Clinical Psychology Commons^™

Posttraumatic Stress And Risky Sex In Trauma-Exposed College Students: The Role Of Personality Dispositions Toward Impulsive Behavior, Jessica Flores

Theses and Dissertations--Psychology

Posttraumatic stress disorder (PTSD) has been linked to heightened engagement in risky sexual behavior (RSB) across diverse samples, and impulsivity has been postulated as a potential linkage (Weiss et al., 2012). Limited information has been published on the role that impulsivity can play in strengthening the relationship between PTSD and RSB in college students. The current study examined the moderating role of impulsivity dispositions: negative/positive urgency, (lack of) perseverance, sensation seeking, and (lack of) premeditation on the association between PTSD symptoms and past-year RSB among a sample of 221 undergraduate students (77.4% female) with at least one DSM-5 defined traumatic …

The Moderating Role Of Mindfulness Skills In The Relationship Between Borderline Personality Features And Associated Problematic Behaviors, Carolina A. Caldera

Theses and Dissertations--Psychology

Individuals with borderline personality disorder (BPD) experience intense affect and emotional dyscontrol that may lead them to engage in maladaptive coping strategies and behaviors such as substance use, alcohol use, risky sexual behavior, aggression, and emotional eating. Theory posits that mindfulness, a mental state in which one is attentive, aware, and accepting of the present moment, may lead to increased tolerance of emotional distress. The present study sought to investigate the role of dispositional mindfulness as a moderating factor in the relationship between BPD features and related problematic behaviors using structural equation modeling and regression analyses in cross-sectional and longitudinal …

Language Dysfunction In Motor Neuron Disease: Cognitive Features And Screening Sensitivity, Natasha E. Garcia-Willingham

Theses and Dissertations--Psychology

Motor neuron disease (MND) is a set of neuromuscular diseases that affect the upper and/or lower motor neurons, resulting in progressive disability. Amyotrophic lateral sclerosis (ALS) and Primary lateral sclerosis (PLS) are two forms of MND that both involve upper motor neuron degeneration, which can also accompany extra-motor changes in cognitive, behavioral, and/or emotional functioning for some individuals. Characterization of the cognitive profile of MND is still evolving, with growing interest in cognitive subtypes. The development of cognitive screens targeted to the MND cognitive profile aim to provide efficient and accurate brief assessments. However, empirical evaluation of tailored MND cognitive …

Do Bulimic Behaviors Increase Shame? Toward An Understanding Of Transdiagnostic Risk, Heather A. Davis

Theses and Dissertations--Psychology

Binge eating is a harmful, maladaptive behavior associated with comorbid psychopathology. Theory posits that increases in maladaptive, transdiagnostic emotions following binge eating in individuals with BN may predict the experience of comorbid symptoms. The current study served as a laboratory test of the first part of this theory: whether state increases in maladaptive emotions occur following engagement in binge eating behavior in women with BN compared with healthy controls. Women (n = 51) were recruited from the community if they met DSM-5 criteria for BN or OSFED BN (of low frequency) (n = 21) or were free of lifetime disordered …

The Role Of Diaphragmatic Breathing In Self-Regulation Skills Training, Matthew E. B. Russell

Theses and Dissertations--Psychology

A central component of many psychological interventions is breathing training. Breathing training protocols based on a mindfulness or a cognitive behavioral therapy (CBT) have demonstrated value in the management of psychological and medical ailments. Yet, despite the wealth of literature examining each approach, little direct comparison exists. An additional concern is the proliferation of smart phone health (mHealth) applications (apps) providing breathing training with little empirical evidence to support their clinical use. A possible explanation for the interest in breathing and mHealth apps is the growing body of literature indicating breathing training provides wide ranging health benefits through improved stasis …

Developing A Comprehensive Model Of Personality, Beliefs, And Religiosity To Explain Underage Drinking In College Students, Hayley A. Cole

Theses and Dissertations--Psychology

Researchers have demonstrated that college students with strong religious beliefs unsupported by religious behaviors report greater involvement in underage drinking, drug use, and risky sex than students with concordant high or concordant low religious beliefs and behaviors. Recent research also suggests personality traits, belief systems, and environments may be influencing this group’s risky behaviors; however, further research is needed to identify factors contributing to these students’ life choices (including the decision to not support their religious beliefs with specific religious behaviors). This study reports on tests of a psychosocial mediational model, connecting personality traits, religious beliefs, religious behaviors, and underage …

