Clinical Psychology Commons^™

Anxiety Severity And Prescription Medication Utilization In First-Time Medical Marijuana Users, Karen L. Dugosh, Megan M. Short, Paulina Syracuse, Thomas R. Mccalmont, Michelle R. Lent

PCOM Scholarly Works

Background

Anxiety and post-traumatic stress disorder (PTSD) are qualifying psychiatric conditions for medical marijuana (MM) treatment in Pennsylvania. This study examined baseline prevalence and changes in prescription anxiety medication use three months following MM treatment initiation among individuals with these qualifying conditions.

Methods

The study sample was comprised of 108 adults with anxiety or PTSD as a referring condition; they were enrolled in a longitudinal study evaluating biopsychosocial outcomes in new MM patients. Consenting participants completed an assessment battery at baseline and Month 3 (n = 94, 87 % follow-up rate) that included a measure of anxiety severity and …

Awareness With Paralysis And Symptoms Of Post-Traumatic Stress Disorder Among Mechanically Ventilated Emergency Department Survivors (Ed-Awareness-2 Trial): Study Protocol For A Pragmatic, Multicenter, Stepped Wedge Cluster Randomized Trial., Brian M Fuller, Brian E Driver, Michael B. Roberts, Christa A Schorr, Kathryn Thompson, Brett Faine, Julianne Yeary, Nicholas M Mohr, Ryan D Pappal, Robert J Stephens, Yan Yan, Nicholas J Johnson, Brian W Roberts

PCOM Scholarly Works

BACKGROUND: Awareness with paralysis (AWP) is memory recall during neuromuscular blockade (NMB) and can cause significant psychological harm. Decades of effort and rigorous trials have been conducted to prevent AWP in the operating room, where prevalence is 0.1-0.2%. By contrast, AWP in mechanically ventilated emergency department (ED) patients is common, with estimated prevalence of 3.3-7.4% among survivors given NMB. Longer-acting NMB use is a critical risk for AWP, and we have shown an association between ED rocuronium use and increased AWP prevalence. As NMB are given to more than 90% of ED patients during tracheal intubation, this trial provides a …

Examining The Evidence Base For Burnout, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout has elicited growing interest among occupational health specialists in recent decades. Since 2019, the World Health Organization has characterized burnout as a syndrome resulting from chronic, unmanageable workplace stress. According to the ICD-11, three symptoms define the entity: feelings of exhaustion, increased mental distance from one’s job, and a sense of ineffectiveness at work, all of which correspond to the structure of the Maslach Burnout Inventory. The ICD-11 includes burnout among the factors that influence health status. This paper calls into question that conceptualization based on a number of lines of evidence. The evidence includes the following: burnout was …

Oh No, We're Moving, Devina Parker

Psychology Division Scholarship

This wonderful book helps children identify and express their feelings, face the challenges that come with moving to a new place, and ease difficult emotions such as worry and fear. Devina's compassionate storytelling and insightful guidance provide invaluable support to young readers and their families during times of transition.

Validation And Clinical Utility Of The Patient Health Questionnaire-9 And Center For Epidemiologic Studies Depression Scale As Depression Screening Tools In Collegiate Student-Athletes, Lindsey Keenan, Yvette Ingram, Branden Green, Rachel Daltry, Sebastian Harenberg

Sports Medicine Faculty Publications

Context: The National Athletic Trainers' Association recommends including mental health screening measures as part of the preparticipation examination for all student-athletes (SAs). Despite this recommendation, most mental health screening tools have not been validated in the SA population. Objective: To validate and examine the clinical utility of 2 depression screening tools in the collegiate SA population. Design: Cross-sectional mixed-methods study. Setting: Two Northeastern United States university athletics programs. Patients or Other Participants: A total of 881 (men = 426, 48.4%; women = 455, 51.6%; mean age = 19.7 6 1.4 years) National Collegiate Athletic Association Division II collegiate SAs completed …

Fiqws 10008 Syllabus Fall 2023, Hayley M. Hancock

Open Educational Resources

This syllabus outlines the Fall 2023 Freshman Inquiry Writing Seminar (FIQWS) course Psychopathology in Literature. In the topic section, students learn about the history, research, ethics, and practice of psychopathology. This topic course is accompanied by a composition course in which students will apply their understanding of psychopathology to creative and research writing assignments.

