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Articles 271 - 300 of 673
Full-Text Articles in Clinical Psychology
Composition, Context, And Community Integration: Evaluating The Relative Strength Of Environmental Factors On Mental Health Outcomes Using A Social Ecology Model, Douglas John Archie Iii
Composition, Context, And Community Integration: Evaluating The Relative Strength Of Environmental Factors On Mental Health Outcomes Using A Social Ecology Model, Douglas John Archie Iii
Theses and Dissertations
The relationship between environmental factors and individual health outcomes has historically been a major area of interest for multiple scientific disciplines. However, the specific environmental factors relevant for describing this relationship and effective measuring methods are unclear. One approach that may assist in addressing these issues is by analyzing this relationship using a comprehensive theoretical framework. This study used a social-ecological model first proposed by Moos and colleagues (Insel & Moos, 1974: Moos & Moos, 1976) to investigate connections between environmental factors and mental health recovery outcomes of psychiatric distress, management of mental health symptoms, and recovery-oriented behavior. A series …
Social-Motivational Influences On Physical Activity Engagement For Adolescent Girls, Mariajosé Jhamira Paton
Social-Motivational Influences On Physical Activity Engagement For Adolescent Girls, Mariajosé Jhamira Paton
Theses and Dissertations
Rates of youth physical activity (PA) drastically decrease during adolescence, with a steeper decline for adolescent girls (Belcher et al., 2010; CDC, 2010). Although afterschool programs (ASPs) have been identified as an ideal context for promoting youth PA, ASPs vary in quality with girls having the highest rates of inactivity (Zarrett et al., 2018). Theory and previous studies have identified social-motivational climate-based factors within ASPs that are critical for promoting adolescents’ PA (Basch, 2011; Eccles et al., 2002; Zarrett et al., 2013, 2015). The present study first examines gender differences in the social-motivational quality of middle school ASPs for promoting …
Vaping, Smoking, Dual Use, And Stealth Vaping/Smoking Among First Responders: Law Enforcement, Firefighters, And Paramedics/Emergency Medical Technicians (Emt), Shifra Leah Gross
Vaping, Smoking, Dual Use, And Stealth Vaping/Smoking Among First Responders: Law Enforcement, Firefighters, And Paramedics/Emergency Medical Technicians (Emt), Shifra Leah Gross
Theses and Dissertations
First Responders to emergencies, such as those within the fields of law enforcement, firefighting, and/or emergency medical services, have a higher use of Electronic Nicotine Delivery System (ENDS)than the population in general due to the intense job-related stressors they often encounter as part of their work and the well documented relationship between stress and use of these products. The purpose of this study was to determine the rate of First Responders who utilize ENDS and engage in stealth vaping, and the association between these behaviors and self-perceived level of job stress, health risk perceptions, and other factors. A total of …
Development Of A Correction For Defensiveness In The Minnesota Multiphasic Personality Inventory-Second Edition-Restructured Form (Mmpi-2-Rf) Profiles Of Adult Male Sex Offenders, Katie Marie Glauner
Development Of A Correction For Defensiveness In The Minnesota Multiphasic Personality Inventory-Second Edition-Restructured Form (Mmpi-2-Rf) Profiles Of Adult Male Sex Offenders, Katie Marie Glauner
Theses and Dissertations
Clinical and forensic psychologists often evaluate sex offenders to determine the level of risk they pose to the community and identify their treatment needs to reduce the risk of future recidivism. Personality assessments are administered in sex offender evaluations to aid in answering these referral questions, while also providing information regarding the evaluees’ response style to the test and descriptions of their personality functioning. The Minnesota Multiphasic Personality Inventory (MMPI) and its revisions have been the most widely used personality assessments in sex offender evaluations, with previous research demonstrating that sex offenders often respond defensively to the test by minimizing …
Development And Evaluation Of An Object Relations Measure For The Rotter Incomplete Sentences Blank, John Thomas Rucker Iii
Development And Evaluation Of An Object Relations Measure For The Rotter Incomplete Sentences Blank, John Thomas Rucker Iii
Theses and Dissertations
