Clinical Psychology Commons^™

Developing A Measure Of Empowerment In Schools, Abby Albright Bode

Theses and Dissertations

Youth empowerment is widely defined as youth being actively involved in and influencing their environment in such a way as to foster positive developmental trajectories. Youth empowerment is fostered by such external aspects as positive relationships with adults, having a safe and supportive environment, and being included as meaningful contributors to teams. Given these aspects that enhance empowerment, schools are poised to provide a natural context for fostering youth empowerment. Relatedly, there is a national movement toward more comprehensive school mental health (SMH) programs and services, and building youth empowerment within this field is a logical and needed step, but …

The Readiness Monitoring Tool: Investigating The Psychometric Evidence For Group-Level Aggregation In Two Samples, Samantha N. Hartley

Theses and Dissertations

Organizational readiness is an essential factor for successful implementation of a particular innovation. Although there is general consensus within the research literature on the importance of organizational readiness, there has been significantly less agreement on the nature of readiness as a construct and how it should be operationalized. Previous research has focused on organizational readiness for change at both the individual and organizational levels, but measures based on these theories of readiness have typically lacked evidence of reliability and validity.

The R=MC2 heuristic and its associated measure, the Readiness Monitoring Tool (RMT), offer a compelling and comprehensive approach by which …

Gene By Environment Interaction On Weight-Related Outcomes Over Time In Underserved African-American Adults, Tyler Coe Mcdaniel

Theses and Dissertations

Obesity research in the area of prevention has become a national priority given the increasingly high prevalence rate of this condition among US adults, and subsequent health risks that are associated. The etiology of obesity is complex, so a more comprehensive understanding of the interaction between genetic predisposition and the social environment in regards to obesity in adults would advance our knowledge for future public health and prevention efforts. This study’s aim was to assess the impact of a gene by neighborhood social environment interactions on weight-related (i.e., waist circumference) and stress-related (i.e. cortisol) outcomes in underserved African-American adults. A …

Family Oriented Values, Emerging Adulthood, And Tobacco Use Among Hispanic Emerging Adults, Melek Yildiz Spinel

Theses and Dissertations

Theory and research on emerging adulthood (ages 18 to 25) have increased in the past two decades. However, few studies have assessed how different cultural values and experiences influence the experiences of ethnic minority emerging adults. The first objective of the current study was to expand the field of emerging adulthood research by exploring how familism, the belief that family is central to a person’s life, related to their experience of emerging adulthood. Specifically, the study assessed how familism related to Arnett’s proposed experiences of emerging adulthood (identity exploration, self focused, other-focused, feeling in between, the age of instability/negativity, and …

Cognitive Remediation Of Working Memory Deficits In Children With Chronic Health Conditions: Tailoring Cogmed Training To Address Barriers To Adherence, Kelsey Smith

Theses and Dissertations

Objective: Children with sickle cell disease (SCD) and cancer are at risk for working memory impairment due to the disease and treatment. However, inconsistency in adherence to cognitive training programs conducted with this population suggests that adaptations are necessary in order to improve the effectiveness of this intervention. In addition, it is unclear whether gains in working memory translate to improvement in classroom functioning.

Methods: Children engaged in cognitive training exclusively over the summer in order to improve adherence to Cogmed Working Memory Training. A total of 17 children ages 7- 17 with a diagnosis of SCD (n = 14) …

A Practice Elements-Based Approach To Adherence Measurement, Stephanie Violante

Theses and Dissertations

The measurement of treatment adherence (i.e., the frequency and thoroughness with which a therapist delivers a treatment as designed) is critical to the field of implementation science, as adherence is often considered an indicator of successful implementation. Most existing instruments of treatment adherence are treatment protocol specific; however, this approach is costly, inefficient, and disallows cross-treatment and cross-study comparisons. Thus, there is a need for adherence instruments that can be used across treatment protocols. It has been suggested that an instrument that captures adherence at the practice element level would meet this need, as it would have utility across protocols …

Structured Poetic Expressions For Emerging Adults Experiencing Bereavement, Kelcie D. Willis

