Clinical Psychology Commons^™

Memory For Emotional Expressions In Adults With Acquired Brain Injuries, Lauren Jeanne Radigan

Wayne State University Dissertations

Introduction: Memory for emotions expressed by others forms the continuity that characterizes unique and intimate relationships. Successful memory for facial expressions requires the ability to remember the identity of the face (who showed the emotion) as well as the emotion (which emotion they showed). People with acquired brain injuries (ABI) frequently have problems with social cognition, which involves understanding cues that communicate emotional and interpersonal information. ABI is commonly associated with trouble perceiving emotional expressions and recognizing the identity of faces; however, research on memory for emotions after ABI is sparse. This study examined cognitive and emotional characteristics that contribute …

Childhood Adversity And Alexithymia: Implications For Health Status In An Urban Police Sample, Christopher P. Urbanik

Wayne State University Dissertations

American law enforcement is regarded as one of the most stressful occupations in the United States, involving repeated exposure to threatening or challenging encounters and the risk of severe injury and death. A voluminous literature has documented various psychophysiological implications of police stress, including morbidity and premature mortality. Adverse childhood experiences (ACEs) are potentially traumatic stressors during one’s formative years, such as abuse, neglect, and household violence and dysfunction. ACEs have been linked to increased mental and physical health risks, yet ACEs have not been studied in police officers. Given the increase in the level of stress experienced by today’s …

The Efficacy Of A Novel Facebook-Based Psychosocial Intervention For Adults With Chronic Pain: A Randomized Clinical Trial, Bethany Danielle Pester

Wayne State University Dissertations

Social networking-based groups such as Facebook groups have become increasingly popular among people with chronic conditions, and the affordances of such groups make them a promising platform for chronic disease intervention. Yet, there have been few controlled tests of the effects of social networking-based groups. Our team developed a Facebook-based intervention that focuses on enhancing social support by connecting adults with peers who also have chronic pain. Using a randomized controlled clinical trial, we aimed to understand the efficacy of this intervention and to explore whether a professional-led support group leads to greater effects than a support group alone. The …

Psychosocial Outcomes Among College Students With Learning Disorders, Bobbi Isaac

Wayne State University Dissertations

Specific learning disorders, also known as learning disabilities, are defined as neurodevelopmental disorders in which long-term difficulties with learning and using academic skills occur within the context of one or multiple academic areas (i.e., reading, mathematics, writing). As our understanding of learning disorders (LD) has evolved beyond a focus on childhood diagnosis, a limited body of research has emerged examining adult outcomes for individuals with learning disorders in regards to higher education, employment, psychosocial, and health outcomes. Much of the results of this research seems to indicate that individuals with LDs may have poorer outcomes in adulthood across these domains. …

Perspective-Taking And Relationship Quality In Traumatic Brain Injury And Support Person Dyads, Monica Lynn De Iorio

Wayne State University Dissertations

Introduction: People with moderate-to-severe traumatic brain injury (TBI) often have problems with social communication, reduced contact with friends, and less satisfying social relationships than adults without history of TBI. Impaired abilities in perspective-taking may underlie problems in social integration and relationships following injury. This study sought to examine the perspective-taking ability of adults with moderate-to-severe TBI and support people, and examined the relationship between perspective-taking accuracy and relationship quality.

Methods: 48 dyads of adults with moderate-to-severe TBI and support people were included in the study. Both members of each dyad completed scales of distress, personality, and psychological flexibility. Measures were …

Mental Health Service Utilization Among Urban Adolescents: The Roles Of Perceived Mental Health Problems, Attitudes Towards Professional Help, And Stigma, Yi Tak Tsang

Wayne State University Dissertations

Mental health among adolescents is widely acknowledged as a significant concern in the United States. Based on a national survey, Merikangas et al. (2010) found that among 13-17 year olds, 42% to 48% reported experiencing mental health concerns. It is estimated that only half of adolescents with mental health problems utilize mental health services (Costello et al., 2014). An initial study found that caregivers of disadvantaged youth appeared to function as the “gatekeepers” to mental health services (Tsang et al., 2020). Also, the results suggested that positive attitude towards professional psychological help, but not stigma, predicted service enrollment. The current …