Personality assessment measures provide useful insight into the characteristic dispositions and psychological makeup of clinical populations and are routinely utilized by mental health professionals to guide treatment and case conceptualizations. Most widely used psychological measures include indicators of interpersonal functioning. Personality presentations with dysfunctional interpersonal styles may include underlying maladaptive object relations, which serve as the mental templates for social interchange and interpersonal dynamics. The Rotter Incomplete Sentences Blank (RISB) is the most widely used sentence completion method and is often included in personality assessment batteries in evaluating an examinee’s level of adjustment and/or maladjustment. This study sought to develop …
Factors Influencing Latina Healthcare System Distrust, Anthony D. Eldridge
Factors Influencing Latina Healthcare System Distrust, Anthony D. Eldridge
Theses and Dissertations
The Latino community's healthcare engagement continues to be a growing national concern (Velasco-Mondragon et al., 2016). Due to sociocultural circumstances and racial marginalization, Latinas experience disproportionate health disparities and inequalities that may be exacerbated by healthcare system distrust (HSD) (Hacker et al., 2015). Ethnic identity, an established protective factor in Latino culture, may contribute to healthcare system distrust (Ai et al., 2012). Additionally, immigration status has been shown to negatively influence Latino's healthcare experiences leading to HSD (Luque et al., 2018). The present study evaluated the influence of sociodemographic factors and ethnic identity on HSD among Latinas. Ethnic identity and …
Does Decentering Mediate The Relationship Between Mindfulness And Stress And Anxiety?, Hana Hannah Lee
Does Decentering Mediate The Relationship Between Mindfulness And Stress And Anxiety?, Hana Hannah Lee
Theses and Dissertations
College students are stressed and unsuccessful efforts to cope can increase risk for poor mental health, including anxiety (American College Health, 2019). Research suggests mindfulness (Bamber & Schneider, 2016) and adaptive emotion regulation (Desrosiers et al. 2013b) can buffer against the deleterious effects of distress. Decentering, a mindful emotion regulation strategy (Chambers et al., 2009), is postulated to be a mechanism by which mindfulness can lead to better mental health (Shapiro et al. 2006). Specific facets of trait mindfulness, namely Nonjudging (NJ) and Nonreactivity (NR) (Mizera et al. 2016), are directly involved in regulating one's emotions, which can help reduce …
Adaptability As A Moderator On The Impact Of Childhood Sexual Abuse And The Development Of Posttraumatic Stress Symptoms, Courtney Marie Kalmanson
Adaptability As A Moderator On The Impact Of Childhood Sexual Abuse And The Development Of Posttraumatic Stress Symptoms, Courtney Marie Kalmanson
Theses and Dissertations
Globally, it is estimated that 11.8% children experience Childhood Sexual Abuse (CSA) prior to the age of 18 (Stoltenborgh et al., 2011). However, the current prevalence rate of CSA is far underestimated due to the fear, shame, and denial that the victim experiences. Similarly, many survivors of CSA experience post-traumatic stress symptoms (PTSS) following the experience of CSA, which may develop into post-traumatic stress disorder (PTSD) over time. Furthermore, some children may adjust well despite the traumatic experience, suggesting resiliency. Much of the research on CSA focuses on the link between CSA and development of psychopathology, including but not limited …
Medication Assisted Treatment: Examining Enrollment And Demographic Factors Of Treatment, Antwana Letoya Drayton
Medication Assisted Treatment: Examining Enrollment And Demographic Factors Of Treatment, Antwana Letoya Drayton
Theses and Dissertations
Opioid Use Disorder (OUD) has been a long-standing epidemic concern related to the continuous growth of variations of the substance and its’ potency. Due to the versatility of the substance to be both an illicit drug and also a prescription medication, the interest in controlling and monitoring its’ use creates a greater public health concern. Treatment overtime has been revitalized to directly address the social, biological, and physiological difficulties of patients with OUDs. Medication Assisted Treatment (MAT) has been explored and has become one of the most widely used plans for treatment of Substance Use Disorders (SUDs) related to pain …
The Mediating Role Of Interpersonal Skills In The Relationship Between Depressive Symptomatology And Dating Violence In Young Mothers, Lauren Catherine Wallace
The Mediating Role Of Interpersonal Skills In The Relationship Between Depressive Symptomatology And Dating Violence In Young Mothers, Lauren Catherine Wallace
Theses and Dissertations
