Clinical Psychology Commons^™

Feeling Sad? Maybe You Are Just Uncertain! A Predictive Test For Depression, Dana Elizabeth Larson

Masters Theses & Specialist Projects

The current study examined the relationship between depression and uncertainty within the stress-diathesis model. Depression is a mental health disorder that is wide spread within our society. However, few causes of this disease have been able to be identified. Studies in uncertainty have shown that it is a major stressor in day-to-day life. Previous research has shown that individuals with high levels of uncertainty show higher levels of depression. The stress-diathesis model, a model originally developed to explain differences in development of schizophrenia, provides a theoretically meaningful way to combine these two concepts. The model states that a person who …

Suicide-Related Imagining And Acquired Capability: Investigating The Role Of Imagery In Self-Harm Behaviors, Tara C. Holaday

Masters Theses & Specialist Projects

The purpose of this investigation was to examine the role of suicide-related mental imagery in suicidal behavior. It was hypothesized that engagement (frequency, emotional impact, vividness, realism) with suicidal imagery would be related to suicidality, with greater engagement with imagery associated with more suicidal behaviors. Acquired capability for suicide was expected to be a mediator of this relationship. These hypotheses were tested by surveying 237 undergraduate university students (59% female; mean age = 20). Students completed a packet of self-report measures: The Modified Suicidal Cognitions Interview, The Acquired Capability for Suicide Scale, and the Self-Harm Behavior Questionnaire. Results suggested that …

An Exploratory Study Of Recovery And Recovery Maintenance For Victims Of Childhood Sexual Abuse Who Completed Faith-Based Residential Treatment Programs, Ann Kerlin

Doctoral Dissertations and Projects

This interpretive phenomenological analysis of the experience of recovery and recovery maintenance for women with a history of childhood sexual abuse and its sequelae included interviews and a non-standard questionnaire. Ten women with this history who had completed a faith based treatment program for substance abuse and/or eating disorders described recovery. Themes that emerged related to the process of change included: Changes in Relationships with Others, to Self, to God, and lastly, Forgiveness as a Catalyst for Change. Six practices emerged in the exploration of maintenance recovery. This research highlighted the need for thorough bio-psycho-social-spiritual assessment and areas of concern …

Peer Support For Consumers With Psychosis, Elizabeth Ann Cook

Department of Psychology: Dissertations, Theses, and Student Research

The purposes of this project were: 1) to collaboratively adapt an existing cognitive-behavioral intervention for consumers with serious mental illness (SMI) so that it could be provided by peers, and 2) to evaluate the feasibility of the resulting group intervention and perform a preliminary analysis of its effectiveness. Focus groups consisting of 7 consumers with SMI and 9 peer providers assisted in the determination of group content and structure. Results from the focus groups suggested significant overlap between topics covered and educational strategies utilized in traditional psychosocial interventions and preferences for the peer-based group. However, participants expressed a preference for …

Randomized Clinical Trial Examining Duration Of Voucher-Based Reinforcement Therapy For Cocaine Abstinence., Kimberly C Kirby, Carolyn M Carpenedo, Karen L Dugosh, Beth J Rosenwasser, Lois A Benishek, Alicia Janik, Rachel Keashen, Elena Bresani, Kenneth Silverman

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: This is the first study to systematically manipulate duration of voucher-based reinforcement therapy (VBRT) to see if extending the duration increases abstinence during and following VBRT.

METHODS: We randomized cocaine-dependent methadone-maintained adults to Standard (12 weeks; n=62) or Extended (36 weeks; n=68) VBRT and provided escalating voucher amounts contingent upon urinalysis verification of cocaine abstinence. Urinalysis was scheduled at least every 2 weeks during the 48-week study and more frequently during VBRT (3/week) and 12 weeks of Aftercare (2/week).

RESULTS: Extended VBRT produced longer durations of continuous cocaine abstinence during weeks 1-24 (5.7 vs 2.7 weeks; p=0.003) and proportionally …

Effects Of Anger Awareness And Expression Training Versus Relaxation Training On Headaches: A Randomized Trial, Olga Slavin-Spenny, Mark A. Lumley, Elyse R. Thakur, Dana C. Nevedal, Alaa M Hijazi

Psychology Faculty Research Publications

Background and purpose: Stress contributes to headaches, and effective interventions for headaches routinely include relaxation training (RT) to directly reduce negative emotions and arousal. Yet, suppressing negative emotions, particularly anger, appears to augment pain, and experimental studies suggest that expressing anger may reduce pain. Therefore, we developed and tested anger awareness and expression training (AAET) on people with headaches.