Ante- And Perinatal Risk Factors And Neuropsychological Outcome: Exploration Of The Role Of Multiple Birth And Acid-Base Status In Preterm Born Preschoolers, Jamie Piercy

Wayne State University Dissertations

Increased attention to medical risk factors that precede or accompany preterm birth is necessary in order to better understand functional deficits in this vulnerable population. Children who are born preterm are subject to increased risk of neurodevelopmental deficits in the preschool years and beyond. As such, the current study aimed to gain a better understanding of the influence of two disparate biological risk factors, one antenatal and the other perinatal, on neuropsychological development. More specifically, the influence of twin gestation and low arterial pH (reflecting hypoxic risk) on neuropsychological outcomes was examined in a sample of preterm-born (before 34-weeks gestation) …

Acceptability And Feasibility Of A Multicomponent Group Intervention To Initiate Health Behavior Change: The Kickstart Health Program, Shannon Marie Clark

Wayne State University Dissertations

There is a growing need to address the difficulties that people face trying to engage in a healthier lifestyle and the integration of behavioral health into primary care settings may offer an opportunity to address this need. Health behavior change groups may be an effective style of intervention in medical settings; however, the experiences patients have attending these groups as well as how health behavior change groups best fit into integrated care settings is largely unknown. The purpose of the current study was to offer a preliminary test of feasibility and acceptability for a group intervention, conducted in a primary …

The Eyes Never Lie: Detecting Simulated Traumatic Brain Injury With Eye-Tracking, Robert John Kanser

Wayne State University Dissertations

Performance validity test (PVT) inaccuracies can be explained by both test and extra-test (e.g., research design components) factors. Eye-tracking is a promising technology to enhance assessment of performance validity. Prior research has established that ocular behaviors are reliable biomarkers of (un)conscious cognitive processes. Experimental research on deception has shown that ocular behaviors reliably distinguish feigned concealment of information from honest responding. The primary objective of this study was to examine the incremental utility of incorporating eye-tracking into a clinical PVT to distinguish adults with verified TBI from adults coached to feign cognitive impairment. A secondary objective was to determine the …

Detroit People And Transitions In Housing-3 (Dpath-3): Changes In The Composition And Service Needs Of The Homeless Adult Population, Kiel Opperman

Wayne State University Dissertations

The current research study explores the composition and service need of the homeless community in Detroit, Michigan and its surrounding county, Wayne. The project aims to 1) examine differences in composition and social service characteristics across three decades and 2) access service utilization and unmet needs of the homeless population. The study’s central hypothesis is that demographic shifts in the homeless population indicate the need to make specific and substantive shifts in the distribution of the limited resources allocated to homelessness. Results demonstrated significant changes across the three time points, where the current sample of homeless people were older, spent …

The Protective Role Of Parenting Behaviors In The Development Of African American Adolescents, Kelsey Johanna Sala-Hamrick

Wayne State University Dissertations

This dissertation aimed to understand how African American parents protect their teens from developing psychopathology in the face of extreme adversity. To do this, I examined three dimensions of parenting behavior, stress exposure, and behavior problems in order to understand the direct and moderating relations between parenting behaviors, cumulative stress and youth internalizing, externalizing, and total psychological problems. 150 African American primary caregivers reported on their adolescent children’s internalizing, externalizing and total behavior problems, exposure to stressful events, and their own parenting behavior. 150 inner-city African American adolescents reported on their exposure to traumatic stressors and a subsample of 43 …

Arab American Women's Health Study: Correlational And Experimental Examination Of A Sexual Health Interview, Hannah Holmes

Wayne State University Dissertations

Arab Americans are a diverse group of Americans of Arab heritage or identity. Given the underrepresentation of Arab Americans in research and a taboo surrounding sexuality in Arab culture, it is not surprising that Arab American sexual health is understudied, even though sexuality is an important aspect of health. Arab American women face the challenging task of negotiating both their heritage and American culture, which may have implications for sexual health due to the two cultures’ disparate views on sexuality. Given the conflict and taboo likely to surround the topic of sexuality among Arab American women, confidential discussion of these …

The Influence Of Household Chaos And The Home Language Environment On Preschool-Age Children’S School Readiness, Laura Mary Northerner