Young mothers are an understudied group at high-risk for dating violence (DV) victimization and perpetration. Psychological distress, such as depression, increases young mothers' risk for DV (Thomas et al., 2019). In turn, depressive symptomology is associated with difficulties in interpersonal competence (Jones et al., 2019), which may increase DV risk (Bonache et al., 2017). In addition, young mothers may have few chances to learn the interpersonal skills associated with healthy adult romantic relationships due to a mismatch in developmental level and parenting status (Herrman et al., 2019; Moore et al., 2007). Using interpersonal stress generation theory (Hammen, 1991, 2006), we …
Severe Behavior And Restraint Use In A Hospital Setting For Patients With Autism Spectrum Disorder, Giovanna L. Salvatore
Severe Behavior And Restraint Use In A Hospital Setting For Patients With Autism Spectrum Disorder, Giovanna L. Salvatore
Theses and Dissertations
Physicians in hospital settings are treating an increasing number of patients with autism spectrum disorder (ASD). The occurrence of severe behavior is heightened for patients with ASD in hospital settings. Restraint is a commonly cited strategy to manage severe behavior across hospital departments; however, research on physician management of severe behavior in patients with ASD across the lifespan is lacking. Our sample included 25 participants across three medical trainee focus groups and three physician interviews. We investigated their experiences with severe behavior management and restraint implementation in patients with ASD at an urban teaching hospital. Transcripts were thematically analyzed using …
When Being Strong Hurts: Trauma And The Strong Black Woman Stereotype, Cynthia Nicole White
When Being Strong Hurts: Trauma And The Strong Black Woman Stereotype, Cynthia Nicole White
Theses and Dissertations
There are several research studies which suggest that, when confronted with stress or trauma, Black women in the United States seek help less than other populations, particularly White women. Part of the reason for this reluctance towards help-seeking may be explained by the American cultural stereotype of the Strong Black Woman (SBW). The Strong Black Woman is one who overcomes all obstacles, remains strong despite problems, and sacrifices herself for others. Research on the Strong Black Woman stereotype is scarce, but the limited research that exists found that the stereotype consists of 3 factors: Mask of Strength, Self-Reliance/Strength, and Caretaking. …
Examining The Relationship Between Readiness And Outcomes In Clinical Practices Implementing Integrated Care, Tara Kenworthy
Examining The Relationship Between Readiness And Outcomes In Clinical Practices Implementing Integrated Care, Tara Kenworthy
Theses and Dissertations
The integration of behavioral health and primary care (i.e., “integrated care”) is a method to improve health equity and improve health outcomes. However, more research is needed to understand the relationship between practice readiness, implementation, and outcomes of integrated care over time. Therefore, this study involves a mixed methods retrospective process evaluation to explore the relationship between readiness factors and outcomes in clinical practices two-and-a-half to three-and-a-half years following a capacity-building program. During that program, practices completed assessments of their readiness to implement integrated care using the Readiness for Integrated Care Questionnaire (RICQ). At follow-up, we conducted surveys, qualitative interviews …
Gender Role Change, Relationship Satisfaction, And Intimate Partner Violence Perpetration Among Latino Men, Melek Yildiz Spinel
Gender Role Change, Relationship Satisfaction, And Intimate Partner Violence Perpetration Among Latino Men, Melek Yildiz Spinel
Theses and Dissertations
Intimate partner violence (IPV) is defined as physical, sexual, or psychological violence or aggression by a current or previous partner or spouse. Articles on IPV among Latinxs often speculate that Latinx gender role attitudes, such as marianismo, caballerismo , or machismo, cause IPV among Latinxs. Traditional machismo is the belief that men should be controlling and dominant. Caballerismo is the idea that men should protect their families. Marianismo is the belief that women should be submissive, virtuous and chaste, and self-sacrificing for their families. However, most research on IPV has failed to actually measure Latinx gender role attitudes …
A Brief Mindfulness-Based Intervention (Bmbi) To Reduce Teacher Stress And Burnout, Stephen George Taylor
A Brief Mindfulness-Based Intervention (Bmbi) To Reduce Teacher Stress And Burnout, Stephen George Taylor
Theses and Dissertations
Teachers are exposed to a variety of chronic stressors in their work environments that lead to stress, burnout, and the deterioration of physiological systems that promote adaptive responses to stress. The downstream effects of chronic stress and burnout incur substantial costs associated with attrition and stress-related health concerns. Research demonstrates that mindfulness-based interventions (MBIs) have potential to improve teachers’ capacity to manage stress and mitigate its detrimental effects. However, many MBI studies to date have failed to incorporate key elements of methodological rigor and included large dosages despite research suggesting that such dosages are iatrogenic. Furthermore, these studies have not …
