a buffer between ADHD symptoms and development of comorbid difficulties with sleep …

Witnessing Community Violence And Its Consequences: Changes Across Middle School, Sarah Pittman

Theses and Dissertations

Community violence exposure is prevalent among youth residing in economically marginalized communities that have high rates of violence. Witnessing community violence has been concurrently associated with persistent adverse consequences. However, few studies have applied a developmental psychopathology framework and examined dynamic developmental processes between witnessing community violence and outcomes over time. Moreover, most prior studies have used analyses that assume that associations between witnessing violence and outcomes are the same for all adolescents, which is inconsistent with both developmental theories and theories specific to community violence exposure. The goal of this study was to apply a developmental psychopathological framework to …

Examining Genetically-Informed Etiologic Models Of Co-Occurring Posttraumatic Stress Disorder And Recreational Cannabis Use Among College Students, Terrell A. Hicks

Theses and Dissertations

The college years encompass a period of increased risk recreational cannabis use (RCU), as well as a time of increased risk for trauma exposure and developing posttraumatic stress disorder (PTSD). Given the high co-occurrence between RCU and PTSD, and the potentially negative consequences of the two (e.g., worse academic outcomes), there is a need to understand the etiologic mechanisms of these commonly co-occurring conditions. Two primary phenotypic models exist: self-medication model (i.e., PTSD to RCU) and the high-risk model (i.e., RCU to PTSD). To date, there are two existing studies longitudinally examining the etiologic models proposed to explain co-occurring RCU …

Correlates Of Current Tobacco Use Among Cancer Survivors: Examining The Role Of Posttraumatic Growth And Family Conflict, Kendall Fugate-Laus

Theses and Dissertations

Cancer survivors who use tobacco are at a greater risk of death and poor health outcomes. Although tobacco use during cancer survivorship is associated with poor psychosocial functioning, it is relatively unknown how tobacco use is associated with other variables important to cancer survivorship, such as family functioning and posttraumatic growth. Thus, the current study aims to contribute to this gap within the literature by investigating the association between family conflict, posttraumatic growth, and current tobacco use status among cancer survivors. Participants were recruited from Virginia Commonwealth University’s Massey Comprehensive Cancer Center and eligible to participate if they received any …

Initial Psychometric Evaluation Of An Observer-Rated Measure Of Shared Decision Making Practices In Youth Psychotherapy, Jennifer Lc Herbst

Theses and Dissertations

SDM is a process by which clinicians and clients collaboratively make treatment decisions; this process may improve the alliance and clinical outcomes. SDM in youth psychotherapy is understudied, and a critical gap in the field is the paucity of established measures designed to assess SDM practices in youth psychotherapy. This project aimed to fill this gap by examining the score reliability and validity of a novel observer-rated measure of SDM designed for youth psychotherapy—the Shared Decision Making Practices in Youth Mental Health scale (SDM-YMH)—and using the measure to investigate linkages between SDM practices, the alliance, and clinical outcomes. Therapy tapes …

Moderators Of Response To Intervention For College Students With Adhd: Integrating Personal And Contextual Factors, Cathrin D. Green

Theses and Dissertations

College students with attention deficit/hyperactivity disorder (ADHD) are at increased risk for educational, interpersonal, and comorbid mental health difficulties. Although growing evidence suggests that psychosocial interventions can effectively improve ADHD symptoms and functioning in college students with ADHD, there is almost no research investigating individual differences in intervention response. Numerous factors ranging from participant characteristics, as well as social and contextual factors could lead some people to respond more positively than others. Understanding individual differences in intervention response may help to better target intervention efforts and to determine where intervention refinement is needed. This study evaluates whether personal and contextual …

Psychiatric Diagnostic Decision-Making: Investigating The Theory Of The Dual-Process Model, Christopher S. Kleva

Theses and Dissertations

Diagnostic decision-making is an important component of clinical practice; however, there is substantial diagnostic unreliability within mental health diagnoses. The lack of reliability emphasizes the importance of investigating diagnostic decision-making; however, the research to date is limited, primarily relying on a vague definition of decision-making based on the dual-process model. The present study is an exploratory attempt to apply the dual-process model to explain how mental health clinicians (n = 30, 73.3% cisgender female, 96.7% psychologists) arrive at making diagnostic decisions through the use of an interactive interview mechanism. For each participant, we are able to create a figure …

A Novel Test Of Emotion Recognition Bias Using Dynamic Facial Morphing, Michael R. Gallagher

Theses and Dissertations

Depressed persons have demonstrated emotion based cognitive biases, specifically surrounding vigilance of negative information and avoidance of positivity. These biases are sometimes operationalized through emotion recognition tasks. However, previous emotion recognition tasks lack in their ability to accurately measure and decompose positivity avoidance with enhanced negativity, while accounting for basic cognitive processes that can drive the results. Therefore, we developed a novel emotion recognition task that examines emotional intensity thresholds, while accounting for general response bias. Linear mixed effects modeling revealed substantial individual differences on all conditions in the task, using both frequentist and Bayesian approaches. Additionally, the findings suggest …

