Clinical Psychology Commons^™

Parent Perceptions Of Electronic Nicotine Delivery Systems (Ends) And Restrictions Of Use, Michael Martin

Theses and Dissertations

Prevalence rates of cigarette smoking are decreasing among U.S. adults, fewer people start smoking each year, and rates of cessation are increasing. However, the rates of Electronic Nicotine Delivery Systems (ENDS) use are on the rise. ENDS are battery operated devices that involve heating a liquid to create an aerosol or vapor that is then inhaled by the user. They are often referred to as Electronic Cigarettes, e-Cigs, Vaporizers, Vapes, and other terms. These devices are commonly believed to be a relatively harmless and risk-free means of reducing smoking behavior and an aid to smoking cessation. Although still in its …

Project Palmms (Physical Activity Levels And Family Medical Histories): An Undergraduate Sample, Pierre Alexander Leon

Theses and Dissertations

Background: Physical inactivity has garnered significant attention as it is considered an emerging worldwide young adult problem. There is empirical evidence on predictors of low levels of physical activity (PA), such as an individual’s sex and/or socio-economic status. There are also other possible reasons for the decline in PA, such as an individual’s motivations and/or barriers for participation in physical activity and an individual’s understanding of their predisposition to chronic illnesses. This study seeks to identify perceptions of benefits/barriers to PA and motivating factors needed to increase physical activity in college populations. Methods: A survey gathering information on demographics, PA, …

Contextually Modulated Avoidance Behavior In Rats Post-Pavlovian Extinction, Lauren Branigan

Theses and Dissertations

The following study sought to examine the psychological substrates of renewal (e.g.., context dependent extinction processes) for conditioned avoidance behaviors in rats. Using signaled active avoidance conditioning, rats acquired two-way shuttle responding, to two different auditory stimuli. These behaviors were then extinguished through exposure to the auditory stimuli where shuttling behavior was now without consequence. Subjects were then tested for renewal of avoidance in three distinct renewal sequences (e.g., ABA vs ABB, AAB vs AAA, and ABC vs ABB) in three separate groups of rats. It was found that subjects showed more responding to a stimulus presented outside of its …

Abortion In The United States: Identifying Populations That Perceive The Most Abortion-Related Stigma, Megan Layne Cheatham

Theses and Dissertations

Approximately three million pregnancies in the United States each year are unintended, and about half of the women who experience an unwanted, unintended pregnancy obtain an abortion to terminate their pregnancy. However, despite abortion being a common and safe gynecological procedure, it is publicly controversial and highly stigmatized. Available research is in agreement that abortion does not lead to long-term mental health problems; however, there is a strong and significant association between abortion-related stigma and pre-abortion depressive, anxiety, and stress symptoms. Furthermore, stigma is suspected to vary based on demographic factors, and understanding these differences may help further prevent and …

Examining Effects Of Parental Sexual Abuse On Female Juvenile Delinquency Using A Social Developmental Perspective, Michelle Nagle

Theses and Dissertations

Delinquency has traditionally been viewed as a male phenomenon, often defined in androcentric terms, and neglecting females in studies regarding delinquent behavior. However, females are the fastest growing subpopulation of the correction population, which amplifies the importance of understanding the nature and etiology of their offending. Recent research has suggested that predictors of male juvenile delinquency do not adequately explain delinquency in females, because the androcentric research ignores the damaging impact of sexual childhood abuse and other prominent family factors on female juvenile delinquents. This study aimed to examine the impact of childhood parental sexual abuse on female juvenile delinquency …

Discriminating Between Technical And Global Competence In Cbt Programs For Youth Anxiety, Jennifer Cecilione

Theses and Dissertations

Therapist competence refers to the skillfulness and responsiveness demonstrated when delivering an intervention and is an important factor to consider in the training and evaluation of therapists. However, competence research is sparse, especially in the youth psychosocial treatment field. A primary discrepancy is whether technical (related to interventions associated with a specific treatment program) and global (general clinical expertise) competence can be measured as distinct dimensions of competence. The goal of the current study was to determine whether instruments of technical (Cognitive-Behavioral Treatment for Anxiety in Youth Competence Scale; CBAY-C; McLeod et al., 2018) and global (Global Therapist Competence Scale …

