Clinical Psychology Commons^™

Is Demandingness The Core Irrational Belief Leading To Anger? A Test Of Ellis' Theory, Yareli Perez Ibarra

Theses and Dissertations

Anger has detrimental effects on individuals, and 7.8% of the United States population experiences intense, poorly controlled anger (Birkley & Eckhardt, 2015; Bogdan et al., 2016; Rissman, 2017; Okuda et al., 2015). Despite this, anger remains absent as a standalone disorder within the Diagnostic and Statistical Manual of Mental Disorders (DSM) though is highly prevalent in five disorders within the DSM. Evidence supports the use of cognitive behavioral approaches, namely Rational Emotive Behavioral Therapy (REBT) and Cognitive Behavioral Therapy (CBT), as forms of treatment (Fernandez & Johnson, 2016; David & Szentagotai, 2006). Within REBT, Albert Ellis proposed that Demandingness was …

Disordered Eating Tendencies: Investigating The Link With Attachment Styles, Emotional Dysregulation & Personality Dysfunction, Ndeye Marie-Charlotte Seck

Theses and Dissertations

Disordered eating (DE) refers to problematic eating habits that do not meet clinical criteria for eating disorders. However, if it goes unnoticed and escalates, it could eventually lead to an eating disorder (ED). The current study sought to investigate DE tendencies in relation to attachment styles, emotional dysregulation and personality dysfunction among university undergraduates (n = 254). The sample consisted of 74.8% female participants, 23.6% male participants, and 1.6% non-binary participants. The mean age of participants was 19.45 years (SD = 1.67). Emotional Dysregulation emerged as the strongest correlate of DE tendencies (r = 0.29, p < 0.05), indicating a moderate positive association between these two variables. Global Personality Dysfunction was also moderately associated with DE tendencies (r = 0.26, p < 0.05). Attachment style was positively correlated with DE tendencies (r = 0.25, p < 0.05). In a multiple regression analysis examining the predictive value of attachment, emotion regulation and personality, “Emotional Dysregulation” emerged as the sole and most robust predictor of disordered eating (DE) tendencies, demonstrating a statistically significant effect (β = 0.187, p = .026). However, when analyzed separately, Attachment and Personality Dysfunction still accounted for 4.8% and 11.5% of the variance in the outcome variable, respectively. These findings suggest that attachment insecurity, emotional dysregulation and personality dysfunction may be risk factors for developing an eating disorder. These findings also suggest that a thorough understanding of Eating Disordered behaviors should involve assessment of attachment styles, emotional regulation and personality dysfunction.

Neighborhood Context And Covid-19 Mortality, Patrick Dawid

Theses and Dissertations

Background: The COVID-19 pandemic disproportionately affected racial and ethnic minority populations in the U.S., with disparities in infection rates and population-level mortality. Research on racial/ethnic differences in case fatality rates (i.e., mortality per diagnosed case) has yielded mixed results, with some studies finding higher mortality for racial/ethnic minority patients and others showing no differences. These inconsistencies may stem from context-dependent factors including neighborhood characteristics. One potential neighborhood variable which may affect health is ethnic density—the concentration of a racial/ethnic group within a neighborhood—which has shown protective, detrimental, and neutral effects in prior studies. Ethnic density may influence health outcomes through …

College Students’ Beliefs: Association Between Skin Color And Acceptance, Christopher James Thompson

Theses and Dissertations

The Multiracial population represents the fastest-growing demographic group in the United States and is expected to more than double by 2060 (Vespa et al., 2018). Despite this rapid increase in the Multiracial population, there is a dearth of research regarding racial identity development, anxiety, and depression on this group. Social inclusion has been recognized as a fundamental human need, and Multiracial individuals may be more likely to be accepted into a majority group if their appearance is racially ambiguous. The current study builds on previous knowledge by utilizing a novel measure developed to examine the beliefs held by Monoracial and …

Ripples Of Support: A Mixed Methods Study Of Bystander Behavior In The Context Of Sexual Assault Among College Students, Miranda Levy

Theses and Dissertations

Emerging adulthood represents a period of elevated risk for sexual assault (SA), particularly among college students. Students are not only potential victims or perpetrators but also bystanders—individuals who may witness or become aware of risky or harmful situations and must decide whether and how to respond. Understanding what influences students’ decisions to intervene as bystanders in SA contexts is critical to improving peer responses and fostering safer campus environments. This study used a concurrent mixed methods design to examine how college students’ knowledge of campus SA policies, personal history of victimization, prior experiences receiving help, and SA disclosure reactions relate …