Theses and Dissertations

Previous research has produced heterogeneous findings regarding the effectiveness of expressive writing in reducing grief symptomatology among the bereaved (e.g., Collison, 2016; Lichtenthal & Cruess, 2010; Stroebe et al., 2006). The purpose of this study was to address these mixed results by exploring the effects and linguistic characteristics of a novel writing task (i.e., the acrostic poem) among bereaved undergraduates, using an innovative data analysis technique (i.e., Linguistic Inquiry and Word Count). The current study recruited 68 undergraduates who had lost a loved one. Participants were randomly assigned to write over multiple days using the acrostic poem, emotional disclosure prompt, …

Relationships Among Parenting Stress, Parenting Practices, And Conduct Problems In African American Mothers Of Children With And Without Adhd, Amanda Parks

Theses and Dissertations

Parents of children with attention-deficit/hyperactivity disorder (ADHD) endorse increased levels of parenting stress and subsequently employ ineffective parenting practices. For children with comorbid conduct problems, mothers report more parenting stress than mothers of children with ADHD alone. I investigated the relationships among child ADHD diagnostic status, parenting stress, parenting behaviors (i.e., involvement and positive parenting) and child conduct problems in 78 African American mothers of children with and without ADHD. Mothers completed a demographic questionnaire, a semi-structured clinical interview, the ADHD Rating scale (also completed by teachers), the Impairment Rating Scale, the Parenting Stress Index – Short Form, and the …

Longitudinal Relations Between Adhd Symptoms And Substance Use Across The Transition To College And Evaluation Of Promotive And Protective Factors, Melissa R. Dvorsky

Theses and Dissertations

The prevalence of substance use and related problems increases during adolescence and peaks in young adulthood with substantial increases during the transition from high school to college (Johnston et al., 2018). However, these increases are not universal for all students (White et al., 2006), and there is substantial variation in rates of substance use during the first year of college (Borasri et al., 2007; Frisher et al., 2007). It is important to identify the individual and environmental factors that serve as risk factors for substance use as well as factors that may promote or protect against use during the high …

Does Emotion Regulation Moderate The Association Between Impairment And Depression In Adolescents With Adhd?, Laura D. Eddy

Theses and Dissertations

In comparison with their peers, adolescents with ADHD are at increased risk for developing depression, with prevalence estimates for comorbid depression ranging from 14% to 20%. Youth with comorbid ADHD and depression are at greater risk for multiple negative outcomes compared to youth with ADHD alone, including suspension from school, failing a grade, or difficulties in peer relationships. Identifying risk factors for depression among adolescents with ADHD is important for facilitating early identification and treatment efforts. Research completed to date indicates that interpersonal impairment and emotion regulation may mediate the relationship between ADHD and depression. However, a comprehensive longitudinal model …

Contexts Of Recovery: Community Resilience Capacity As A Predictor Of Trauma Symptoms, Douglas J. Archie Iii

Theses and Dissertations

In October 2015, the state of South Carolina was devastated by effects related to hurricane Joaquin. The event set new state records for rainfall totals. Contemporary research highlights the need to increase community resilience so that populations can better adapt to the unique stressors presented by natural disasters. Using the framework provided by Norris et al. (2008) we measure four “capacities” of community resilience: Economic Development, Social Capital, Information and Communication, and Social Trust to determine their relationship to the development of PTSD symptoms and feelings of hope. Results revealed that overall perceived community resilience was a significant predictor of …

Sustaining Evidence-Based Substance Use Prevention Interventions: A Five-And-A-Half Year Follow-Up Study, Tara Kenworthy

Theses and Dissertations

In the United States, extensive monetary resources are dedicated annually to support drug use prevention programs, but the sustainability of these interventions over time is often a neglected area of research. This study examines the moderating effect of capacity factors on the relationship between motivation factors and years interventions were sustained. We retained a sample of 29 evidence-based substance use prevention interventions implemented in 14 community coalitions as part of the Strategic Prevention Framework State Incentive Grant (SPF SIG) in Tennessee. Primary data were collected through interviews about each intervention conducted five-and-a-half years after SPF SIG funding ended. These interviews …

Predicting Post-Treatment Recurrence Of Child Maltreatment Among Substance-Abusing Parents, Emily Noel Neger

