Clinical Psychology Commons^™

Identifying Misconceptions Associated With Inaccurate Survey Reporting In The Combined Use Of Caffeine And Alcohol, Kathryn Polak

Theses and Dissertations

Research on college student use of caffeine combined with alcohol (CAC) and public health concern over such use has been hampered by the absence of psychometrically sound measures of caffeine and CAC use. The present study examined agreement between survey (CAS) and interview (TLFB) methods for collecting data on caffeine, alcohol and CAC use. Participants were N=50 college students randomized to complete CAS followed by TLFB or the reverse. Qualitative follow-up interviews with N=15 participants were used to identify factors contributing to CAS-TLFB discrepancies. Responses varied by method of administration, with largest discrepancy magnitudes found for CAC, followed …

Promoting Positive Academic Beliefs And Performance: Exploring The Impact Of An Academic Enrichment Program, Melanie Avery

Theses and Dissertations

First generation and low income college students experience unique achievementrelated barriers not typically experienced by their counterparts whose parents attended college and/or are of higher socioeconomic status (Hahs-Vaugn, 2004; Kahlenberg, 2004; Mortensen, 2003; Prospero & Vohra-Gupta, 2007). Academic enrichment programs that target first generation and low income college youth are one strategy that has helped to address these concerns. To extend literature in this area, the current study sought to identify factors that may be promotive of and/or barriers to first generation and low income youths’ achievement-related outcomes. Furthermore, this investigation sought to explore whether an academic enrichment program, namely …

Help-Seeking And Intimate Partner Violence Re-Victimization Of Sexual Minority And Heterosexual College Students, Andrew T. Schramm

Theses and Dissertations

Recent estimates indicate that 18.5% of heterosexual college students and 30.3% of sexual minority college students are victims of physical intimate partner violence (IPV; Edwards, Sylaska, Barry, et al., 2015). Research among adult women in oppositesex relationships has shown that once an individual is victimized by IPV she is subsequently at high risk for future IPV victimization. Re-victimization is associated with more severe physical and mental health consequences of IPV. No prior study has assessed the rate of re-victimization among sexual minority adults. Help-seeking behavior, which refers to accessing a range of sources of support (e.g., family and friends, law …

Preliminary Evaluation Of "Footprints": Motivational Interviewing To Promote Cognitive-Behavioral Skills, Academic Outcomes, And Academic Protective Factors In Middle School Students, John Terry

Theses and Dissertations

There are high levels of unmet need in youth mental health services. To address this gap there is an increasing emphasis on multi-tiered systems of support involving promotion/prevention (Tier 1), early intervention (Tier 2) and intervention (Tier 3) to promote positive emotional/behavioral functioning in students. While research on these multi-tiered frameworks is increasing, there remains a relative dearth of empirically supported and feasible early intervention Tier 2 programs. To help address this gap, we developed the Tier 2 program, Footprints, which utilizes two Motivational Interviewing sessions to promote engagement in six group-based modularized Cognitive-Behavioral Therapy sessions and aims to enhance …

The Role Of N-Acetyl-L-Cysteine (Nac) As An Adjuvant To Opioid Treatment In Patients With Inadequately Controlled Chronic Neuropathic Pain, Thomas B. Moore

Theses and Dissertations

Introduction. While opioid medications are commonly prescribed for management of neuropathic pain (NP), long-term use has been associated with increased risk for overdose, drug interactions and addiction. New strategies are necessary to better manage chronic pain, thereby reducing need for opioid medications and their associated adverse consequences. N-acetyl-L-cysteine (NAC), an over-the-counter supplement, has shown promise in the treatment of psychiatric and addictive disorders. In addition, NAC has shown promise for reducing physiological signs of NP in laboratory rat models, prompting this study.