Severity Profiles Of Preschool-Aged Children And Their Associations With Maternal Help-Seeking: A Latent Profile Analysis, Samuel T. Jackson

Theses and Dissertations

Parents of preschoolers are more likely to seek treatment for childhood depression compared to anxiety and behavioral disorders. Atypicality and stability have been implicated in relation to help-seeking, but it is not known how they differ between disorders and whether such differences impact help-seeking. The current study grouped mothers based on their atypicality and stability appraisals across disorders; tested for differences in appraisals between disorders; and then tested for differences in help-seeking based on group membership. Participants were 272 adult mothers of preschool-aged children. Mothers read a series of vignettes describing preschool-aged children with depression, anxiety, and ADHD, and then …

How Therapists’ Perceptions Impact Disseminating And Implementing Trauma-Focused Cognitive-Behavioral Therapy, Maddi R. Gervasio

Theses and Dissertations

In the United States, 60% of youth experience a traumatic event before the age of 18 (Lawrence-Sidebottom et al., 2024) and childhood trauma is associated with a range of psychopathology. Although evidence-based therapies like Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT; Cohen et al., 2017) are available, only 14-22% of traumatized youth receive trauma-specific practices during treatment (Borntrager et al., 2013). Barriers to disseminating and implementing TF-CBT and similar interventions exist at the micro (e.g., therapist and client) and macro (e.g., systemic) levels (e.g., Gervasio & Herren, 2020). Emerging research focused on training in trauma therapists found that therapists’ negative perceptions about the …

Associations Between Psychoeducation And Measures Of Treatment Engagement In Trauma-Focused Cognitive Behavioral Therapy, Shari Lieblich

Theses and Dissertations

Despite the efficacy of TF-CBT, its effectiveness is compromised by high premature dropout or attrition rates. Psychoeducation, the first component of TF-CBT, provides both a rationale for engagement in treatment and normalizes symptoms to instill hope in youth and their caregivers. This component has been minimally examined as a predictor of later-phase symptom outcomes, mostly in adult trauma treatments, with mixed results. The goal of the current study is examine the influence of psychoeducation on participation-related variables in TF-CBT. Results indicate a positive association between the percentage of sessions of with psychoeducation and attrition and negative association with percentage session …

The Relationship Between Psychotherapist Self-Disclosure And Occupational And Emotional Variables, Kay Nikiforova

Theses and Dissertations

The effect of therapist self-disclosure practices on patients and the therapeutic relationship has long been debated. The historical trend of viewpoint toward self-disclosure began from predicting a negative, therapy-interfering stance to a growing openness towards the consideration that therapists sharing about themselves in session can have a positive effect on the patient. Evidence exists for both potential patient benefit and harm from therapists engaging in self-disclosure. Still, there is an increasing body of evidence that demonstrates that therapist self-disclosure benefits the therapeutic process, increases patient disclosure, and provides a more positive view of the therapeutic relationship. However, at present, there …

Why People Stay: Factors Contributing To Staff Retention In Community Mental Health Clinics, Brianna D. Boggs

Theses and Dissertations

The current behavioral health crisis is exacerbated by a crisis in the behavioral health workforce. Recruiting and retaining workers in behavioral health has become a challenge, making access to services for those needing them even more difficult. This study aimed to examine which factors have the strongest influence on an employee’s work engagement and decision to remain employed at their current organization. This study used Aarons et al.’s multilevel, multiphase implementation model (2011), with a focus on inner contextual factors as a means to help inform potential interventions to address the factors and improve retention. This study also applied the …

Psychometric Evaluation: Extending The Reliability And Validity Of The Teacher Attribution Measure For Early Elementary (Tam-Ee), Kerensa R. Nagle

Theses and Dissertations

Teacher attributions of student challenging behavior have the potential to influence teacher-student relationships. However, the literature on teachers’ attributions of challenging behavior is sparse and lacks measurement standardization. This limits the replicability and generalizability of research findings. To determine if teacher attributions of student challenging behaviors influence teacher-student relationships, a measure demonstrating a specific score reliability and validity profile is needed. The present study evaluated the item- and scale-level score reliability and validity of a measure of teacher attribution of student challenging behavior, the Teacher Attribution Measure for Early Elementary (TAM-EE; Nemer, 2019), within a sample of teachers (N …

Using A Dimension Reduction Approach To Parse Heterogeneity In Dietary Restriction, Amanda Makara