Theses and Dissertations

Approximately one quarter of parents identified by Child Protective Services (CPS) as having committed child maltreatment will be reidentified within a year. Children who are multiply victimized are at the greatest risk for detrimental outcomes across development. This study looked to determine whether four predictors of interest could help differentiate parents who recommitted maltreatment within an 18-month follow-up period from those who did not. Predictors assessed were the severity of a parents’ substance use, parents’ level of social conflict, parents’ belief in the use of harsh parenting practices and parents’ overall quality of life. Covariates of interest included a parent’s …

Temperament, Adhd Symptoms, And Impairment In Middle Childhood, Lauren Elizabeth Dattilo

Theses and Dissertations

Attention deficit/hyperactivity disorder (ADHD), a disorder first diagnosed in childhood that often persists into adulthood, is characterized by difficulty sustaining attention and controlling hyperactive and impulsive behaviors (Barkley & Murphy, 2006). ADHD is associated with impairment in numerous domains in both childhood (Hinshaw, 1992) and adulthood (Flory, Milich, Lynam, Leukefeld, & Clayton, 2003). Research suggests that temperament is associated with both ADHD and impairment (Martel, Gremillion, Roberts, Zastrow, & Tackett, 2014; Nigg, 2006), and the relation between ADHD and impairment is well established (Johnston & Mash, 2001). However, there has been very little research examining the relations among ADHD, temperament, …

Male Gender Equality Ideology, Empathy, And Prosocial Bystanding Behaviors And Intentions: A Path To Intimate Partner Violence Prevention On College Campuses, Virginia Diane Woodbrown

Theses and Dissertations

Objective: The importance of involving young college males as prosocial bystanders who will step in to stop sexual violence on college campuses is acknowledged as an important next step in reducing violence against women. However, research revealing which factors influence males to become engaged in this way is nascent. Prior research designed to uncover which factors lead people to step in as prosocial bystanders has primarily focused on situational factors rather than personal characteristics, and has not explored males in the context of intimate partner violence (IPV) more specifically. Method: Survey data from 1,455 male participants, ages 18 through 25, …

A Mixed Method Feasibility Assessment Of A Youth Participatory Action Research Program To Promote Physical Activity: Evaluating Implementation Within Two Pre-Existing Aftercare Programs Serving Middle School Youth, Michelle Abraczinskas

Theses and Dissertations

Obesity interventions to date have had small effects, which may be due to youth disengagement. In youth participatory action research (YPAR), youth become involved in research to make changes that impact their lives. Thus, integrating YPAR into a physical activity intervention, like we do in the current study, is a novel strategy to engage youth and increase empowerment for health behavior change. YPAR is typically implemented with high school youth, standalone, and within elective classrooms or focused after school programs; yet, YPAR can benefit all youth, so we expanded its reach into pre-existing aftercare programs. Participating youth were predominantly minority, …

Adhd Symptoms And Adult Romantic Relationships: The Role Of Partner Attachment Style, Emotion Recognition, And Personality, Katherine Knies

Theses and Dissertations

The purpose of this project was to examine the impact of ADHD within the context of adult romantic relationships more thoroughly than has previously been examined. Whereas symptoms of ADHD do seem to contribute to the quality of a relationship (Canu, 2014; Orlov, 2010; Pera, 2008), no prior research has examined the interaction between individual characteristics and partner ADHD symptoms in predicting relationship quality. The present study addressed this gap in the literature by examining the characteristics of both partners, specifically, how certain characteristics of one partner interact with the other partner’s ADHD symptoms in predicting relationship quality. Participants were …

Treatment Satisfaction And Adult Mental Health Outcomes Of Childhood Sexual Abuse Survivors, Tarila Abbott

Theses and Dissertations

In the current study, we examined the impact of trauma-specific treatment and treatment satisfaction to determine if receiving treatment had an impact on the adult mental health outcomes of childhood sexual abuse survivors. One hundred ninety-four participants completed a series of self-report measures that captured their experience of childhood sexual abuse, possible enrollment in treatment, experience in treatment, and current PTSD, Depression, Alcohol Abuse, and Experiential Avoidance levels. MANOVAs were conducted to identify and examine any relationships between treatment groups. It was hypothesized that participants who received therapy specific to their childhood sexual abuse would endorse lower levels of PTSD, …