Examining The Malleability And Influence Of Attributions On Discipline Responses To Child Misbehavior, Jenna E. Russo

Theses and Dissertations

Attributions of child behavior have been shown to influence discipline responses and ultimately, child developmental trajectories. Research highlights various social-psychological factors in the formation of attributions, largely characterized as stable. However, research also demonstrates the efficacy of attribution retraining (AR) programs in restructuring individuals’ explanations for various outcomes. This study examined a trauma-informed training intervention with an AR component designed to evoke balanced and contextual attributions of child behavior among child-serving professionals. Of particular interest was the malleability and stability of attributions, and their influence on discipline responses. From pre- to post-training, there was a significant decrease in hostile attributions …

Latent Profiles Of Psychopathic Traits Among Emerging Adult College Students: Functional And Dysfunctional Psychopathy And Related Outcomes, Lydia J. Stanhope

Theses and Dissertations

Psychopathy research continues to study the adaptability of psychopathic characteristics and differentiate between functional and dysfunctional features. The current study identified latent profiles in emerging adults and compared them across behavioral/cognitive correlates, functional outcomes, aggression types, and also examined gender differences. Results demonstrated that men scored higher across cold-heartedness and fearless dominance profiles, but not self-centered impulsivity. The low psychopathy group had lower proactive aggression than the high psychopathy group; no other differences were observed. Additionally, men and women in the high psychopathy group did not significantly differ regarding experienced outcomes. Lastly, higher psychopathy was not associated with higher proactive …

The Mediating Role Of Gun Attitudes In The Association Between Dsm-5 Posttraumatic Stress Disorder Symptom Clusters, And Gun Ownership In Young Hispanic Adults With Exposure To Interpersonal Trauma, Vanessa Gonzalez

Theses and Dissertations

Despite growing interest in gun attitudes and gun ownership among United States citizens, the current body of literature is limited and tends to focus on white non-Hispanic individuals. The present study examined the effect of interpersonal trauma-related PTSD symptoms on gun attitudes and protective gun ownership. The associations between experiencing PTSD symptoms, gun attitudes, and protective gun ownership were examined in a sample of 176 young Hispanic adults (n = 127 women, n = 49 men) with exposure to interpersonal trauma. Specifically, the mediating role of positive attitudes towards guns in the associations between the four clusters of DSM-5 …

The Role Of Facial Emotion Recognition Abilities In Intimate Partner Violence Perpetration, Margot Martinez

Theses and Dissertations

Interpreting facial affects is a key aspect in everyday human interaction and intimate partner relationships. Being unable to accurately recognize facial expressions may prompt an inappropriate reaction from the viewer. Limited literature suggests perpetrators of intimate partner violence are less able to accurately recognize facial expressions. The previous body of literature regarding facial affect recognition (FAR) abilities in intimate partner violence failed to take into account the role empathy and emotion regulation play in the relationship between intimate partner violence and FAR abilities. In addition, prior studies investigated these differences in primarily White Non-Hispanic individuals limiting the generalizability of their …

The Effects Of Neuroticism And Treatment Delivery Modality On Therapeutic Outcomes In A Community Mental Health Training Clinic, Michelle Elizabeth Sibol

Theses and Dissertations

The onset of the novel Coronavirus Disease 2019 (COVID-19) two and a half years prior to this writing resulted in shifts in everyday life, as individuals worldwide were required to shelter-in-place and abide by social distancing guidelines to slow the spread of the disease. This resulted in a marked increase in the utilization of virtual platforms (“teletherapy”) by mental health care providers, including training clinics, to continue providing therapy services to the community at large. Although the pandemic restrictions have lifted, adaptations made during shelter-in-place mandates remain, including provision of services via teletherapy platforms. The pandemic shed light on the …

Headache Disorders And Neurocognitive Performance Pre- And Post-Concussive Injury, Kaci Gorres

Theses and Dissertations

Objective: The aim of this study is to examine the relationship between pre-existing headache disorders, such as headache or migraine, and neurocognitive testing obtained before and after college-athletes sustain a concussion. Method: A total of 1129 NCAA Division II college athletes from Florida Tech were included in the present study. Participants were included in this study if they completed baseline and/or post-trauma neuropsychological evaluations that included the Sports Concussion Assessment Tool – Fifth Edition (SCAT-5) and Immediate Post-Concussion Assessment and Cognitive Tool (ImPACT). Athletes’ headache and/or migraine history was self-reported at baseline and indicated their position in headache history or …

How Well Do Your Family Members Know You? The Relationship Between Informant Report And Cognitive Performance Of Older Adults, Mairy Yousif

Theses and Dissertations

Introduction: Given the clear impact and prevalence of dementia on the aging population, there is a need for greater research and understanding in this area. As the dementia progresses, medical providers rely heavily on caregiver and family member reports of the patient’s functioning and other aspects of their care. Therefore, it is important to know how accurate caregivers and family members are in judging their loved ones’ cognitive and physical strengths and weaknesses. This study aims to expand upon these previous studies by comparing caregiver/collateral reports of cognitive and functional status on the DSRS to neuropsychological tests and an objective …

The Relationship Between Hallucinations And Visuospatial Impairment Among Individuals With Dementia, Ruta Sohoni

Theses and Dissertations

Objective: This study examines the neuropsychological functioning, specifically using the Hooper Visual Organization Test (VOT), to understand the impact of hallucinations on the level of impairment in the visuospatial domain.