Trauma Related Drinking To Cope: A Phenotypic And Molecular Genetic Investigation Of The Self-Medication Model, Sage E. Hawn

Theses and Dissertations

Posttraumatic stress disorder (PTSD) and alcohol use problems (AUP) commonly co-occur, have shared latent genetic risk, and are associated with many negative public health outcomes. Via a self-medication framework, trauma-related drinking to cope (TRD), an unexplored construct to date, may help explain why these two disorders co-occur, thus serving as an essential target for treatment and prevention efforts. The present study aimed to create a novel measure of TRD and examine its psychometric properties, investigate its indirect influences on the association between PTSD and AUP, as well as explore its potential shared molecular genetic risk with PTSD in a genetically-informative …

Conceptualization Of Body Image And Eating Disorders Among South Asian American Women: A Qualitative Investigation, Neha J. Goel

Theses and Dissertations

Though it is known that eating disorders (EDs) affect individuals of all racial/ethnic backgrounds (Cheng, Perko, Fuller-Marashi, Gau, & Stice, 2019), people of color tend to be overlooked in the ED literature. South Asian Americans, a specific subset of individuals traditionally categorized within the larger umbrella group of “Asians,” have been notoriously neglected in both the broader mental health literature, and in the ED literature (Inman, Devdas, Spektor, & Pendse, 2014; Iyer & Haslam, 2003, 2006). Currently, very little information exists on the etiology and presentation of EDs amongst South Asian communities. Even less is known about culturally-specific barriers to …

Loneliness And Sleep Disturbance In Older Americans, Sarah C. Griffin

Theses and Dissertations

Loneliness is a risk factor for premature mortality but the mechanics of this relationship remain obscure. A potential mechanism is sleep disturbance. The present study aimed to examine the association between loneliness and sleep disturbance, evaluate loneliness as a risk factor for sleep disturbance and vice-versa, model effects between loneliness and sleep disturbance over time, and evaluate a mediation model of loneliness, sleep disturbance, and health. Data came from the 2006-2012 waves of the Health and Retirement Study, a nationally-representative study of older Americans; participants > 65 were included (n=11,400). Analyses included (i) linear regressions accounting for complex sampling and (ii) …

Associations Between Expressed Emotion, Mental Health, And Functioning In Families: Child Asthma Status As A Moderator, Katherine W. Dempster

Theses and Dissertations

Expressed emotion (EE), the affective attitudes and behaviors of one toward another, can affect caregivers’ behaviors toward their child. Research examining associations between EE and child/family outcomes is mixed; these associations may be affected by other influences such as the presence of a chronic disease or parent mental health. In this study of families living in an urban area, we examined associations between EE and child outcomes (anxiety/depressive symptoms) and family functioning, with parent anxiety as a covariate. We evaluated child asthma status as a moderator as the presence of a chronic illness may strengthen the association between EE and …

The Impact Of Social Determinants Of Health On The Efficacy Of School-Based Interventions For Adolescents With Adhd, Cathrin D. Green

Theses and Dissertations

Adolescents with Attention-deficit/hyperactivity disorder (ADHD) often experience impairment in academic functioning in the school and home environment. Because of this, many school- and clinic-based interventions have been developed to target these problems. Initially, clinic-based interventions were mainly used; however, these interventions were associated with many barriers to care, such as lack of transportation, financial resources, and time. Therefore, school-based interventions were developed to address these barriers. However, there has been minimal research evaluating the role of social determinants of health on the efficacy of school-based interventions. In a sample of 222 adolescents with ADHD randomly assigned to receive either a …

Using Latent Semantic Analysis To Evaluate The Coherence Of Traumatic Event Narratives, Gabriella C. Scalzo

Theses and Dissertations

While a growing evidence base suggests that expressive writing about a traumatic event may be an effective intervention which results in a variety of health benefits, there are still multiple competing theories that seek to explain expressive writing’s mechanism(s) of action. Two of the theories with stronger evidence bases are exposure theory and cognitive processing theory. The state of this field is complicated by methodological limitations; operationalizing and measuring the relative constructs of trauma narratives, such as coherence, traditionally requires time- and labor-intensive methods such as using a narrative coding scheme. This study used a computer-based methodology, latent semantic analysis …