Wayne State University Dissertations

School readiness, including both cognitive and social-emotional development, is an important indicator of a child’s preparedness for school entry, and a meaningful predictor of future academic success (Duncan et al., 2007). The home environment plays a critical role in the development of children’s school readiness, especially for children facing social inequalities. Within the home environment, household chaos and home language have been found to impact school readiness. The current study expanded on previous research on household chaos by collecting multiple measures of household chaos, including a naturalistic observation across several days. The current study also naturalistically investigated the home language …

Parental Ptsd, Emotion Regulation, And Behavior Problems In Toddlerhood: Unique Associations Among Families In Urban Poverty, Hasti Ashtiani Raveau

Wayne State University Dissertations

Parental posttraumatic stress disorder (PTSD) has been shown to negatively impact children’s socioemotional development (Schwerdtfeger et al., 2014) and increase children’s risk for later psychopathology (Scheeringa & Zeanah, 2008; Yehuda, Halligan, & Bierer, 2001). Less is known about this topic among minority and poor mothers and fathers of toddlers, and the critical role parents’ emotion regulation may play in mediating the associations between PTSD and toddlers’ socioemotional problems (Beck et al., 2009). Parental emotion dysregulation has been linked with children’s socioemotional problems (Coyne & Thompson, 2011), especially during toddlerhood when children are beginning to learn how to regulate their own …

Sexual Orientation Development, Acceptance, And Risk Behavior In Young Adult Gay Men, Erin Paige Smith

Wayne State University Dissertations

Research on sexual orientation development points to individual differences in developmental milestones (i.e., realization, identification, disclosure to friend, disclosure to parent, same-sex sexual behavior) that could be differentially related to adjustment. Additionally, differences in perceptions of acceptance from the self and important others, such as parents and friends, during adolescence and early adulthood may be related to both sexual orientation development and health risk behaviors (i.e., substance use, sexual risk). The goal of the current study was to advance our understanding of developmental processes among gay men by examining perceived acceptance of sexual orientation and its associations with individual differences …

Evaluating A Typology Of Homelessness Across A Midwest State, Devin Michael Hanson

Wayne State University Dissertations

ABSTRACT

EVALUATING A TYPOLOGY OF HOMELESSNESS ACROSS A MIDWEST STATE

by

DEVIN M. HANSON

August 2018

Advisor: Dr. Paul Toro

Major: Psychology (Clinical)

Degree: Doctor of Philosophy

Identifying a typology remains an effective method to summarize and distinguish the different ways that people experience homelessness in communities. More than twenty years ago researchers in the northeast United States developed an approach to create a typology of homelessness by using electronic records of shelter stays and two dimensions of homelessness; number of episodes, and length of time spent homeless. The three-part typology Randall Kuhn and Dennis Culhane identified has shaped the …

Assessing Parent Invovlment In Applied Behavior Analysis Treatment For Children With Autism, Krista Marie Clancy

Wayne State University Dissertations

The purpose of this study was to compare two groups of parents whose children participated in ABA on their levels of stress, self-efficacy, treatment acceptability, and parents’ level of involvement in their children’s treatment, and to assess variables that may explain variance in parent involvement. Parents in the treatment group participated in a voluntary parent training (n=18) and the comparison group were parents who elected not to participate in the voluntary training (n=22). This was a quasi-experimental design study where parents and their therapists completed a survey regarding parents’ involvement in their children’s treatment programs. Additional parent measures collected as …

Hearing Loss And Verbal Memory Assessment In Older Adults, Christina G. Wong

Wayne State University Dissertations

Prior research has found that adults with hearing loss perform worse on cognitive testing than adults without hearing loss, and some studies have suggested that hearing loss is associated with dementia. Heavy emphasis on tests involving auditory stimuli for memory assessment may result in overdiagnosis of cognitive impairment in individuals with hearing loss. The present study compared visual and auditory versions of a verbal memory test among older adults with and without hearing loss. Forty-one adults with moderate-to-severe, sensorineural hearing loss (HL) and 41 age-matched adults with normal hearing (NH) participated. Age ranged from 55 – 80 years. They completed …

The Effect Of Computer-Delivered Brief Intervention On Heavy Alcohol Use: A Pilot Study, Benjamin Varner Laliberte