Transactions Between Thinness Expectancies And Depression In The Prediction Of Adolescent Weight Restricting Behaviors, Anna Marie L. Ortiz

Theses and Dissertations--Psychology

Both the transdiagnostic risk associated with depression and the eating disorder-specific risk associated with expectancies for reinforcement from thinness have been identified as risk factors for the development of weight restricting behaviors. The purpose of this study was to examine if these risk factors transact to further predict risk in youth. Depression, thinness expectancies, and weight restriction were assessed in 1,907 adolescents three times during the transitional period between middle school and high school. We compared three different possible transactional processes. Mediation tests demonstrated that depression in 8th grade predicted an increase in the number of weight restricting behaviors endorsed …

Bipolarity And The Five Factor Model Of Personality Disorder, Cristina Crego

Theses and Dissertations--Psychology

The predominant model of general personality structure is arguably the Five Factor Model (FFM), consisting of the five broad domains of neuroticism, extraversion, openness, agreeableness, and conscientiousness. The FFM of personality disorder (FFMPD) has proposed maladaptive variants at both poles of the FFM. The purpose of the current study was to identify a subset of FFMPD scales, utilizing factor analysis, that illustrate, and provide a potential measure of, the bipolarity present in the FFMPD. All of the FFMPD scales were administered to 443 community participants recruited from Amazon Mechanical Turk. Bipolarity was evident in a series of factor analyses of …

Person-Centered Analysis Of Adhd Comorbidities And Differential Characteristics And Outcomes, Christine Anne Lee

Theses and Dissertations--Psychology

Attention-deficit/hyperactivity disorder (ADHD) is one of the most prevalent and impairing childhood disorders (5%; American Psychiatric Association, 2013), yet it is often studied in isolation. Such an approach is at odds with the clinical reality, where ADHD has a high comorbidity with oppositional defiant disorder, anxiety, and depression (Jensen, Martin, & Cantwell, 1997). Based on the possible presentations of ADHD with both externalizing and internalizing symptoms, there may be differences in associated characteristics, areas of impairment, and resulting assessment interventions. Therefore, the present study investigated how ADHD comorbidities manifested in a population of 233 elementary age children and how these …

Causal Attributions And Smoking Behaviors In Cervical Cancer Survivors: A Mixed-Methods Pilot Study, Gabriella E. Puleo

Theses and Dissertations--Psychology

This cross-sectional, mixed-methods study examined the nature of, and association between, causal attributions and current smoking behavior in cervical cancer survivors who were smokers at cancer diagnosis (n=50). As a whole, participants’ beliefs about smoking as a risk factor or cause of cervical cancer in general (i.e., global attribution) and/or their own cervical cancer (i.e., personal attribution) reflected far greater endorsement of global than personal attributions. Data collection involved a quantitative survey and an optional semi-structured interview to assess key variables (i.e., smoking behavior and causal attributions). Data were analyzed via descriptive statistics and inferential tests, all of …

Personality And Learning Predictors Of Adolescent Alcohol Consumption Trajectories, Sarah J. Peterson

Theses and Dissertations--Psychology

In a sample of 1897 youth studied across the last year of elementary school to the second year of high school, we (a) characterized different developmental trajectories of drinking frequency and drinking-related problems and (b) tested an a priori risk model that predicted variation in trajectory group membership. Analyses revealed five separate trajectories for both drinking frequency and drinking problems. Wave 1 scores on impulsigenic traits, expectancies for the reinforcing and stimulating effects of alcohol, and early pubertal onset differentiated among the trajectory groups, in some cases before the groups differed in drinking behavior. We also found substantial covariation between …

Comparing The Effects Of Mindfulness Meditation And Relaxation In A Brief Laboratory Induction, Carolina A. Caldera

Theses and Dissertations--Psychology

Mindfulness is the practice of being nonjudgmentally aware of the present moment. Researchers often study the effects of mindfulness using brief laboratory-based mindfulness inductions in which participants are guided through mindfulness exercises, after which outcome measures are examined. However, most studies have not assessed whether participants achieved a mindful state during the induction, or whether the effects of mindfulness inductions differ from the effects of similar procedures such as relaxation. The present study compared a mindfulness exercise to a relaxation exercise and a control condition. After the induction, participants completed measures of the extent to which they attained a mindful …