Methods: Young adults with headaches (N = 147) were randomized to AAET, RT, or a wait-list control. We assessed affect during sessions, and process and outcome variables at baseline and 4 weeks after treatment.

Results: On process measures, …

Human Or Natural Trauma: What’S Worse?, Heather Merrell, Rodger K. Bufford, Kathleen Gathercoal

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Sexual Victimization History And Visual Attentional Bias For Emotional Pictures In College Women, Renu A. Thomas

Department of Psychology: Dissertations, Theses, and Student Research

Various traumatic experiences and post-traumatic stress disorder (PTSD) are associated with biased attention toward trauma-related information. However, few studies have exclusively investigated such biases in sexual victimization survivors or identified factors that influence this relationship between sexual victimization and biased attention. Using eyetracking methodology, the current study attempts to delineate attentional patterns in sexually victimized and non-victimized undergraduate women, using viewing of different emotional picture pairs. This study also aims to assess the impact of PTSD symptomatology on the relationship between sexual victimization and greater attentional bias. Finally, the study explores changes in attention toward trauma-related stimuli among survivors by …

Depression And Diabetes Comorbidity: Psychotherapy Treatment Preferences Among A Predominantly Mexican Sample Of Primary Care Patients With Diabetes., Maria José Herrera

Department of Psychology: Dissertations, Theses, and Student Research

Depression and diabetes are highly comorbid problems yet their conjoint treatment, particularly the use of evidence based psychological treatments among diabetics, warrants further research. Specifically, little is known about the treatment of depression among diabetic Latinos, one of the fastest growing populations with comorbid depression and diabetes. Because of this scarce research among Latino diabetics, the present study aims to test whether educating Latino diabetics about treatment options for depression would differentiate their choice of one treatment over the other. Secondary aims were to investigate the degree to which cultural, depression, and diabetic factors differentiated treatment choice. Thirty two participants …

Relationship Satisfaction In Native Koreans And Korean Americans As A Function Of Alexithymia, Emotional Intelligence, And Marital Vows Orientation, Victoria Lee, Linda Berg-Cross, Kyung Suh

Department of Psychology Faculty Publications

The common stereotype of the inexpressive Asian, holding all emotions at bay, continues in our expectations of how Asian couples relate in intimate relationships. There is also a widely held belief that Asian marriages embrace more covenant-oriented commitments, compromising individual freedom and expression for the sake of harmony and integration of the couple. The current study attempted to test these stereotypes among Koreans living in the United States and Native Koreans. Results indicated that the dominant culture significantly shapes the expression and importance of alexithymia among Koreans, but when Koreans are a minority group, traditional beliefs may exert an even …

Strengths Versus Deficits: The Impact Of Gender Role Conflict And Counseling Approach On The Appeal Of Therapy For Men, Jeff Reznicek-Parrado

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Current trends from the fields of mental health, criminal justice, and sociology suggest that despite men’s significant mental health problems (i.e. Moscick, 1995; Sue, Sue, & Sue, 2003; Greenfield & Snell, 1999; Follman, Aronsen, & Pan, 2013), they are much more reluctant to seek mental health help than women (Addis & Mahalik, 2003; Olfson & Marcus, 2010). Sociologists and psychologists have suggested that this disparity in help seeking can be largely explained by a cultural mismatch between the context of masculinity and the context of psychotherapy. Psychologists have called for a paradigm shift in the way clinical services are rendered …

Stanford-Binet 5 Nonverbal Subtests Item Fairness In A Latina/O Sample: No News Is Good News, Rodger K. Bufford, Simone C. Harlow, Gale H. Roid

Faculty Publications - Doctor of Psychology (PsyD) Program

Examines the effects of acculturation (as measured by years in the U.S.) on performance on the SB5 Nonverbal scales in three population samples.

Targeted Threats: An Examination Of Thematic Content And Approach Behavior Displayed By Mentally Ill And Non-Mentally Ill Contactors, Charles D. Darrow

Department of Psychology: Dissertations, Theses, and Student Research

Threat assessment involves a set of investigative and operational techniques used to identify, assess, and manage the risks of targeted violence and other problematic approach behavior. The threat assessment approach continues to be refined through empirical research conducted in an effort to identify and better understand the risk factors for engaging in such behaviors, which accounts for the transition to a more dynamic evaluative process. Pertinent is the examination of thematic content utilized by subjects who engage in threatening behavior toward identifiable victims. In targeted threat assessment, thematic content examination involves the analyses of what the threatening individual is saying …

Treatment Of Psychiatric Inpatients With Relationship Dysfunction Using A Short Term Cognitive Interpersonal Intervention: A Pilot Study, Tamra Rasberry