Sexual Satisfaction And Functioning In Women With Histories Of Sexual Victimization, Kerri Anne Guadagni

Theses and Dissertations

The present study evaluated the relationship between a history of sexual abuse and adult sexual satisfaction and functioning. This included examining psychological symptomology, revictimization, and the degree of sexual functioning and sexual satisfaction of women who reported childhood, adolescent, and/or adult sexual traumas. This study contributes to the limited research on the sexual functioning of women with childhood sexual trauma histories. Sexual satisfaction and sexual functioning were found to be related, yet separate areas in which women with sexual abuse histories may experience difficulties. There was evidence of an association between psychological distress and trauma history in that the presence …

Tobacco And E-Cigarette Use In Youth With Autism Spectrum Disorders, Nicole R. Higgins

Theses and Dissertations

While there has been an extensive amount of research on tobacco use in children and adolescents, very little has been conducted in children with developmental delays, particularly Autism Spectrum Disorders (ASD). Similarly, research examining newer methods of nicotine use, such as electronic nicotine delivery systems (ENDS; ecigarettes) has not yet been conducted in this population. It has previously been assumed that characteristics commonly observed in youngsters with ASDs serve as protective factors for the initiation of tobacco and ENDS use; however, no studies have identified the variables that contribute to a youngster’s intention to smoke/use ENDS in this vulnerable population. …

Pediatric Sleep Education In Primary Care: Parental Receipt, Compliance And Children’S Sleep Problems, Jenna Patricia Mullarkey

Theses and Dissertations

Sleep is important for children, as inadequate sleep can result in a number of poor outcomes in terms of cognitive, psychosocial, and somatic functioning. The American Academy of Pediatrics (AAP) has recommended that all pediatric providers educate parents about the necessary sleep duration for optimal functioning and healthy sleep hygiene practices for their children. The present study sought to examine the proportion of parents who receive pediatric sleep education from their child’s providers, the rates of compliance with these recommendations, and the effects that receiving this information has on frequency and severity of the child’s sleep problems. This cross-sectional study …

Self-Reported Malingering: Prevalence, Strategies, And Decision Making, Bethany Linn Hall Wellman

Theses and Dissertations

Objective: Malingering is intentional fabrication or exaggeration of physical or mental symptoms for the purpose of gaining an external incentive, whether it be for a reward or a gain of some sort or avoidance of an unwanted outcome (Gorman, 1982). Understanding malingering behaviors for accurate identification is of vital importance due to both the economic burden on health care corporations, workers compensation and disability services when malingering goes unidentified, as well as the harm caused to individuals with genuine symptoms falsely suspected of malingering. Greater understanding of malingering practices to help improve resources for correct identification is an area within …

Effect Of A 14-Day Mindfulness Intervention On Daily Desire Experiences And Desire Regulation, Nabila Farhin Jahan

Theses and Dissertations

A growing body of research suggests that mindfulness, a receptive attentiveness to one’s present moment experiences, has the potential to adaptively regulate habitual behaviors. No prior study has tested the effect of mindfulness interventions on people’s daily desire experiences to inform the potential for adaptive desire regulation. The present exploratory randomized controlled trial examined the effect of a 14-day smartphone-based mindfulness intervention (versus a coping control intervention) on the frequency, intensity, duration, and enactment of everyday desires in 19 participants. The desire domains included basic need-based desires (i.e., for food, drink, sleep) and secondary desires (e.g., for sex, media, social …

Competing Strength-Based Models Of Trauma And Suicidality In A High-Risk Primary Care Sample, Samantha Mladen

Theses and Dissertations

There is limited research on the relationship between trauma exposure, depression, and suicidality, particularly in high-risk primary care samples. The present study aims to: 1) characterize the prevalence of suicidality, depression, and trauma exposure in this sample; 2)develop and test models of the relationships between suicidality, depression, and trauma exposure in this sample; 3) augment the selected model with key protective factors, including social support and religiosity; and 4) further elaborate the nature of religiosity as a potential protective factor using the subscales of the Attitudes toward God scale, Anger toward God and Comfort with God.