Testing A Values-Based Approach To Healthcare Decision-Making In Older Adults, Paul Jefferson Geiger

Theses and Dissertations--Psychology

Despite natural declines in physical and cognitive function, older adults maintain good emotion regulation abilities, leading to emotional wellbeing and resilience. This phenomenon can partially be explained by socioemotional selectivity theory (SST), which posits that when time is perceived as a limited resource, older adults focus attention on positive environmental stimuli to regulate emotions. Although this positivity effect maintains emotional wellbeing, it may disrupt information processing related to healthcare decision-making. Older adults request less information from their doctors, are less likely to ask for a second opinion, make their decisions more quickly, and devote more attention to positive medical information, …

Cross-Validation Of The Validity-10 Subscale Of The Neurobehavioral Symptom Inventory, Jordan P. Harp

Theses and Dissertations--Psychology

The present study is a cross-validation of the Validity-10 embedded symptom validity indicator from the Neurobehavioral Symptom Inventory (NSI) for the detection of questionable response validity during evaluation for mild traumatic brain injury (TBI).

The sample and data derived from a three-site Veterans Affairs (VA) parent study to validate the TBI Clinical Reminder, a routine set of questions asked of all recently returned veterans at VA facilities to screen for history of TBI. In the parent study, veterans recently returned from Iraq and Afghanistan underwent an evaluation for TBI with a physician and completed an assessment battery including neuropsychological tests …

Caars-S:L Infrequency Index Validation: A Pilot Comparison Of Paper And Online Assessments, Elizabeth R. Wallace

Theses and Dissertations--Psychology

One obstacle to the accurate diagnosis of ADHD in college students is malingering, although many symptom self-report measures do not contain feigning validity scales. The Infrequency Index (CII) for the Conners’ Adult ADHD Rating Scale–Self-Report: Long Version (CAARS-S:L) was developed for this purpose, although further validation of the index is needed. Another topic of interest in ADHD malingering research is the increasing use of online assessments. Little is known about how ADHD is malingered in an online format, particularly on the CAARS-S:L. The current study aims to integrate these strands of research by examining the utility of the CII in …

Dismantling The Five Factor Form, Stephanie L. Rojas

Theses and Dissertations--Psychology

The purpose of this dissertation was to provide a further validation of the Five Factor Form (FFF; Rojas & Widiger, 2014). The FFF is a brief (one page) rating form that assesses for adaptive and maladaptive variants of both poles for each of six facets for the five domains of the five-factor model. Two prior validation studies of the FFF have been completed using the items as they are scored within the FFF (Rojas & Widiger, 2014, in press). However, the FFF has a unique scoring system in which each item has normal and abnormal variants at both poles (e.g., …

An Experimental Investigation Of The Effects Of Self-Compassion And Self-Criticism On Implicit Associations With Non-Suicidal Self-Injury, Laura M. Nagy

Theses and Dissertations--Psychology

Non-suicidal self-injury (NSSI) is the intentional destruction of bodily tissue in the absence of suicidal motives. NSSI is strongly associated with self-criticism (Gilbert et al., 2010) and individuals who self-injure often report doing so to punish themselves. Conversely, self-compassion, or the tendency to be caring with oneself, is associated with psychological well-being (Neff et al., 2007). The aim of the present study was to determine whether experimentally inducing self-criticism or self-compassion would lead to changes in implicit identification with NSSI. The Self-Injury Implicit Association Test (SI-IAT; Nock & Banaji, 2007) is an assessment of the strength of the automatic associations …

Optimism And Pain Interference In Aging Women, Stephanie T. Judge

Theses and Dissertations--Psychology

Pain interferes with people's daily lives and often limits the extent to which they can pursue goals and engages in activities that promote well-being. The present study test how optimism affects and is affected by pain interference and activity among older women. Every three months for two years, middle- and older-age women (N = 199) complete daily diaries at home for a seven-day period, reporting their daily pain, pain interference, and activity. Optimism was measured at baseline and end-of-study. Multilevel models test the between- and within-person relationships among pain, optimism, pain interference and activity. Pain best predicted pain interference …

Validity Of Immediate Post-Concussion Assessment And Cognitive Testing (Impact), Lisa Mason Koehl

Theses and Dissertations--Psychology

Sports concussions have been recognized as significant injuries among young athletes with research demonstrating that return-to-play prior to becoming asymptomatic can have significant repercussions, including risk of sustaining cognitive deficits. In tracking and monitoring concussions during sports seasons, many programs have begun utilizing computerized testing rather than traditional neuropsychological tests to 1) determine baseline scores, 2) track symptoms, and 3) measure cognitive deficits following concussion.

Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is one such instrument. The current study examined ImPACT’s convergent, discriminant, and diagnostic validity by comparing scores from post-concussion athletes (SPORT) to those from non-concussed controls (CONT). SPORT …

Decision-Making Processes, Driving Performance, And Acute Responses To Alcohol In Dui Offenders, Walter Roberts

Theses and Dissertations--Psychology

Alcohol-impaired driving is a major cause of motor vehicle accident and death in the United States. People who are arrested for DUI (Driving under the Influence) are at high risk to reoffend; approximately one in three of these individuals will commit another DUI offense in the three years following their first conviction (Nochajski & Stasiewicz, 2006). This high risk for recidivism in these individuals suggests that cognitive characteristics may contribute to a pattern of pathological decision making leading to impaired driving. Indeed, individuals with a history of DUI report higher rates of impulsiveness and behavioral dysregulation compared to their nonoffending …

Utility Of The Caars Validity Scales In Identifying Feigned Adhd, Random Responding, And Genuine Adhd In A College Sample, Brittany D. Walls

Theses and Dissertations--Psychology

Due to increased concern about malingered self-report of symptoms of attention-deficit/hyperactivity disorder (ADHD) in college students, there is a need for instruments that can detect feigning. The present study provided further validation data for a recently developed validity scale for the Conners’ Adult ADHD Rating Scale (CAARS), the CAARS Infrequency Index (CII). The sample consisted of 139 undergraduate students; 21 individuals with diagnoses of ADHD, 29 individuals responding honestly, 54 individuals responding randomly (full or half), and 35 individuals assigned to malinger. The CII demonstrated modest sensitivity to malingering (.31-.46) and excellent specificity to ADHD (.91-.95). Sequential application of validity …

Investigating The Role Of Social Support, Cardiovascular Reactivity, And Self-Regulation Skills Training In Response To Thermal Stimuli, Tracey Christine Kniffin

Theses and Dissertations--Psychology

Persistent pain conditions are a major health problem throughout the world and are one of the primary reasons that people seek medical treatment (Gureje, Von Korff, Simon, & Gater, 1998; Verhaak, Kerssens, Dekker, Sorbi, & Bensing, 1998). These conditions are characterized by complex interactions between cognitive, emotional, and physiological disturbances and are often associated with comorbid psychological disorders (Gatchel, 2004). Though previous studies have examined the effect of interventions targeting persistent pain, such as physical self-regulation interventions, few studies have examined the complex interaction between such interventions and other variables such as psychological and physiological …

Deep Brain Stimulation For Parkinson's Disease: An Investigation Of Post-Surgical Self-Regulation And Executive Functioning, Hannah L. Combs

Theses and Dissertations--Psychology

Parkinson’s Disease (PD) is a common neurodegenerative disorder that attacks the basal ganglia and contributes to a range of motor, cognitive, and behavioral impairments (e.g., tremor, rigidity, and executive dysfunction). This dysfunction may contribute to self-regulatory impairment across several domains, including cognitive skills, thought processes, and emotion. Deep Brain Stimulation (DBS) is a neurosurgical procedure that allows for direct and reversible manipulation of brain activity in patients with PD. The procedure is growing in popularity and is commonly used as an adjunct or in some instances an alternative to dopaminometic medications. Preliminary studies suggest mild executive dysfunction follows DBS but …

Understanding Alcohol Use Trajectories From Adolescence To Young Adulthood: A Bioecological Approach, Jacqueline A. Bonsu

Theses and Dissertations--Psychology

The current study sought to better understand how alcohol use patterns develop over the transition to young adulthood by taking a bioecological approach in examining the joint influence of contextual and individual factors on drinking behaviors. Using a longitudinal design to include many factors that likely play key roles in this highly sensitive developmental period (e.g., peer norms, social activities, personality traits, access and exposure to substances), both mean levels of these variables and their change over time were considered in relation to alcohol use trajectories (AUTs). Participants were 525 students ages 18 to 25 recruited from the introductory psychology …