Doctoral Dissertations and Projects

Relationship conflict for the psychiatric patient can have significant detrimental effects. There are specific types of interactions that can increase conflict and predict the potential for relapse; these have been identified by research and designated as components of Expressed Emotion (EE). Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) have been very effective when targeting specific psychiatric diagnoses, but less effective when addressing relationship conflict. The majority of studies addressing relationship conflict have taken place in an outpatient, long-term setting. There is limited research that utilizes an inpatient short-term intensive therapy with relationship conflict as its sole focus, targeting areas …

Empowerment-Based Positive Youth Development: A New Understanding Of Healthy Development For African American Youth, Raphael Travis Jr., Tamara Leech

Department of Public Health Scholarship and Creative Works

A shift occurred in research about adolescents in the general population. Research is moving away from deficits toward a resilience paradigm and understanding trajectories of positive youth development. This shift has been less consistent in research and practice with African American youth. A gap also exists in understanding whether individual youth development dimensions generate potential in other dimensions. This study presents an empowerment-based positive youth development model. It builds upon existing research to present a new vision of healthy development for African American youth that is strengths-based, developmental, culture-bound, and action-oriented. It emphasizes the relationship between person and environment, the …

Effect Of Religiosity And Combat Exposure On Combat Veteran Posttraumatic Growth, Kurt C. Webb, William Buhrow, Rodger K. Bufford, Mark R. Mcminn

Faculty Publications - Doctor of Psychology (PsyD) Program

Investigates two research questions:

Social Affiliation: A Model Of Anxious Avoidance In Women, Milena Stoyanova

Department of Psychology: Dissertations, Theses, and Student Research

There is substantial evidence demonstrating that women experience greater anxiety and fear compared to men. However, our understanding of specific factors accounting for women’s greater vulnerability remains rather limited. Taylor and colleagues (2000) proposed that women may have a different biobehavioral response to stress, which has evolved to protect and nurture offspring. The tend-and-befriend model provides new opportunities to explore underlying processes that may contribute to women’s greater anxiety and fear.

The present study examined women’s stress response combined with the absence of positive social contact as it relates to the presentation of fear and anxiety. One hundred and seven …

Pathways To Social Functioning Via Emotion Regulation In People With Serious Mental Illness, Hayden C. Bottoms

Department of Psychology: Dissertations, Theses, and Student Research

Recent research on social cognitive deficits associated with serious mental illness (SMI) has demonstrated a range of emotion processing difficulties, from emotion perception to emotion regulation. Whereas emotion perception deficits are well documented in this population, little is understood about emotion regulation and the relationship of emotion regulation to other abilities and impairments.

Method. Participants included 41 individuals with SMI recruited from a day rehabilitation program. Assessments included a range of functional domains, including symptom severity, neurocognition, social cognition, emotion regulation, and social functioning.

Results. Emotion dysregulation was hypothesized to be associated with more severe positive symptoms, poorer neurocognitive …

An Exploration Of Men's Attitudes Regarding Depression And Help-Seeking, Brian Paul Cole

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Despite significantly higher risk of suicide and co-morbid substance abuse, college age men are far less likely than college age women to seek help when depressed (ACHA, 2010). This “gender gap” has led researchers to suggest that college men are experiencing a mental health crisis (Davies, Shen-Miller, & Isacco, 2010). Several theories have been suggested for this gender gap including: (a) barriers caused by male gender socialization, (b) inaccurate diagnostic criteria, and (c) men experience different symptoms when depressed (Cochran, 2005; Levin & Sanacora, 2007). Additionally, the current researcher hypotheses that fear of femininity is a core aspect of the …

Pornography Addiction And Mental Health Disorders, Tabitha Cassidy

Senior Honors Theses

This study aims to understand the differences between mental health disorders in a sample of pornography users, addicts, and non-users. Participants in the study included males and females who visited a paraprofessional counseling center on a college campus (n=1048). Between non-users and users of pornography, one-way analysis of variance planned comparison results indicated that participants significantly differed in scores of Depression, Anxiety, and Global Severity Index as measured by the Brief Symptom Inventory 18 (BSI 18). Non-Suicidal Self-Injurious behaviors as measured by the Ottawa Self-Injury Inventory; and Grandiosity/Narcissism as measured by the Spiritual Assessment Inventory. Independent sample t-test scores indicated …

Emotional, Social, And Cognitive Correlates Of Stalking And Intrusive Harassment., Allissa Marquez