Wayne State University Dissertations

Alcohol misuse remains a significant issue on college campuses. One potential remedy, especially for those unwilling or unable to seek face-to-face intervention, are computer-delivered brief interventions. Although the literature is mixed regarding the magnitude of their effect on alcohol use, findings are consistent that they at least produce small changes in alcohol use. The current study tested a computer-delivered brief intervention (CDBI) against an education-only control in order to examine its efficacy in reducing alcohol use. Additionally, it tested the interactive effects of secondary psychopathic personality, a trait associated with higher rates of alcohol use. 100 heavy drinking college students …

Urban African American Youths' Academic Performance As Related To Fathers' Involvement During Development, Travis A. Goldwire

Wayne State University Dissertations

Father involvement in the context of urban African American youth was examined using a subsample (n = 556) of a large cohort of participants followed longitudinally through development. Data was collected at regular intervals (e.g., Age 7, 14, 19 and young adult). Young adults (n = 93) were surveyed for retrospective accounts of their fathers’ involvement in their lives before age 18. In the young adult data collection phase (the main subject of this project), most participants reported varying levels and frequency of involvement from their fathers while growing up, including helping at school, providing social support, and encouraging academic …

The Effects Of A Life-Stress Interview For Women With Chronic Urogenital Pain: A Randomized Trial, Jennifer Carty

Wayne State University Dissertations

Chronic urogenital pain, pressure, and dysfunction are common, affecting nearly one in seven women in the U.S., who are commonly diagnosed with pelvic floor dysfunction, painful bladder syndrome, or interstitial cystitis. Women with these symptoms tend to have co-morbid anxiety and depression, relatively high rates of lifetime trauma and abuse, and conflicts or stress from key relationships. There is theory and evidence indicating that unresolved abuse or emotional conflicts can trigger or exacerbate urogenital pain and other symptoms (Abbass, 2009), but assessment of the presence and role of psychological stress is rarely done in women’s health care settings. When mental …

Emotion Perception Correlates In Moderate And Severe Traumatic Brain Injury, Rachel Keelan

Wayne State University Dissertations

Introduction: Studies have demonstrated that individuals with TBI experience impairments in emotion perception accuracy in facial and auditory modalities but does not yet understand patterns of emotion perception and their relation to neurocognitive performance. The current study assessed why emotion perception deficits occur via psychological and cognitive relationships as well as patterns of emotion misattributions.

Methods: 50 adults with a bona-fide moderate or severe traumatic brain injury and 39 healthy comparison adults were included in the study. Eligible participants completed a battery of paper-and-pencil and computerized neuropsychological measures, including three tasks of emotion perception, and psychological questionnaires.

Results: The TBI …

The Moderating Effects Of Protective And Risk Factors On Outcomes For Behavioral Smoking Cessation Treatment, Holly Reid

Wayne State University Dissertations

The rate of cigarette smoking is three-fold higher among adults living with Human Immunodeficiency Virus (HIV)/Autoimmune Deficiency Syndrome (AIDS) than in the general population (Centers for Disease Control and Prevention, 2015). Relative to non-smoking HIV-positive adults, HIV-positive cigarette smokers have even higher mortality rates, more physical health problems, greater tobacco-related health disparities, lower quality of life, and more barriers to treatment. These barriers are often interrelated with the significantly higher rate of trauma and violence exposure reported in both cigarette smokers and persons living with HIV/AIDS (PLWHA; CDC). Violence exposure not only predicts emotional distress and substance use, but also …

The Semantic Memory Imaging In Late Life Pilot Study, Michael Adam Sugarman

Wayne State University Dissertations

Introduction: Several functional magnetic resonance imaging (fMRI) studies have analyzed the famous name discrimination task (FNDT), an uncontrolled semantic memory probe requiring discrimination between famous and unfamiliar individuals. Completion of this simple task recruits a semantic memory network that has shown utility in determining risk for Alzheimer's disease (AD). Specific semantic memory probes using biographical information associated with famous individuals may build on previous findings and yield superior information regarding risk for AD.