Patients (n …

Alcohol Use And Drinking Motives In Bereaved Undergraduates, Laura J. Smith

Theses and Dissertations

This study examined the effect of the experience of a loss on alcohol use and drinking motives in a college sample. Participants for this study were drawn from the “Spit for Science” project (Dick et al., 2014). The sample included 3,013 students (31.8% men, 68.2% women; 44.3% White, 21.1% Black, 19.6% Asian, 6.0% Latinx; mean age = 18.96; 16.2% bereaved) from Virginia Commonwealth University. Data were collected from participants’ freshman spring and sophomore spring time points on the Life Events Checklist, Alcohol Consumption items, and Drinking Motives Questionnaire-Revised. Participants who were bereaved between the freshman and sophomore timepoint did not …

Executive Functions As Moderators Of Response To Behavioral Interventions For Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor

Theses and Dissertations

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) experience significant academic impairment and multiple interventions have been developed to address common academic problems, such as difficulties with homework, organization, and planning skills. Given cost and resource constraints, research is needed on factors that mental health providers can use to select the most appropriate interventions. To date, there has been minimal research evaluating moderators of response to ADHD interventions. Further, many of the variables that have been studied do not have strong theoretical ties to the mechanisms of change invoked by the interventions. This study examined potential moderators of treatment response to two academic …

The Efficacy Of A Group Visual Art Bereavement Intervention With Older Adults, Rachel E. Weiskittle

Theses and Dissertations

Research on expressive art interventions for bereavement has burgeoned in recent years. Studies have supported their effectiveness in facilitating participants’ adjustment to loss (e.g., Rosner, Kruse, & Hagl, 2010; Uttley, 2015) and have revealed the frequency with which they are clinically implemented (Thompson & Neimeyer, 2014). Clinicians and recipients of expressive art interventions advocate for their helpfulness in grief processing (e.g., Gamino, 2015). Publications have highlighted particular visual art modules that facilitate adaptive adjustment to loss by providing avenues for self-expression, meaning making and continuing bonds with the deceased (Neimeyer, 2016), but few studies have quantitatively investigated whether they improve …

Longitudinal Patterns Of Depression Symptoms Among Emerging Adults, Sarah W. Clark

Theses and Dissertations

Research has suggested that depression symptoms generally decrease after late adolescence; however, there is increasing attention paid to depression symptoms among college students given the stressors unique to this time period and negative outcomes associated with depression. This study examined latent trajectories of depression symptom severity among college students. Participants were 9,889 college students who participated in the Spit for Science project (Dick et al., 2011). Growth Mixture Modeling was used to identify the presence of four subgroups of individuals with similar patterns of initial level and change in depression severity over four years of college, including Low/Minimal (55.9%), Decreasing …

Training Future Mental Health Professionals In An Evidence-Informed System Of Care, Julia R. Cox

Theses and Dissertations

High quality mental health services do not reach the youth who need them, leading to efforts to implement effective treatments more broadly. One focus of these efforts concerns training the mental health workforce, of which master’s-level social workers represent a large proportion. However, the curricula of master’s in social work (MSW) programs do not often emphasize evidence-based approaches. One possible solution is Managing and Adapting Practice (MAP; PracticeWise, LLC), a system that allows clinicians to (1) identify clinically indicated evidence-based programs by searching a growing evidence-base of randomized controlled trials (RCTs) and (2) build individualized evidence-informed treatment plans by focusing …

Do Sluggish Cognitive Tempo Symptoms Improve With School-Based Adhd Interventions? Outcomes And Predictors Of Change., Zoe Smith

Theses and Dissertations

Sluggish cognitive tempo (SCT) is a construct that includes symptoms of slowness, mental confusion, excessive daydreaming, low motivation, and drowsiness/sleepiness. SCT is often co-morbid with attention-deficit/hyperactivity disorder (ADHD), and SCT symptoms are associated with significant academic and interpersonal impairment above and beyond the influence of ADHD symptoms. Despite the overlap between ADHD and SCT and associated impairments, no studies have evaluated how evidence-based psychosocial interventions for adolescents with ADHD impact symptoms of SCT. This study examined whether SCT symptoms improved in a sample of 274 young adolescents with ADHD who received either an organizational skills or a homework completion intervention. …

Dating Violence And Latina/O Emerging Adult’S Attitudes Towards Condoms And Condom Use Behaviors: Examining The Role Of Culture, Melissa Avila