An Examination Of The Scale Of Accurate Personality Prediction’S (Sapp) Test-Retest Reliability Across A Four-Week Period, Taylor Catherine Anderson

Theses and Dissertations

The questions surrounding how well one can truly know him/herself dates as far back as Ancient Greek times, and answering the question has been a difficult task given the complexity of human beings, and a somewhat subjective term such as the “self.” As science and technology continue to advance, so do the attempts to accurately define self-knowledge. Miller (2000) took defining self-knowledge a step further, and developed a test derived from the Sixteen Personality Prediction Questionnaire (16PF) to measure individuals’ level of self-knowledge how well they know themselves, based on their ability to accurately predict their scores on the 16PF. …

Posttraumatic Stress As A Unique Contributor To Related Health Outcomes And Healthcare Utilization In Adult Survivors Of Childhood Cancer, Emily Kathleen Crochet

Theses and Dissertations

Despite its significance in medical populations, research on posttraumatic stress (PTSS) in this population is limited in existing studies by small sample sizes and lack of follow-up data. This manuscript provides review of literature on behavioral health outcomes, which include neurocognitive and psychosocial late effects of disease/treatment, engagement in health-promoting or risk behaviors, and healthcare utilization in the childhood cancer survivor population. The current study examined the impact of PTSS on these domains of functioning, using data from the Childhood Cancer Survivor Study (CCSS), a multi-institutional sample. Results indicated 13.7% of survivors in our sample experienced PTSS. Survivors with PTSS …

Psychological Distress And Adjustment In College Students, Donovan A. Miles

Theses and Dissertations

The mental health needs of college students have risen dramatically. According to Kitzrow (2003), an estimated 84% of students who walked into a school counseling centers show significant causes for concern. These students were at high risks because of a variety of psychological distress. The current study sought to understand the multidimensional impact of mental health concerns on students' academic adjustment. Undergraduate students from a northeast public university completed an online survey that comprised of demographic information and two Likert type scales that measured psychological distress and academic adjustment. Results indicated that depression, generalized anxiety, social anxiety, and eating concerns …

Effects Of Cultural Factors In Sports-Related Concussion Testing Performance Of Collegiate Athletes, Gabriela Andrea González Torres

Theses and Dissertations

The purpose of the current study was to explore potential differences in preseason baseline concussion testing between an ethnically and linguistically diverse sample of Division 2 NCAA collegiate student-athletes. A value-added second aim was to create awareness regarding the implications of multiculturalism as it relates to neuropsychological testing of sport related concussions. This study is part of a, slow yet steady, growing body of research concerning diversity issues within the sport setting. 479 Division II collegiate athletes from the Florida Institute of Technology were assessed during mandatory preseason baseline testing. The Immediate Post-Concussion Assessment and Cognitive Testing, the Sports Concussion …

The Gritty Black Single Mother: Protective Factors And The Influence Of Black Single Mother’S Grit On Young Adult Outcomes, Keara Cherrell Washington

Theses and Dissertations

Over the span of decades, literature has highlighted that offspring from Black Single Maternal Caregiver Households (BSMCH) will experience negative outcomes, including academic deficits and psychological distress, as a function of the adversarial barriers (i.e. low socioeconomic status, mother’s lack of educational attainment, and ecological threats) encountered within their environment. Despite the apparent potential negative outcomes, there are numerous examples of Black offspring from BSMCH who are resilient and successful, despite dire familial circumstances. However, their stories do not appear to be reflected in the literature. The purpose of this study was to reveal the untold story of resilient Black …

Effect Of Cpap Compliance On A Cognitive Screening Test In A Memory Clinic Population With Sleep Apnea, Tatiana Marie Vallejo-Luces

Theses and Dissertations

Objectives: To determine whether the Montreal Cognitive Assessment (MoCA) was a sensitive indicator of cognitive improvement following introduction of continuous positive airway pressure (CPAP) in community memory clinic (CMC) patients who had been diagnosed with sleep apnea (SA). Method: Twenty-six CPAP compliant CMC patients (61.5% male; 96.2% Caucasian/Non-Hispanic) with a diagnosis of SA (66-87 years (M=76.27(4.90)) completed a MoCA before initiation of treatment and again 4-9 months later. CPAP compliance was documented through CPAP machine compliance reports and/or clinical interview with patient and family member during subsequent medical visits. Twenty CPAP non-compliant CMC patients (85% male, 100% Caucasian/Non-Hispanic; 66-90 years …