Method: Sixteen cognitively intact elders completed the FNDT and two novel tasks during fMRI: Categories (matching famous individuals to occupational categories) and Attributes (matching famous individuals to …

Neuropsychological Predictors Of Engagement In Rehabilitation Therapy And Functional Independence In Individuals With Acquired Brain Injuries, Michael W. Williams

Wayne State University Dissertations

Occupational therapy after acquired brain injury (ABI) is an important part of a rehabilitation program, as it is designed to assess and aid patients in regaining independent functioning with activities of daily living (ADL; eating, toileting, etc.) and instrumental ADL (IADL). Engagement in therapy is a patient factor that can limit or enhance the benefits of occupational therapy. Therapy engagement refers to deliberate effort and commitment to working toward the goals of rehabilitation (Lequerica et al., 2006); it encompasses patient participation in rehabilitation activities, such as attendance and completion of prescribed exercises. Low engagement and failure to maximize therapy are …

Fear Of Alzheimer's Disease And Its Role In Memory Monitoring And Control, Annalise Marie Rahman

Wayne State University Dissertations

Introduction: Fear of Alzheimer’s disease (FAD), or Anticipatory Dementia, is a healthy adult’s misinterpretation of everyday memory failures as indicators of developing dementia. The current study investigated the construct of FAD and aimed to contextualize FAD within the Health Belief Model through development of a new scale, the Anticipatory Dementia Index (ADI). The study also assessed the relationship between FAD and metacognitive monitoring and metacognitive control.

Methods: 94 cognitively-intact community-dwelling older adults with and without a history of family history of AD completed questionnaires regarding their subjective memory complaints, state and trait anxiety, depression, and multiple measures of FAD, including …

Toward Enhancing Treatment For Pregnant Smokers: Laying The Groundwork For The Use Of Complementary And Alternative Medicine Approaches, Amy Michele Loree

Wayne State University Dissertations

Tobacco is the most widely used drug of abuse during pregnancy. Despite efforts to reduce perinatal tobacco use, its prevalence has remained steady over at least the past decade, suggesting that efforts to reduce smoking prevalence before and during pregnancy have not been effective. Although a range of effective treatments exist, most pregnant smokers neither seek nor receive any kind of treatment. Complementary and alternative medicine (CAM) treatments may be ideal as alternative, low-cost approaches capable of reaching and assisting a greater proportion of pregnant women with smoking cessation. This study examined characteristics and treatment utilization practices of pregnant smokers …

Religiosity-Spirituality And Risky Drinking Over The Transition To College: A Multi-Wave Longitudinal Study, Brian J. Klassen

Wayne State University Dissertations

Although the relationship between religiosity-spirituality and risky alcohol use is one of the most frequently studied topics in mental health, relatively little is known about how these variables relate to each other over time, especially during specific developmental periods such as the transition from high school to college. This study analyzed three waves of self-report data collected from a sample (N=623) of college students over a two-year period. Analyses examined (1) the stability of religiosity-spirituality and risky drinking over the transition to college, (2) the magnitude and direction of relationships between religiosity-spirituality and risky drinking, (3) the degree to which …

Process Group Vs. Skills Group Modalities In The Treatment Of Individuals Diagnosed With Major Depressive Disorder, Kirk David Duncan

Wayne State University Dissertations

ABSTRACT

PROCESS GROUP

VS.

SKILLS GROUP MODALITIES

IN THE TREATMENT OF INDIVIDUALS DIAGNOSED WITH MAJOR

DEPRESSIVE DISORDER

by

KIRK DAVID DUNCAN

August 2014

Advisor: Dr. George Parris

Major: Counseling

Degree: Doctor of Philosophy

The goal of this study was to evaluate the impact of a process group vs. a cognitive behavioral skills group modality on depression while investigating the effects of facilitator bond on outcomes. Analysis of covariance (ANCOVA) was conducted on the BDI-II posttest scores, and pretest scores served as the covariate and the group membership as the independent variable. When observing Figure 1 there was a visual desired …

A Daily Study Of The Sleep-Pain Relationship In Fibromyalgia, Maren Elizabeth Hyde-Nolan

Wayne State University Dissertations

Fibromyalgia (FM) impacts millions of individuals around the world and is characterized by widespread chronic pain and tenderness as well as nonrestorative sleep, fatigue, and stiffness (Wolfe et al., 1990; Wolfe et al., 2010). Poor sleep quality is reported by more than 90% of individuals with FM, suggesting that sleep disturbance may be a contributing factor to the pain experience (Moldofsky, 2008). Recent reviews of the literature have established the connection between sleep and pain, although the direction of this relationship remains unclear (Finan et al., 2013; Moldofsky, 2001). This dissertation sought to examine the daily relationship between sleep and …