Purpose. The present study was an open-label clinical trial of NAC as an adjuvant to opioid treatment for …

The Influence Of Client-, Family-, And Therapist-Level Pretreatment Characteristics On Therapist Delivery Of Youth Psychotherapy Treatments, Adriana Rodriguez

Theses and Dissertations

The purpose of this exploratory study was to examine the extent to which pretreatment characteristics influence therapist treatment adherence by using data sampled from a randomized effectiveness trial and an efficacy study. Research suggests that youth-, family-, and therapist-level pretreatment characteristics influence therapist behavior; however, this area is underdeveloped as most studies have focused on externalizing problem areas, family-based approaches, and the use of parent or therapist report to assess for therapist adherence. To date, no research has examined this question with anxiety as the target problem, individual-focused CBT, and with observational therapist adherence data. An observational coding measure, Cognitive-Behavioral …

Evaluating The Pennebaker Paradigm With Bereaved Emerging Adults: Applications Of Text Analysis, Elizabeth A. Collison

Theses and Dissertations

Bereavement is an important research area as it can result in grief reactions that lead to serious psychological and health consequences, particularly for the at-risk group of emerging adults (Arnett, 2000; Balk, Walker, & Baker, 2010; Fisher, Murray, & Frazer, 1985; Stroebe, Schut, & Stroebe, 2007). Expressive writing is a well-researched intervention for trauma and adjustment, yet research repeatedly has revealed null results with the classic Pennebaker paradigm as a bereavement intervention (Stroebe et al., 2002; Stroebe, Schut, & Stroebe, 2006). It may be premature, however, to conclude expressive writing is ineffective for the bereaved due to limitations in extant …

Loneliness, Cynical Hostility, And Cognitive Decline In Americans Above Age 50, Sarah C. Griffin

Theses and Dissertations

Background. Research identifies isolation (being alone) as a risk factor for cognitive decline— yet it is possible that subjective dimensions of isolation are more critical. Potential risk factors are loneliness (the distress stemming from feeling alone) and cynical hostility (an attitude of distrust and cynicism). The present study examined the relationship between these factors and cognitive functioning and decline.

Methods. Data came from the Health and Retirement Study, a nationally representative longitudinal study of US adults over 50. Loneliness was measured using the Hughes Loneliness Scale; cynical hostility was measured using items from the Cook-Medley Hostility Inventory. Cognitive functioning was …

Evaluating A Brief Web-Based Prevention Intervention For Risky Alcohol Use Among College Students, Zoe Neale

Theses and Dissertations

The purpose of this study was to evaluate a brief, web-based alcohol prevention intervention program as a universal approach to addressing the range of alcohol behaviors present on college campuses. The sample of freshman college students recruited from Spit for Science (Dick et al., 2014) included 153 intervention participants, and 151 control participants matched on demographics and baseline alcohol variables. Hierarchical multiple regression, logistic regression, and moderated multiple regression were used to compare intervention and control participants on post-intervention alcohol variables. Treatment predicted lower alcohol use disorder (AUD) symptoms, particularly among baseline drinkers. For non-drinkers, the intervention was associated with …

Representativeness Of Patients Enrolled In A Primary Care Clinical Trial For Substance Use Disorders, Sydney S. Kelpin

Theses and Dissertations

Understanding the characteristics of research participants is crucial to ensuring sample representativeness and generalizability of findings to broader patient groups with substance use disorders. Using anonymous computer-administered health survey data, the present study had a unique opportunity to compare patients who chose to participate in an RCT for heavy/problem drinking or drug use (N=713; consenters) with those that chose not to participate (N=625; non-consenters). The sample was 40% male, 76% African American, and had a mean age of 45.2 years. Using multivariate regression, the most parsimonious model found older age, unemployment, prescription misuse, positive screen for drug problems (CAGE), having …

Examining Ptsd Symptoms And The Effectiveness Of Group Therapy Among African American And Caucasian Veterans, Jennifer A. Coleman

Theses and Dissertations

Millions of Americans have served in the military, and improved survival rates in wars have increased the percentage of those who return home. Posttraumatic stress disorder (PTSD) is one of the most prevalent mental health diagnoses for veterans. Although few studies have examined the link, previous research as well as the minority stress model and transgenerational trauma theories, suggest that race may be associated with PTSD, particularly in military samples. The current study examined whether there were differences in PTSD symptomology (global and symptom cluster-specific) based on veterans’ race and whether group therapy effectively reduced symptoms of PTSD. Data were …

Internal And External Validity Of Sluggish Cognitive Tempo In Young Adolescents With Adhd, Zoe Smith