How Gender Roles Impact The Social Perceptions Of Sexual Assault, Autumn Zwakenberg

Masters Theses & Specialist Projects

This study set out to examine how different factors such as the gender of the victim, the gender of the perpetrator, and the scenario of sexual assault, can influence an outsider’s opinion of the sexual assault. There were two main hypotheses: the first is male and female participants would perceive the push-away scenario as sexual assault at equal rates, but significantly more female participants would perceive the victim allowing the perpetrator to unbuckle their pants scenario as sexual assault. The second is male and female participants would view the male perpetrator scenarios as sexual assault equally, but significantly more female …

Mental Health Applications As A Resource For Reducing Access Disparities? A Case Example From A Disaster Mental Health App, Laura Perez-Villagomez

Honors Theses

Past research indicates Latinx individuals underutilize mental health services when it comes to addressing their mental health concerns, but often fail to mention the barriers to underutilization. Systemic barriers to seeking care largely fall under two larger umbrellas: cost and availability. A focus on whether disparities observed in traditional mental health services persisted for a trauma-focused app that recruited participants from the 2017 Hurricane outbreak provides us a unique outlook on a comparative analysis of utilization and engagement between the applications, Bounce Back Now (BBN) and Enhanced Usual Care. BBN is made up of four major components including tracking, …

Sexism's Effect On Female Suicide Ideation & Non-Suicidal Self-Injury Through Body Surveillance & Self-Esteem, Caitlin Gregory

Masters Theses & Specialist Projects

Research has shown that women face an average of three sexist events per week (Fischer & Holz, 2010). These sexist experiences can present within domains of daily living, social media usage, workplace discrimination, psychological distress, and sexual objectification (Baires & Koch, 2020; Duggan, 2014; Oswald, et al. 2019; Perez, 2019; Rollero, 2013). Additionally, the literature has shown that types of sexist experiences can determine the severity of the impact on mental health outcomes, as benevolent sexism has showcased significant consequences on females’ self-esteem and body objectification and hostile sexism has been shown to impact selfevaluation and self-worth (Calogero & Jost, …

Opinion & The Insanity Plea: What Can A Little Education Do?, Anna Raker

Masters Theses & Specialist Projects

The misconceptions regarding the insanity defense have often left bias rampant within the court room. Within this study, the goal was to understand the relationship between education via an expert witness and how it changes one’s verdict on a case where the insanity defense is used. Participants were given a vignette regarding the circumstances of an NGRI defense case, and then randomly assigned to a control video and a myth video. The control video talked about the circumstances around assessment, and insignificant details of the case, while the myth version discussed the common myths and misconceptions regarding the insanity defense. …

Addressing The Complexity Of Mental Health Care For Youth Experiencing Houselessness, Sarah Hamilton

Psychology Honors Projects

Children and youth experiencing houselessness have a unique set of mental health needs due to the traumatic experience of houselessness during childhood and the other adverse childhood experiences that often coincide with houselessness (van der Kolk, 2003; Wong et al., 2016). They face immense barriers in access to mental health care due to logistical factors as a result of their housing status and socio-structural factors (Krippel et al., 2020; Gallardo et al., 2020; Bradley et al., 2018). However, existing studies reveal a lack of evidence-based interventions for children and youth experiencing houselessness and a lack of insight from mental health …

The Contribution Of Self-Compassion To Anxiety And Mood In Daily Life, Yamini Pant

Honors Scholar Theses

Self-compassion, the act of being kind and understanding towards oneself, has been shown to have positive impacts on mental health. Depression and anxiety are both common mental health disorders that can interfere with an individual’s ability to function in daily life. Several studies have shown that self-compassion correlates with depression and anxiety at a cross-sectional level and across longer periods of time (e.g., several months). In the present study, we examined the fluctuations and the directionality of self-compassion, depression, and anxiety on a day-to-day basis over the span of a week. We also examined the ways that worry and rumination …

Agreement Of Psychiatric Diagnoses Within And Between Groups Of Mental Health Clinicians From Different Disciplines, Wade Mcguire

Dissertations

The development of therapy as a treatment option for mental health problems has led to the creation of different disciplines. Each discipline has developed its own conceptualization of classification and treatment of mental health problems. These conceptualizations have led to different areas of focus for each of the disciplines, specifically counseling, psychology, and social work. The purpose of this study is to investigate whether these areas of focus influence how each discipline diagnoses. For this study, data was collected by having clinicians provide diagnoses for three fictitious clients. The vignettes for the clients were taken from a psychopathology textbook to …

Exploring The Connections Between Craving, Depression, Sleep & Alcohol Use In Emerging Adults, Katie Moskal

Masters Theses & Specialist Projects

Alcohol use among emerging adults is a public health concern as it has been associated with negative consequences, such as accidental injury (Hingson et al., 2009). Given the negative consequences experienced for emerging adults, there is a need to identify factors contributing to alcohol use to determine ways to reduce these consequences. Poor sleep has been associated with higher alcohol-related consequences (Miller et al., 2016), and alcohol use has been associated with poor sleep (Goodhines, Gellis, Kim, et al., 2019), however there may be other factors contributing to this relationship, such as alcohol craving and depression. Higher alcohol craving has …