Theses and Dissertations

Dietary restriction, the problematic reduction of caloric or macronutrient intake, is a critical eating behavior occurring transdiagnostically across eating disorders and subclinical disordered eating. The definition of dietary restriction is highly heterogeneous, and restriction is often conflated with other distinct constructs, such as dietary restraint. The current practices related to the definition and measurement of dietary restriction have notable flaws, negatively impacting the ability to identify and establish risk, diagnosis, and treatment of eating disorders. There is also limited evidence that commonly-used dietary restriction measures can validly predict food choice and objective intake. These issues raise questions about whether dietary …

The Role Of Ethnic-Racial Centrality On Exposure To Microaggressions And The Mental Health And Academic Success Of Second-Generation Latiné Adolescents, Lisette Munoz

Theses and Dissertations

People holding racially minoritized identities are frequently subjected to racial-ethnic microaggressions, a form of everyday racism and discrimination. Acculturative stress and microaggressions have a direct impact on immigrants' mental health (Gee et al., 2007; Finch & Vega, 2003; Hovey, 2000). The increase in conservative immigration policies has led to increased anti-immigrant sentiments and microaggressions (Sissoko & Nadal, 2021). The impact of microaggressions can detrimentally affect psychological and physiological wellbeing, as well as academic performance and cognitive function (Solórzano & Pérez Huber, 2020). Because of their experiences with discrimination, Latino children may become more aware of biases in their social interactions …

Examining Mental Health Providers’ Differential Sensitivity To Youth And Caregiver Treatment Engagement Problems By Studying Clinical Decision-Making Behaviors, Wendy Chu

Theses and Dissertations

Clinical decision-making is a systematic process of collecting and using information to guide action regarding client care. Across frameworks of clinical decision-making, there is an emphasis on the assessment of a problem – which involves considering, identifying, and selecting a problem – as it directly informs intervention. In youth mental health services, problems related to treatment engagement or the ability to meaningfully participate in services are important to assess given their association with premature termination and poor outcomes. However, research suggests that assessment of engagement problems may be challenging, and one potential reason pertains to providers’ ability to assess across …

Integration Of Phenotyping Into A Preliminary Investigation Of Stand-Alone Web-Based Cognitive Behavioral Therapy Among A Non-Treatment Seeking Sample, Anna B. Parlier-Ahmad

Theses and Dissertations

Alcohol use disorder (AUD) is the most common substance use disorder. However, most people with AUD do not receive treatment. Among those who do, it is only moderately effective largely due to the heterogeneity of people with AUD. Many of these individuals, particularly those with mild AUD, can reduce or cease alcohol use without specialized treatment. However, efforts to refer those with more severe AUD to community residential or outpatient programs have been largely unsuccessful, especially among women who often face practical barriers like lack of transportation and childcare. Technology offers innovative opportunities to make treatment more readily accessible to …

Exploring Western Clinicians’ Treatment Of Cultural Concepts Of Distress, Lisa Y. Chung

Theses and Dissertations

As the rates of diverse ethnic populations and therefore cultural concepts of distress continue to grow in the United States, it becomes critical to learn and understand how western-trained mental health professionals are selecting treatments and implementing them. However, there is a paucity of research on cultural concepts of distress as a whole and much less on the psychotherapy of cultural concepts of distress in the United States. This exploratory study aimed to explore the treatment plan of mental health clinicians in the United States when encountering the Korean cultural concept of distress, hwabyung. Ninety-eight clinicians were recruited from Arkansas, …

Beliefs Related To Diagnosing Bpd And Complex Ptsd, Bailey Pascuzzi

Theses and Dissertations

There has been speculation that Borderline personality disorder (BPD) and Complex post-traumatic stress disorder (Complex PTSD) are the same disorder or represent separate disorders on a broader trauma spectrum (Frost et al., 2020; Lewis & Grenyer, 2009). BPD and Complex PTSD share several symptoms but differ in their presentation (Ford & Courtis, 2021). Because the two disorders present so similarly, it could be that clinicians have difficulty differentiating them, leading to misdiagnosis (Miller, 2014). This study examined clinicians’ diagnostic decision-making and stigma toward BPD and Complex PTSD. Participants (N = 426) completed an online survey where they diagnosed a written …

Exploring Prenatal Cannabis Use Among Young Pregnant Bisexual Individuals: A Mixed Methods Study, Nicole Boss