Theses and Dissertations

Adolescents with Sluggish Cognitive Tempo (SCT) show symptoms of slowness, mental confusion, excessive daydreaming, low motivation, and drowsiness/sleepiness. Although many symptoms of SCT reflect internalizing states, no study has evaluated the utility of self-report of SCT in an ADHD sample. Further, it remains unclear whether SCT is best conceptualized as a unidimensional or multidimensional construct. In a sample of 262 adolescents comprehensively diagnosed with ADHD, the present study evaluated the dimensionality of a SCT scale and compared CFA and bifactor model fits for parent- and self-report versions. Analyses revealed the three-factor bifactor model to be the best fitting model. In …

The Consequences Of Alcohol Mixed With Energy Drink (Amed) Use In College Students With Attention-Deficit/Hyperactivity Disorder (Adhd), Brooke A. Green

Theses and Dissertations

College students with ADHD, but especially those who consume alcohol, may be at jeopardy for experiencing negative educational and occupational outcomes, problematic substance use, criminal offending, and sexual victimization. Alcohol mixed with energy drink (AmED) use is widespread across college campuses and associated with many of these same problematic outcomes. The risk of experiencing these consequences for college students with ADHD may be exacerbated by AmED use given its unique relationship, above and beyond alcohol use, with these variables. This study sought to examine relationships among GPA, lost work performance, hazardous alcohol use, illicit substance use, criminal offending, and sexual …

Building Capacity Through The Use Of A Strategic Prevention Framework System In Communities, Duncan Meyers

Theses and Dissertations

The Strategic Prevention Framework (SPF) is a planning and implementation model that mobilizes communities to collaborate on developing and implementing an evidence-based prevention system. This model follows a structured five-step process with two cross-cutting elements (cultural competence and sustainability) that emphasizes building capacity of coalitions to strategically plan, implement, and sustain evidence-based prevention services to reduce adolescent substance use. This study utilized a repeated cross-sectional design. Participating youth were in grades 6, 8, 10, and 12 and lived in one of 27 counties in a Southeastern state that was funded through the Center for Substance Abuse Prevention’s SPF State Incentive …

The Impact Of Sports Dropout On Adolescent Functioning, Brittany Skiles Cook

Theses and Dissertations

Sports is the most commonly participated in extracurricular activity during adolescence. Aligned with the Positive Youth Development theoretical framework, previous research has shown that sports participation offers youth a context rich in resources found to promote positive adjustment into adulthood. However, around one third of the youth participating in sports drop out each year, and little research has examined the impact of sports dropout on indicators of youth adjustment. This study examines the relation between sports dropout and academic achievement, self-esteem, depression, perceived school climate, perceived support from adults in school, and alcohol use. The moderating effect of sports engagement …

Investigating Construct Validity Of The Cyber--Peer Experiences Questionnaire, Kendall Moore

Theses and Dissertations

With electronic technology becoming increasingly important in all aspects of modern life, traditional forms of relating with others have crossed into the cyber realm. Within that context, both positive and negative aspects of relational behavior have advanced in ways still largely underexplored in the research literature. One such area, termed “cyberaggression,” has recently gained momentum as a research focus. Given the numerous mental health sequelae from being involved in cyberaggression, such as anxiety, depression, and suicidal ideation, there is a clear and compelling need for more research in this area. To date, however, there remains little consensus on the conceptualization …

Do Discipline Style And Parenting Self-Efficacy Interact To Predict Observed Child Behavior? Outcomes From A Representative Sample Of Mothers With Young Chilren, Emily Noel Neger

Theses and Dissertations

Both parenting style and parents’ sense of their own parenting self-efficacy (PSE) have been found to predict child behavior outcomes in young children. Parents who engage in lax or overreactive parenting practices or who lack confidence in their parenting abilities are more likely to have children who display disruptive and noncompliant behavior. Until now, very little research has examined whether an interaction exits between these two constructs in predicting child behavior outcomes. The current study looked to fill this gap and assess whether a significant moderation relationship exists between parents’ parenting style and PSE in predicting observed child behavior. A …

Half The Art Of Living: The Influence Of Religion On The Relation Between Interparental Conflict And Childhood Internalizing And Externalizing Behaviors, Alexandra Michelle Wills