Theses and Dissertations

Latina/o emerging adults living in southern states may be especially at risk of being disproportionately affected by HIV. In 2015, Latina/os aged 20 to 24 accounted for 14.7% of all 20-24-year old’s living with HIV in southern states, despite the fact that 20 to 24-year-olds make up 3.7% of the region’s overall population of individuals living with HIV (CDC, 2016; U.S. Census Bureau, 2017). Specifically, there continues to be groups of Latina/o emerging adults who do not use condoms when they are sexually active and who are not using condoms consistently. Condom use literature suggests that relationship factors, such as …

A Longitudinal Investigation Of Interpersonal Trauma Exposure, Posttraumatic Stress Disorder, And Cannabis Use Phenotypes Among College Students, Terrell A. Hicks

Theses and Dissertations

College students have an increased risk for cannabis use, trauma exposure, and posttraumatic stress disorder (PTSD). Cannabis use disorder (CUD) and PTSD comorbidity is high, and given the negative consequences of the comorbidity (e.g., poor academic outcomes), there is a need to understand comorbid CUD-PTSD etiology. Two primary etiologic models exist: self-medication (i.e., PTSD à CUD) and high-risk (i.e., CUD à PTSD) hypotheses. This study 1) examined the prevalence and predictors of cannabis use and interpersonal trauma (IPT) exposure; 2) investigated the relationship between cannabis use and IPT; and 3) examined cannabis use, IPT, and PTSD through mediational self-medication and …

Acculturative Stress And Depressive Symptoms And Anxiety Symptoms In Asian American Emerging Adults: Identifying Moderators And Mediators, Anh-Thuy Le

Theses and Dissertations

This study explored relations among acculturative stress (i.e., perceived discrimination, parent-child communication difficulties, incongruent parent-child values, and a general measure of acculturative stress), depressive symptoms, anxiety symptoms, family conflict, ethnic identity, and social support in a sample of 207 Asian American emerging adults (ages 18-25). Regressions showed that acculturative stress was positively associated with depressive symptoms and anxiety symptoms. Likewise, acculturative stress was positively related to family conflict, regardless of how the former was operationalized. Greater family conflict was also associated with greater depressive symptoms and anxiety symptoms.

Mediation models found that, for each predictor of acculturative stress, family conflict …

Predictors Of Peripartum Care Attendance Among A Sample Of African American Women At Increased Risk For Poor Prenatal Care Compliance, Anna B. Parlier-Ahmad

Theses and Dissertations

Prenatal and postpartum care are important for reducing maternal and infant morbidity. Racial and ethnic disparities are prevalent in maternal peripartum health and infant birth outcomes as well as peripartum care access and utilization. They highlight the need to identify and better understand correlates of poor prenatal and postpartum care compliance. While risk factors for low adherence to peripartum care have been identified, no studies have looked specifically at predictors of prenatal and postpartum care attendance in an at-risk sample of African American pregnant women. Using existing data from an RCT targeting maternal and infant health disparities and comparing a …

The Role Of Type 2 Diabetes And Metformin Use In Cognitive Decline, Kelley R. Chilson

Theses and Dissertations

Primary objectives of the present study include exploring the role of both A1C values and the anti-diabetic medication, metformin, on cognitive decline through measured by a brief neuropsychological exam (BNE) and the Montreal Cognitive Assessment (MoCA). Method: Eleven years of archival cognitive testing and medical information from a total of 479 East Central Florida Memory Disorder Clinic patients (52.8 % female, 88.5% Caucasian, Mage = 78.79 years) was utilized for the present study. Participants were placed into two groups: Type 2 diabetes (n = 239) and a control group (n = 240). Cognitive testing data were collected via MoCA screening …

Norms For Baseline Concussion Tests, Kaci Lee Garcia

Theses and Dissertations

Objective: The present study was designed to establish Baseline concussion normative data for non-athlete students using the Sports Concussion Assessment Tool (SCAT-5), Rey Word Recognition Test (RWRT), The A Random Letter Test of Auditory Vigilance (A-Test) and the Rey Dot Counting Test (DCT). The study considers the comparative differences when the non-athletes are told to complete the task to the best of their ability, to those who are told to perform poorly on purpose, and those who are instructed how to perform badly. Method: Sixty non-athlete students at Florida Institute of Technology volunteered in the study using the university’s online …