Theses and Dissertations

The perinatal period is a critical time for health behaviors with outcomes that have short- and long-term effects for both childbearing person and child. Research indicates that young bisexual people are at greater risk of unintended pregnancy, experience psychosocial health disparities, and may be more likely to use cannabis during pregnancy. Few studies have examined this phenomenon. This study is a secondary analysis of mixed methods data from a longitudinal cohort study. Thematic analysis of qualitative data (n=12) revealed the contextual adaptivity of cannabis use, with participants explaining the situations and rationales which motivated their cannabis use changed over time. …

Intimate Partner Violence Victims' Experiences With Civil Legal Interventions, Jessica Brooke Pomerantz

Theses and Dissertations

The court system has become a central part of the societal response to intimate partner violence (IPV) and is a frequently used as a source of help for victims (Cattaneo et al., 2013). Despite the importance of a justice system response to IPV, it is not always accessible or helpful to victims. Past research has demonstrated barriers to IPV victims seeking legal intervention including mistrust of the court system generally, extensive and confusing legal processes and procedures, and failure of the courts to assess more invisible forms of abuse (Calton et al., 2017; Cerulli et al., 2015; Cuomo & Dolci, …

Examining Effects Of A Cultural And Family Resilience Program On Improving Physical Activity And Eating Behaviors Among Overweight Black Adolescents, Mary Quattlebaum

Theses and Dissertations

Black adolescents have higher rates of physical inactivity, lower quality dietary intake, and fewer family meals compared to their White peers. These health inequities place Black adolescents at greater risk for overweight and obesity, as well as long-term health consequences, including chronic disease and early mortality. However, few health promotion programs have been successful in improving health behaviors among Black adolescents and families. Elevated rates of chronic stress, namely racial stress, among Black families may be a prominent obstacle for engagement in and effectiveness of health promotion initiatives. Limited family-based health promotion programs with Black families have incorporated cultural and …

The Lasting Psychological Effects Of Juvenile Arrests, Nadia Olivia Bortolin

Theses and Dissertations

This research investigated the enduring psychological consequences, specifically depression and anxiety, stemming from juvenile arrests and their influence on adulthood. Literature has demonstrated impacts on juvenile arrests from cultural, socioeconomic, family dynamics, and environmental elements. This study addresses a notable gap in understanding the long-term impact on mental health and employment. Research indicates a sensitivity to outcomes based on the age of arrest, with early adolescent arrests having profound effects on development and an increased likelihood of subsequent criminal activities. Developmental and risk factors, such as socioeconomic challenges and pubescent difficulties, contribute to persistent delinquent behaviors into adulthood. Some studies …

Examining The Impact Of Body Esteem And Cyberbullying Victimization On Mental Health Outcomes In College-Aged Women, Lorena Victoria Houghton

Theses and Dissertations

This study investigated the role of cyberbullying victimization, body image constructs, and social anxiety on depression and suicidal ideation among 396 college-aged women. The researcher hypothesized there would be an indirect relationship between various body image-related constructs and depression/ suicidality through cyberbullying victimization and that the relationship between cyberbullying victimization and depression/ suicidal ideation would be moderated by social anxiety. Moderated mediation analyses via bootstrapping revealed cyberbullying victimization significantly mediated the relationship between various body image-related constructs (appearance-related social media consciousness, body esteem, and internalization of body ideals) and suicidal ideation while social anxiety served as a moderator between cyberbullying …

The Association Between Childhood Trauma And Adulthood Depression And Posttraumatic Symptoms. Mediated Through Emotion Regulation And Perceived Social Support., Josue David Luna Jr.

Theses and Dissertations

Depression and posttraumatic stress are two psychological consequences commonly reported by adults exposed to adverse childhood experiences. High prevalence of childhood adversities in the United States is a significant concern. Despite this, the specific causal mechanisms connecting childhood adversity to adult psychopathology remain undiscovered and require further research. This research aimed to determine whether perceived social support, cognitive reappraisal, and expressive suppression, two alternate forms of emotion regulation, would independently mediate the link between adverse childhood experiences and psychopathology in adulthood among a sample of U.S. Hispanic students. A total of 814 undergraduate students completed an anonymous online battery of …

The Impact Of Race-Related Stress On The Minnesota Multiphasic Personality Inventory (Mmpi-3) Of An African American Community Sample, Cassandra Clayton

Theses and Dissertations

Black Americans have endured profound racial discrimination and systemic injustices rooted in the historical legacy of slavery in the United States. These injustices persist today, permeating various facets of life, such as social interactions, education, politics, legal systems, and employment opportunities. Previous research has explored the cultural ramifications of these experiences, which often lead to race-related stressors and negative impacts on the psychological well-being of Black Americans. However, the exploration of how discrimination and racial stressors impact personality test scores of African Americans, such as on the Minnesota Multiphasic Personality Inventory, 3^rd edition (MMPI-3), is limited. This study investigated …