Theses and Dissertations

Children are increasingly being raised in environments that threaten healthy development, but there are children who develop well in spite of these threats, and there are factors within children's lives that can ameliorate the negative influence of these threats some of the time (Condly, 2006; Masten, 2001; Werner, 1993). Interparental conflict is one factor that can contribute to threatening healthy development and, indeed, has been linked with a variety of negative outcomes for children, including internalizing and externalizing behaviors (Gonzales, Pitts, Hill, & Roosa, 2000; Ingoldsby, Shaw, Owens, & Winslow, 1999; Rhoades, 2008). Religion has been studied as a contributing …

The Written Expression Abilities Of Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor

Theses and Dissertations

Students with Attention-Deficit/Hyperactivity Disorder (ADHD) often experience significant academic underachievement. Written expression abilities in this population have not been extensively studied but existing prevalence estimates suggest that rates of comorbid writing underachievement may be substantially higher than comorbid reading and mathematics underachievement. The current study examined written expression abilities in a school-based sample of 326 adolescents with ADHD. The prevalence of written expression impairment, the associations between written expression and academic outcomes, and specific patterns of written expression were investigated. Results indicate that students with ADHD experience written expression impairment at a similar rate to reading and mathematics disabilities. Students’ …

The Association Of Gender, Age, And Coping With Internalizing Symptoms In Youth With Sickle Cell Disease, Laura Reinman

Theses and Dissertations

Youth with sickle cell disease (SCD) are at an elevated risk for having internalizing symptoms. Prior studies have suggested unique age by gender patterns of internalizing symptoms may be present in this population, however this pattern has not been thoroughly examined and the mechanisms underlying this pattern are not known. We examined rates of depression and anxiety symptoms between males and females with SCD across childhood and into adolescence in a cross-sectional design. We also considered the potential role of coping styles and health related locus of control for SCD morbidity that could account for age or gender patterns for …

A Comparison Of The Factor Structure Of The Short Form Liberal Feminist Attitude And Ideology Scale (Lfais) For Women And Men In A University Survey, V. Diane Woodbrown

Theses and Dissertations

The current study compares the factor structure of the short form Liberal Feminist Attitude and Ideology Scale (LFAIS; Morgan, 1996) for males and females in a University survey. We first provide a discussion of feminism, a brief narrative review summarizing previous and co-existing measures of the construct “feminist attitudes” for males and females, and then conduct confirmatory factor analyses (CFA) and exploratory structural equation modeling (ESEM) to test Morgan’s own theory that there may exist a single general factor underlying the Liberal Feminist Attitudes Ideology Scale for males and for females, and that the latent construct/s underlying this scale are …

The Role Of Self-Efficacy In Mediating The Effect Of Physical Activity On Adolescent Depression, Nevelyn N. Trumpeter

Theses and Dissertations

Depression is a common psychiatric problem experienced in adolescence with nearly a quarter of all adolescents experiencing a major depressive episode before adulthood. Previous evidence indicates that physical activity (PA) is a known protective factor for depressive symptoms and major depressive disorder in adolescents and that PA self-efficacy (i.e., self-confidence) improves self-esteem, which in turn reduces depressive symptoms. Furthermore, PA self-efficacy may be more protective against depression for individuals who value or consider PA to be highly important. The proposed study aimed to determine the cross-sectional and longitudinal PA-depressive symptoms relation in adolescents. The study was designed specifically to test …

The Relationship Between Religiousness And Intimate Partner Violence Risk And Protective Factors, Peter Warren

Theses and Dissertations

This paper proposes an integrated model illustrating the mechanisms by which religiousness may serve to influence individual beliefs regarding intimate partner violence (IPV) and the potential for subsequent abusive behavior. Intimate partner violence is a serious public health issue in the US, affecting over 25% of women at some point in their lives (CDC, 2010; Tjaden & Thoennes, 2000). Religion is a near ubiquitous aspect of American culture, with over 80% of Americans reporting some kind of belief in a higher power (Gallup, 2008. Overall, the literature shows that religiousness typically serves as a protective factor against IPV, but digging …

Profiles Of African American College Students’ Risky Behaviors: General And Culturally-Specific Stress And Social Support As Factors Of Risk And Resilience?, Isha Walwina Metzger