Department of Psychology: Dissertations, Theses, and Student Research

Although stalking has been recognized as social problem for the last twenty years, few studies have examined the treatment needs or effectiveness with these persistent offenders. The dearth of information on appropriate intervention is in part related to the difficulty of operationalizing stalking behavior in empirical studies. Accordingly, the present study sought to examine clinically relevant indicators of functioning using both categorical and continuous definitions of stalking behavior. Two hundred and fifty male prisoners were surveyed about their engagement in intrusive and aggressive behaviors during a significant conflict, as well as their social, emotional, and cognitive functioning. Results indicated quantitative …

Interview Of Peter J. Finley, Ph.D., Peter J. Finley Ph.D., Meghan Bassett

All Oral Histories

Peter J. Finley Sr. was born an only child to parents John J. Finley and Margaret Francis Dunn in 1931, in Philadelphia Pennsylvania. He grew up in the Fairmount section of Philadelphia. Peter attended St. Francis Xavier School for grade school, La Salle Prep School afterwards—located at 1240 North Broad Street at the time—and La Salle College, where he earned a Bachelor of Science degree in Psychology in 1953. Peter’s connection to La Salle began early in his childhood; his father, John J. Finley, was in the College’s graduating class of 1924. Peter earned a master’s degree at the College …

Resilience At St. Labre: Childhood Adversity, Spiritual Well-Being, Employment, And Resilience In A Multi-Ethnic Rural Population, Kristie Knows-His-Gun, Rodger K. Bufford, Kathleen Gathercoal, Winston Seegobin

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Finding Balance: Integration As A Four-Legged Stool, Rodger K. Bufford

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Measuring Grace: Further Development And Validation Of A Grace Measure, Rodger K. Bufford, Amanda Blackburn, Rodney Bassett, Timothy Sisemore

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Schemas, Core Beliefs, Worldviews, And Clinical Practice, Chad A. Houchin, Rodger K. Bufford

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Hiv/Aids Care, Coping Strategies And Work Environmental Stress Among Nurses In Botswana, Thabo T. Fako, Debra Rose Wilson, James G. Linn, Ntonghanwah Forcheh

Walden Faculty and Staff Publications

Since 2006 there has been universal acceptance in both developing and industrialized societies that HIV treatment and related services, including more effective programs, be available to all citizens. However, as a result of the worldwide recession and shifting health priorities, progress toward these goals has stalled. While the epidemic continues to grow (approximately 34 million globally, with 2.7 million new cases in 2010), fewer resources are dedicated to treatment and prevention than previously, and clinical staffs, especially nurses are challenged by more patient care responsibilities. This paper focuses on the relationships of HIV/AIDS care, coping strategies and work environmental stress …

Research Brief: "Combat Exposure And Suicide Risk In Two Samples Of Military Personnel", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relationship between suicide risk and combat exposure among veterans who are receiving mental health care and those not receiving mental health care. For policy and practice, veterans who are not receiving mental health care should be monitored for depression and PTSD; mental health professionals should understand the relationship between risk factors and suicide, and the VHA should encourage post-9/11 veterans to use their mental health care benefits provided to them by the VA. Suggestions for future research include using a more representative sample, analyzing the sample over time, and relying on methods other than self-reporting.

Patient Interpersonal And Cognitive Changes In Relation To Outcome In Interpersonal Psychotherapy For Depression, Samantha L. Bernecker

Masters Theses 1911 - February 2014

Despite evidence for the efficacy of interpersonal psychotherapy (IPT) for depression, there remains little understanding of its specific change-promoting ingredients. This study aimed to establish candidate change mechanisms by identifying whether patients’ interpersonal (theory-specific) and cognitive (theory-nonspecific) characteristics change in an adaptive direction during IPT, and whether such changes differentially relate to depression reduction and improvement in global functioning. The four interpersonal variables and one cognitive variable measured all changed significantly in an adaptive direction, with medium to large effect sizes. Reduced interpersonal problems were marginally associated with self-reported depression reduction (β = 2.846, p = .062), and greater …

Associations Of Childhood Family Adversity And Pubertal Timing With Depressive Symptomotology In Adulthood, Jeffrey P. Winer

Masters Theses 1911 - February 2014

To date, no prior research has examined the combined roles of childhood family adversity and pubertal timing in longitudinal pathways to depressive symptomatology in adulthood. The present study was conducted with 225 men and 225 women to explore the unique and combined roles of childhood family adversity and pubertal timing on depressive symptoms in a community sample of married adults. Results for both men and women indicated significant main effects of a cumulatively risky family environment on depressive symptoms, as well as main effects of families with higher levels of abuse and neglect, chaos and disorganization, and interpersonal family conflict. …