Effective Parental Cooperation And Communication As Protective Factors For Adult Offspring Of Divorce, Damla Til Ogut

Theses and Dissertations

Research and society have focused attention on how divorce affects family dynamics for decades. The clinical literature points to significant discrepancies in psychological variables between offspring from divorced versus intact families, suggesting that divorce contributes to negative psychosocial outcomes. Accordingly, investigations have revealed the adverse effects of co-parental conflict and antagonistic communication on divorce offspring’s psychological outcomes. Although parental cooperation and communication are suggested to serve as protective factors, more research is needed, given the current literature’s reliance on measures of psychopathology, yet making conclusions on psychological wellness. Among 244 college students, results indicated that divorce offspring reported lower levels …

Substance Abuse And Other Factors That Influence Recidivism For Mental Health Court Graduates, Justine Maria Swanson

Theses and Dissertations

Mental health courts (MHC) were designed to divert the overwhelming number of individuals with mental illness involved in the criminal justice system from incarceration through specialty court proceedings intended to meet their unique needs. Individuals who have both mental health problems and substance use are at a disadvantage. For them, this combination contributes to more severe mental health symptoms, physical health issues, interpersonal challenges, and legal problems. The co-occurrence of mental illness and substance use is increasing in prevalence within both the community and justice system settings; however, few studies have explored the effectiveness of MHCs for this specific population …

Two-Week Test-Retest Reliability Of The Scale Of Accurate Personality Prediction, Lisa Dawn Stewart

Theses and Dissertations

The Scale of Accurate Personality Prediction (SAPP) is a measure derived from the Sixteen Personality Factor Questionnaire (16PF Fifth Edition) with the objective of assessing one’s level of self-knowledge. The SAPP measures self-knowledge by appraising the extent to which individuals are able to accurately predict their personality traits. Previous research on the SAPP has provided support for its construct validation. The present study served as a replication of prior reliability studies to further assess the SAPP’s temporal stability. Test-retest reliability data of the SAPP was obtained by comparing SAPP scores from 34 individuals across two testing sessions that were two …

The Clinical Utility Of Recaptured Baselines After Return-To-Play, Alicia Miran Kissinger-Knox

Theses and Dissertations

Objective: The present study was designed to investigate the clinical utility of recaptured baselines or “rebaselines” in collegiate athletes after return-to-play. Several concussion management teams endorse the use of baseline neurocognitive assessments at the beginning of an athlete’s sports season to use as a measure of comparison in the instance of concussion or head injury. Once physical and cognitive symptoms are resolved, an athlete is requested to reestablish their baseline for the rest of the season. It has been questioned whether this “rebaselining” is necessary and warranted. Method: Forty-one Division II collegiate athletes at Florida Institute of Technology who sustained …

A Tale Of Two Tasks: Comparing Steady-State Visually Evoked Potentials With The Dot Probe As Measures Of The Anxiety-Related Threat Bias, Aqib J. Chowdhury

Theses and Dissertations

The present study explored how the anxiety-related threat bias (TB) measured by the dot probe is associated with steady-state visually evoked potentials (ssVEPs). ssVEPs were not significantly correlated with TB measured by the dot probe, suggesting that the dot probe and ssVEPs may index distinct components of attention to threat.

Examining Drinking Motivation, Resiliency, And Alcohol Use Among American Indian And Caucasian College Students, Emily Sargent

Theses and Dissertations

While previous research has suggested American Indians (AI) experience higher levels of alcohol use and related consequences than Caucasians (CA), recent research has demonstrated that AI may actually be drinking at the same or lower rates than CA. AI college students may choose to consume alcohol for different reasons than CA students, referred to as drinking motivation. Resiliency (i.e., experiencing positive outcomes regardless of serious threats) may be one factor that moderates the relationship between specific drinking motives and alcohol use. The current study examined alcohol use, drinking motivation, and resiliency among University of North Dakota (UND) AI (n = …