Theses and Dissertations

Studies show that, while alcohol use and risky sexual activities increase during emerging adulthood, college students are more likely to engage in these behaviors than their non-student counterparts (Slutske et al., 2004). Researchers should explore risk behavior participation among African American youth, as they often face health disparities and more severe consequences of engaging in these acts than their White American counterparts (Sharma & Atri, 2006; Jackson, Hodge, & Vaughn, 2010). Although epidemiological and variable-centered studies often examine the drinking and sexual behavior of African American college students, there is a need for research utilizing a profile-oriented approach to explore …

Testing An Ecological Model Of Parent Involvement In Head Start: A Replication Study, Rebecca C. Horwitz

Theses and Dissertations

Parent involvement has been understood to elicit positive outcomes for school-age children, especially minority children and children from low socioeconomic families. Understanding the process by which parents engage in their child’s education may provide school staff with tools to develop interventions to increase parent involvement.

This investigation replicates a study that tested an ecological model of parent involvement in two Head Start programs (Waanders, 2002). Participants in the current study were 213 parents and/or caregivers of children who attended three Head Start programs in South Carolina. Two of the programs were located in a medium-sized city, while the third was …

Working Memory In Children With Neurocognitive Effects From Sickle Cell Disease: Contributions Of The Central Executive And Processing Efficiency, Kelsey Erin Smith

Theses and Dissertations

Children with sickle cell disease (SCD) are at risk for neurocognitive impairment due to disease effects including stroke, sleep disordered breathing, anemia-induced hypoxia, and small vessel occlusion. In particular, problems in working memory are an area of concern due to the importance of this construct in determining intelligence and academic functioning. According to Baddely’s model, working memory is composed of verbal and spatial working memory, but it is unclear whether one aspect of working memory is more impacted than another in children with SCD. In addition, little is known about the role of two key components in SCD-related working memory …

What Do We Know About Technical Assistance? Enhancing The Science And Practice Of Technical Assistance Via A Research Synthesis, Jason S. Katz

Theses and Dissertations

Introduction. Each year billions of dollars are spent on providing technical assistance (TA) to build the capacity of host settings (e.g., organizations, communities) to implement innovations, but there is little consensus (or even discussion) about: what the essential features of TA are, how to provide TA with quality, and how a quality-based accountability perspective can help us to enhance the science and practice of TA. To begin to address these needs, a research synthesis methodology was used for conducting a content analysis of the current evidence base for TA using three frames: (1) applying a conceptual and operational model (Getting …

Mindfulness And Cognitive Aging, Elise J. Herndon

Theses and Dissertations

Mindfulness meditation involves the cultivation of a focused, pre-conceptual consciousness that enables increased present-centered awareness of internal states, cognitive processes, and external stimuli (Mikulas, 2011; Kornfield, 2010). Studies suggest that mindfulness practice affects the brain structures and cognitive processes related to fluid intelligence, and may affect fluid intelligence itself among highly experienced practitioners (e.g., Gard, Taquet, et al., 2014; Lazar et al., 2005; Ritskes et al., 2003). Fluid intelligence includes higher-order reasoning and problem-solving abilities that are independent of cultural and environmental influences. These abilities peak in young adulthood, then begin to decay (Cattell, 1987; Goldberg, 2005).

The current study …

Beyond Grades: The Impact Of Race And Academic Disidentification On Social Functioning And Academic Outcomes Among At-Risk High School Students, Brian K. Colar

Theses and Dissertations

An extant literature has supported the notion that black students perform poorly in comparison to white students on frequently used indicators of academic functioning, known as the academic gap between races. Although previous studies have identified this academic inequity between White and Black high school students, there is a dearth of literature examining the context and processes which may contribute to this gap. The current study further examines this educational disparity by evaluating the role of students’ social functioning, the impact of race, and academic outcomes among at-risk high school students. Although analytical evidence reports a positive correlation between social …

Stakeholder Views On Behavioral Health Care In The Pediatric Primary Care Setting: A Qualitative Approach Towards Integration Of Care, Alexis Quinoy

Theses and Dissertations

The pediatric primary care setting has been discussed as playing a central role for the identification and treatment of behavioral and mental health disorders in youth. Although this setting is in a unique position to provide these services, there are many barriers to the integration of mental health care and pediatric primary care. The aim of this study is to examine perspectives of multiple stakeholders (i.e., patient, parent, nurse, resident, faculty, clinic director) in a pediatric primary care setting to explore barriers, behavioral and mental health needs, and facilitators to the integration and provision of mental health care for children …