Method: Archival data obtained over three years from a total of 73 patients from the Health First Memory Disorder Clinic was used in this study. Participants were included in the study if they endorsed experiencing hallucinations, were given the VOT during their brief neuropsychological evaluation, and were diagnosed with dementia or unspecified neurocognitive disorder. The patient’s electronic medical record was used to retrospectively gather additional details regarding their hallucinations and …

Call The Doctor! A Study Of Parental Medical Nonadherence Within Child Custody Proceedings, Karissa Lynn Cummons

Theses and Dissertations

Medical nonadherence is a common and formidable problem that many pediatric healthcare providers face when treating children with acute and chronic medical conditions because adhering to a physicians’ treatment recommendations is beneficial for successful treatment, disease prevention, and healthy promotion (Dawood et al., 2010). It was estimated that at least one third of patients are unable to complete or adhere to relatively short treatment regimens (Dawood et al., 2010). Reasons for nonadherence to a physicians’ recommendations range from extended duration of treatment, multiple prescribed medications, and periods of symptom remission (Dawood et al., 2010). Despite a parent’s or family’s reason …

The Influence Of Language On Thematic Apperception Test Assessment Of Defenses In International Spanish-Speaking College Students, Ilenia Perez-Palen

Theses and Dissertations

Cultural influences, including the use of language, have been shown to affect personality development and are also likely to impact personality assessment results. The influence of language is particularly relevant in story-telling measures such as the Thematic Apperception Test (TAT; Morgan & Murray, 1935). The purpose of this study was to analyze TAT narratives delivered in English and Spanish to assess the application of defense mechanisms based on the Defense Mechanism Manual (DMM; Cramer, 1991) among Hispanic international students. No study to date has provided insight into Hispanic individuals’ use of language with the TAT, specifically on scores for the …

What's Hope Got To Do With It? The Role Of Hope In Sexual Abuse Treatment, Marian Kay Amundsen

Theses and Dissertations

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment approach for children suffering from trauma-related symptoms (; Cohen et al., 2018 Cohen et al., 2022; de Arellano et al., 2014; Slalom et al., 2022). Throughout treatment, the primary focus is to reduce the negative symptoms after experiencing a traumatic life event (Child Welfare Information Gateway, 2012). The role of hope in the aftermath of trauma survivors has been supported as a strength contributing to the well-being of the individual (Munoz et al., 2020). However, research has not yet examined the role of hope as a predictor of completing trauma-focused treatment. …

An Examination Of Minnesota Multiphasic Personality Inventory-3 (Mmpi-3) Profiles Of International Saudi Arabian College Students, Emily Alyssa Leonard

Theses and Dissertations

Research has shown that culture can contribute to differences in personality and shape the way individuals perceive and function in the world. International students are among those affected by cultural differences as they arrive in a new country and go through a period of adjustment. Saudi Arabian students currently make up a large proportion of international students in the United States. Due to wide-spread prejudiced American beliefs about Middle Easterners, they may be exposed to higher levels of discrimination, which can contribute to adjustment problems and increased levels of distress. As a result, some of these students may seek out …

The Impact Of Arrest History And Unemployment On Depression And Anxiety, Jennifer Alexis Beard

Theses and Dissertations

Literature has shown that individuals who have been incarcerated have difficulty in obtaining jobs after incarceration; therefore, ex-convicts are predicted to have an increased rate of depression and anxiety symptoms as opposed to the overall general public. However, little literature supports this theory, and little to no literature has been published with regards to individuals who have been apprehended. This study investigates the depression and anxiety levels of those who have an arrest record and have difficulty maintaining or finding employment. The sample’s arrest history and unemployment history were measured through self-reporting measures. Additionally, depression was measured through Beck’s Depression …

An Intersectional Lens To Covid-19: Promoting Youth Well-Being In The Midst Of Social-Political Stressors, Magdalena S. Moskal

Theses and Dissertations

Guided by interpretative phenomenological methodology and intersectionality theory, this thesis aims to uncover the mental health experiences of youth surrounding the COVID-19 pandemic. This study also seeks to situate these experiences with the subsequent stressors that young people face in the current social-political context (e.g., witnessing trauma in the media, uprisings to address racism and the resulting backlash, rhetoric of the 2020 presidential election). Furthermore, this thesis aims to give insight and voice how intersectionality shapes the COVID-19-related experiences of youth in South Carolina. Data was collected through semi-structured interviews with 23 participants aged 16-21 years old in South Carolina. …