Preliminary Outcomes And Feasibility Of A Brief Online Teacher Training In Culturally Responsive Practices (Crp) To Reduce Disproportionate Discipline In Prek-3rd Grade Classrooms, Samantha Noelle Hartley
Preliminary Outcomes And Feasibility Of A Brief Online Teacher Training In Culturally Responsive Practices (Crp) To Reduce Disproportionate Discipline In Prek-3rd Grade Classrooms, Samantha Noelle Hartley
Theses and Dissertations
School discipline policies that rely on exclusionary discipline practices, such as office discipline referrals, suspensions, and expulsions, negatively and disproportionately impact racial minority students, beginning in preschool. Disproportionate discipline persists even when schools implement schoolwide interventions that reduce overall rates of exclusionary discipline, suggesting that schools must do more to address other likely causes of the discipline gap, including implicit racial bias, insufficient teacher training in classroom management, and a cultural mismatch between schools and minority students. There has been an increased call for teacher professional development in culturally responsive behavior management practices, but such interventions are often poorly evaluated …
Relations Between Ptsd Symptoms And Pain Interference Among Older Adults, Laura E. Travers
Relations Between Ptsd Symptoms And Pain Interference Among Older Adults, Laura E. Travers
Theses and Dissertations
Both the older adult population and the frequency of natural disasters (e.g., hurricanes) increase in the U.S. each year. Consequently, understanding the health experiences that affect older adults specifically following a natural disaster is important for providing effective healthcare and promoting health expectancy. For example, the extent to which PTSD symptoms following a natural disaster contribute to pain severity (beyond the contributions of other psychosocial experiences such as depression) among older adults is not yet clear, and whether this contribution differs by gender or age has yet to be established. The aims of this study were (1) to determine whether …
Mhealth For The Treatment Of Depression In Primary Care: A Feasibility Study, Krista Herbert
Mhealth For The Treatment Of Depression In Primary Care: A Feasibility Study, Krista Herbert
Theses and Dissertations
The primary aim of this study was to evaluate the feasibility and acceptability of implementing three mobile applications (apps) designed to ameliorate depressive symptoms within primary care. The secondary aim was to examine whether participants utilizing a mobile app would experience reductions in depressive symptoms and improvements in quality of life when compared to a waitlist control condition. Participants (n=3) were recruited from two primary care practices and randomized to: (a) a cognitive-behavioral app, (b) a mindfulness app, (c) a social problem-solving app, or (d) the waitlist control condition. Participants completed measures of depressive symptoms and quality of life at …
Theory Of Mind, Social Relationship Perception And Stigma Experiences In Individuals At Clinical High-Risk For Psychosis, Francesca Maria Crump
Theory Of Mind, Social Relationship Perception And Stigma Experiences In Individuals At Clinical High-Risk For Psychosis, Francesca Maria Crump
Theses and Dissertations
The clinical high-risk (CHR) state for psychosis has been established in order to prevent the transition to full psychosis; however, demonstrates a high false positive rate (Fusar-Poli et al., 2012). Consequently, many CHR individuals may face increased labeling and symptom-related stigmatization through accessing early intervention services (Yang et al., 2015). As a result, CHR individuals may employ negative coping responses (Link et al., 1989) and exhibit increased social preoccupation in order to help conceal their mental health status (Link et al., 2015), which may hinder social cognitive ability and have lasting impacts on social functioning. This study aimed to delineate …
The Many Faces Of Schizophrenia Risk: Can Measures Of Risk Be Aggregated?, Thomas W. O'Kane
The Many Faces Of Schizophrenia Risk: Can Measures Of Risk Be Aggregated?, Thomas W. O'Kane
Theses and Dissertations
There are currently many different conceptualizations of schizophrenia risk, which we argue is detrimental to any efforts to build a cumulative science in this area. This paper sought to evaluate various conceptualizations of schizophrenia risk and the extent to which they overlap. This paper attempts to identify overlap by utilizing meta-analytic methods in conjunction with data collected from a sample of undergraduate college students (n = 80). To do so, we first collected estimates of various schizophrenia risk measures and risk correlates from the literature. These estimates were subsequently combined with collected data. This paper attempted to analyze review data …