An Empirical Analysis Of The Mmpi-3 Suicidal/Death Ideation Scale, Brittany Barnes Rhodes

Theses and Dissertations

Suicide is a significant concern in society and is one of the leading causes of death in the United States and around the world. Suicidality is particularly prevalent in outpatient psychological treatment centers, with some studies estimating a tenfold increase in prevalence in this setting compared to the population at large. Several measures have been developed to assess suicide risk potential based on symptom frequency and combinations of risk factors, and broadband personality measures have also incorporated suicidality scales into their tests. The current study was focused on assessing the effectiveness of the Suicidal/Death Ideation (SUI) scale on the third …

The Relationship Between Health Anxiety, Health Information Seeking Behaviors, And Healthcare Outcomes, Rima Malkan

Theses and Dissertations

The relationship between health anxiety and health information-seeking behaviors (HISB) suggests a possible bidirectional or reciprocal relationship, suggesting that health anxiety leads to HISB and HISB exacerbates health anxiety. The motivations for individuals seeking different types of health information vary and may be impacted by numerous factors that lead to particular health outcomes. However, the impact of these collective variables on healthcare outcomes has not been extensively investigated. The current study aimed to bridge this gap in the literature. The study sample consisted of 133 individuals ages 20-77 years who had varying levels of health anxiety. Results suggested that those …

Do Parents Know Best: The Impact Of Parental Sleep Knowledge And Related Factors On Sleep In Children With Neurodevelopmental Disorders, Rachel Nicole Chavez

Theses and Dissertations

Sleep problems are a common concern reported by parents of children with neurodevelopmental disorders (NDD). The prevalence of sleep disorders in those with NDD have been reported as high as 86% compared to 25% of typically developing children (Horwood et al., 2019, Robin-Shelton, 2016). These sleep problems can have detrimental effects on cognition, development, behavior, emotion regulation, and physical health. Existing research demonstrates a significant relationship between a child’s sleep disturbances and their parents’ sleep quality and level of parenting stress. This study aimed to identify the gaps in parental sleep knowledge and examined how parent sleep quality and parental …

Associations Between Self-Reported Levels Of Aggression, Irritability, And Depression In Collegiate Athletes With A History Of Concussion, Amber Mae Bankston

Theses and Dissertations

Objective: The aim of this study was to examine the relationship between history of concussion and symptoms of aggression, irritability, and depression. Furthermore, the relationship between these variables were examined in a small subgroup of participants before and after sustaining a head injury.

Methods: Archival data of NCAA Division II and club collegiate athletes from Florida Institute of Technology was included in the present study. Participants were included in this study if they completed baseline and/or post-trauma neuropsychological evaluations that included the Patient Health Questionnaire-9 (PHQ-9), Buss Perry Aggression Questionnaire (BPAQ), and Irritability Questionnaire (IRQ). Athletes’ demographic information along with …

Assessing Functional Abilities In A Memory Disorder Population: A Comparison Of Self-Report, Informant-Report, And Performance-Based Measures, Kevin Andrew Murray

Theses and Dissertations

Objective: Accurate assessment of daily functioning is critical for deriving a correct diagnosis and facilitating effective patient care. While collateral reports from a reliable informant can elucidate patients’ functional capacities, they may be susceptible to misappraisals of functional status. Similarly, patients with limited insight may be prone to misjudging their functional abilities. Performance-based measures of adaptive functioning may detect subtle declines in daily functioning overlooked by self- and informant-report measures. However, these measures may be limited in terms of ecological validity. The current study investigated the association between a performance-based measure of daily functioning and patients’ and informants’ ratings of …

Childhood Adversity's Impact On Criminal Behavior, Isobel Marie Avento

Theses and Dissertations

Adverse childhood experiences (ACEs), such as abuse, neglect, and family criminal history, have been identified as potential risk factors for negative physical, psychological, and behavioral health outcomes. Emerging literature suggests that ACEs are also among the primary factors leading to delinquency and adult criminal behavior. However, there is limited applied research that provides practitioners with appropriate insight to intervene when ACEs are identified among juvenile delinquents to reduce recidivism risk. This study adds to the existing literature by examining how cumulative ACEs shape criminal behavior of individuals from the onset until its desistance over the span of twenty years. Using …