Ovarian Hormones, Adhd, Risk-Taking, & Impulsivity, Bethan A. Roberts

Theses and Dissertations--Psychology

Attention-Deficit/Hyperactivity Disorder (ADHD) is a highly impairing disorder of inattention, hyperactivity, and impulsivity that is more frequently diagnosed in males versus females at a ratio of 3:1. However, females with the disorder become highly impaired during adolescence, perhaps due to the onset of cycling ovarian hormones at puberty. The present study empirically assessed the role of the major female sex hormones, estrogen and progesterone, in the presentation of ADHD symptoms, impulsivity, and associated risk-taking behaviors (e.g., risky sex, substance use and abuse) in a non-clinical sample of young adult women. 32 healthy young adult women who were screened for hormonal …

Factors Influencing The Association Between Religiosity And Drinking Behavior In Underage College Students, Hayley Cole

Theses and Dissertations--Psychology

Research has consistently demonstrated a negative association between religiosity and college students’ alcohol consumption. However, few studies have explored the unique roles religious beliefs and behaviors might play in this relationship. Using 283 underage college students, we investigated the influence of internal and external factors on drinking behaviors for students with differing combinations of religious beliefs and religious behaviors. Tests of mediation and mediated-moderation were used to help explain the unique influences beliefs and behaviors have on alcohol consumption. Results indicated that religious beliefs only functioned as a protective-factor against underage drinking when accompanied by religious behaviors; students with high …

The Five-Factor Obsessive-Compulsive Inventory: An Item Response Theory Analysis, Jennifer R. Presnall-Shvorin

Theses and Dissertations--Psychology

Arguments have been made for dimensional models over categorical for the classification of personality disorder, and for the five-factor model (FFM) in particular. A criticism of the FFM of personality disorder is the absence of measures designed to assess pathological personality. Several measures have been developed based on the FFM to assess the maladaptive personality traits included within existing personality disorders.

One such example is the Five-Factor Obsessive-Compulsive Inventory (FFOCI). The current study applied item response theory analyses (IRT) to test whether scales of the FFOCI are extreme variants of respective FFM facet scales. It was predicted that both the …

The Rewarding Nature Of Anger Rumination In Borderline Personality Disorder: An Fmri Investigation, Jessica R. Peters

Theses and Dissertations--Psychology

Anger rumination, or persistently dwelling on feelings of anger, is associated with borderline personality disorder (BPD) and related features, such as aggressive behavior and cognitive distortions. To develop more effective treatments, it is crucial to understand why individuals with BPD engage in anger rumination despite its negative outcomes. The activation of energy associated with anger, as well as feelings of justification and validation, may be experienced in the short-term as rewarding. This may prevent individuals with BPD from attempting to reduce their rumination.

Functional magnetic resonance imaging (fMRI) and behavioral methods were utilized to examine this theory in a sample …

Purpose In Life In Als Patient-Caregiver Dyads: A Multilevel Longitudinal Analysis, Natasha E. Garcia

Theses and Dissertations--Psychology

Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease. Despite the debilitating nature of this disease, some evidence suggests patients maintain their quality of life (QOL). Caregivers, on the other hand, experience decreased QOL. Evidence suggests existential aspects of well-being such as purpose in life (PIL) may be unique and stable sources of well-being for patients and caregivers. Furthermore, patients’ and caregivers’ well-being may impact one another. The present study examined the variance structure, trajectory, and dyadic relationship of PIL and QOL in patients with ALS and their caregivers (N = 110 dyads). Data from the Seattle ALS Patient …

The Reciprocal Predictive Relationship Between Personality And Risky Behaviors: An 8-Wave Longitudinal Study In Early Adolescents, Elizabeth N. Riley

Theses and Dissertations--Psychology

While the overall stability of personality across the lifespan has been well-documented, there is also evidence of meaningful personality change. This is particularly true when individuals are going through periods of developmental transition. Over time, one sees incremental changes not just in behavior but in basic personality as well. 1,906 early adolescents were assessed for urgency scores, levels of maladaptive behavior engagement (drinking, smoking, and binge eating), and pubertal status every six months for four years. Zero-Inflated Poisson structural equation modeling (SEM) was used to test the model of reciprocal influence between behavior and personality. Across most six-month intervals over …