Examining The Mental Health Of Older Hispanic/Latino Adults: Relationship Between Psycho-Social-Cultural Factors And Depressive Symptomatology, Anna Prado
Theses and Dissertations
The most prevalent disorders affecting the older adult population worldwide are dementia and depression. Ethnic minorities are disproportionately more likely to be affected by these two distressing and debilitating conditions. Hispanic/Latino older adults encounter numerous psycho-social-cultural factors that influence health behaviors, attitudes, and beliefs in positive and negative ways. Presently, research on the influence of these factors on Hispanic/Latino mental health is highly inconsistent. The purpose of the present study is to examine the relationship between selected psycho-social-cultural factors and the mental health of older Hispanic/Latino adults. Using data from the Health and Retirement Study, the association between the Hispanic/Latino …
The Role Of Religious Coping, Age And Meaning In Life In The Development Of Post-Traumatic Growth In Egyptian Breast Cancer Survivors, Nashwa Rashad
The Role Of Religious Coping, Age And Meaning In Life In The Development Of Post-Traumatic Growth In Egyptian Breast Cancer Survivors, Nashwa Rashad
Theses and Dissertations
According to the World Health Organization (WHO), breast cancer (BC) is one of the most common types of cancer. Research reported survivors experienced positive changes in their relationship, strength level, and how they admired life after cancer. They said that they recognized elements that promoted post-traumatic growth, such as altering their way of life and accomplishing individually meaningful actions. This literature review reported that religious coping and meaning in life could predict post-traumatic growth. Some sources had conflicted analyses on the effect of age and education on cancer survivors and the development of PTG. This study investigates if religious …
16pf Couples Counseling Report: Gender Differences In Marital Satisfaction, Personality Similarity, And Relationship Adjustment Of Dual-Veteran Couples Following Deployment, Bliss Quintana
Theses and Dissertations
The present study utilized the 16 Personality Factor Couple’s Counseling Report (16PF CCR) to contribute to the limited amount of research evaluating gender differences on personality factors which may influence relationship adjustment and marital satisfaction between males and females in dual-veteran couples following deployment. Results were obtained from a total of 23 heterosexual dual-veteran couples (23 males and 23 females) who volunteered to participate in the present study. Statistically significant gender differences were found for one of the Global Personality Factors, Independence; however, there were no significant findings in the Individual Satisfaction Items, Primary Personality Factors, Relationship Adjustment scores, or …
The Joint Influence Of Social Support And Coping On Anxiety In Aya Cancer Survivors, Genevieve Durso
The Joint Influence Of Social Support And Coping On Anxiety In Aya Cancer Survivors, Genevieve Durso
Theses and Dissertations
Background Adolescent and young adult (AYA) cancer survivors experience unique psychosocial needs during remission. Cancer-related anxiety is endemic amongst AYA survivors and can impede upon the survivor’s life post-cancer treatment. Independent of one another, confiding in a social support system and frequent engagement in coping mechanisms benefit those throughout the cancer experience, leading to more positive psychosocial outcomes. Hypothesis The dual utilization of one’s social support network and coping mechanisms would reduce cancer-related anxiety in AYA cancer survivors. Methods This study’s data was derived from a prior study conducted at Memorial Sloan Kettering Cancer Center, consisting of 128 adolescent and …
Pre-Existing Anxiety And Vestibular Symptoms: The Relationship To Coordination, Balance, And Reaction Time In College Athletes, Sydney Danielle Hurt
Pre-Existing Anxiety And Vestibular Symptoms: The Relationship To Coordination, Balance, And Reaction Time In College Athletes, Sydney Danielle Hurt
Theses and Dissertations
A growing body of literature suggests that certain pre-existing physical and mental health conditions can contribute to significant differences in important areas of performance among athletes, such as reaction time and balance. These findings have important implications for concussion testing protocols, as factors that potentially skew performance could place the health of athletes at risk by resulting in inaccurate diagnosis or premature return to play following a head injury. Symptoms of both anxiety and vestibular dysfunction, such as dizziness and vertigo, are frequently reported problems in the adult population, and research has documented notable symptom overlap between these two conditions. …
Student Veterans: The Transition Process, Andrew Edwin Crane
Student Veterans: The Transition Process, Andrew Edwin Crane
Theses and Dissertations
Separation from the military and reintegration into civilian life can be a challenging experience for veterans. One opportunity that veterans pursue during this transition process is secondary education. Despite growing rates of student veterans across campuses limited research exists on the psychosocial functioning and reintegration difficulties faced by these individuals. The current study examined the relationship between factors such as deployment experience, perceived social support following deployment, psychological flexibility, academic functioning, as well as student engagement in collegiate activities. Findings from this study highlight the relationship between experiential avoidance and social support with psychological distress and student engagement for student …
Performance On The Texas Functional Living Scale In A Memory Disorder Clinic, Kathryn Kim Grueninger
Performance On The Texas Functional Living Scale In A Memory Disorder Clinic, Kathryn Kim Grueninger
Theses and Dissertations
Objective: The present study examines the clinical utilization of an objective performance-based measure in a memory disorder clinic sample. Method: One year of archival cognitive testing data from a total of 176 Health First Memory Disorder Clinic patients was utilized for the current study. Participants were included in this study if they completed a brief neuropsychological evaluation which included the Texas Functional Living Scale (TFLS) and were also diagnosed with Normal Cognition (NC), Mild Cognitive Impairment (MCI), or Alzheimer’s disease (AD). Patients’ psychosocial history regarding their self-reported or informant-reported abilities with performing instrumental activities of daily living (IADLs) was obtained …
Student Well-Being In The Time Of Covid: Survey Of Online Students’ Coping, Ellen Catherine Coble
Student Well-Being In The Time Of Covid: Survey Of Online Students’ Coping, Ellen Catherine Coble
Theses and Dissertations
The emergence of the COVID-19 pandemic has presented the global population with a considerable stressor resulting in significant loss of life, impaired health, disrupted social practices, and economic atrophy. While many have been impacted and are currently being studied, a population less frequently considered in the literature is that of online college students. Previous research has indicated the influence of several factors on college students’ well-being when coping with stress under typical circumstances such as coping strategies (e.g., problem-focused, emotion-focused, and avoidant/dysfunctional), experiential avoidance, and social support. Studies performed in the wake of large-scale crises highlight proximity to the crisis …
Assessing Homeless Mental Health Needs And Barriers To Seeking Treatment, Devyn Marie Varner
Assessing Homeless Mental Health Needs And Barriers To Seeking Treatment, Devyn Marie Varner
Theses and Dissertations
Research indicates that mental health difficulties are highly prevalent within the homeless population across the globe. Living on the street is shown to contribute to the development of mental health issues and the exacerbation of preexisting mental health conditions. Research studies also indicate that homeless individuals face limited access to healthcare and report negative healthcare experiences. However, there are few studies that specifically examine mental health care access within the homeless population. Therefore, this study aimed to identify specific mental health needs within the local homeless population, and examined barriers preventing homeless individuals from seeking mental health treatment. A total …
Assessing The Predictors Of On-Campus Student Wellbeing In The Time Of Covid-19, Victoria Lynn Hrzich
Assessing The Predictors Of On-Campus Student Wellbeing In The Time Of Covid-19, Victoria Lynn Hrzich
Theses and Dissertations
College students endure a great deal of stress and are one of the most vulnerable groups for mental health difficulties. Despite the stressors they face, a vast array of research highlights several factors that contribute to student wellbeing, such as social support, coping, and psychological flexibility. Similar trends have been found in the literature on student distress and wellbeing following large-scale crises. Due to the unprecedented nature of COVID-19, there is limited research on student distress levels during the pandemic and the effectiveness of these previously useful stress management factors during this unique crisis. Therefore, the current study assessed student …