Job Stress Moderates The Effects Of A Mindfulness Intervention On Early Childhood Teachers' Emotion Dysregulation, Emily J. Starr

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

Addressing the current crisis of early childhood (EC) teacher turnover is essential for supporting the development of young children. Teacher attrition remains a concern for policymakers globally, and in the United States, early childhood teachers frequently cite job stress and lack of support as reasons for leaving the field. For over 40 years, researchers who study childcare have been concerned about the consequences of work-related stressors. Even if these stressors do not result in turnover, EC teachers’ psychological well-being may be impacted, leading to increased emotion regulation difficulties and more frequent negative teacher-child interactions. Young children’s emotional development is significantly …

Gender As An Environmental Stressor In Individuals Genetically Predisposed To Mood Disorders: A Preliminary Analysis, Kara West

Audre Lorde Writing Prize

Given the recent ‘epidemic’ of mental health disorders, we urgently need to better understand who is suffering and how. One aspect of this that research has come closer to identifying is where symptoms and diagnoses are missed in certain individuals, especially based on gender. However, if certain genders are actually more likely to deal with certain disorders we need to understand why and where that comes from. There is a general consensus in the medical field that some individuals are simply genetically predisposed to various disorders based on sex, but there is limited evidence that sex actually determines genetic predisposition. …

Validation Of The Occupational Depression Inventory In Brazil: A Study Of 1,612 Civil Servants, Renzo Bianchi, Danísio Calixto Cavalcante, Cristina Queirós, Blezi Daiana Menezes Santos, Jay Verkuilen, Irvin Sam Schonfeld

Publications and Research

Objective: The Occupational Depression Inventory (ODI) assesses work-attributed depressive symptoms. The ODI has demonstrated robust psychometric and structural properties. To date, the instrument has been validated in English, French, and Spanish. This study examined the psychometric and structural properties of the ODI's Brazilian-Portuguese version.

Methods: The study involved 1612 civil servants employed in Brazil (MAGE = 44, SDAGE = 9; 60% female). The study was conducted online across all Brazilian states.

Results: Exploratory structural equation modeling (ESEM) bifactor analysis indicated that the ODI meets the requirements for essential unidimensionality. The general factor accounted for 91% of the common variance extracted. …

Childhood-Onset Attention-Deficit/Hyperactivity Disorder Exacerbates Opioid Use Disorder Consequences: Mediation By Impulsive Phenotypes, Liam R. Browning, Ciara Cannoy, Tabitha E. H. Moses, Leslie H. Lundahl Phd, David M. Ledgerwood Phd, Mark K. Greenwald Phd

Medical Student Research Symposium

Background: Attention deficit hyperactivity disorder (ADHD) is highly prevalent and associated with opioid use disorder (OUD). Yet, little is known about the mechanisms by which ADHD (which is a heterogeneous construct/diagnosis) might alter the trajectory of OUD outcomes.

Aim: This cross-sectional study examines relationships between childhood ADHD (inferred as predating substance use) and the extent to which the effects of ADHD on lifetime heroin-use consequences are mediated by foreshortened time perspective and drug-use impulsivity.

Methods: Individuals who report heroin use (N=214) were screened using the Assessment of Hyperactivity and Attention (AHA), Impulsive Relapse Questionnaire (IRQ), Stanford Time Perception Inventory (STPI), …

Replacing Adjunctive Medications For Treatment-Resistant Depression Using Repetitive Transcranial Magnetic Stimulation: Case Report, Anita Vaishampayan Bs, Bassem Saad Md, Daniel Amarasinghe Bs, Carly Brin Lmsw, Richard Balon Md, Nicholas Mischel Mdphd

Medical Student Research Symposium

Repetitive transcranial magnetic stimulation (rTMS) is an effective treatment for depression. As the left prefrontal cortex activity is linked to depression, rTMS induces blood flow in the left dorsolateral prefrontal cortex (dlPFC). Long acting psychostimulants are sometimes prescribed as an adjunctive antidepressant treatment throughout rTMS therapy. We used rTMS to treat resistant depression in a middle-aged male patient over a twelve month period where a psychostimulant medication was also discontinued. He had been consistently taking duloxetine 60 mg BID, clonazepam 0.5 mg BID, and dextroamphetamine-amphetamine extended release 30 mg once daily prior to the onset of rTMS treatment. The patient …

The Pandemic Anxiety Inventory: A Validation Study, Irvin Sam Schonfeld, Tasmyn Prytherch, Mark Cropley, Renzo Bianchi

Publications and Research

The Pandemic Anxiety Inventory (PAI) assesses anxiety symptoms individuals attribute to the presence of a pandemic. We conducted this study of 379 British adults during the COVID-19 pandemic and found that the PAI exhibited excellent reliability and solid criterion validity. Pandemic anxiety was associated with reduced social support, anticipated life changes, financial strain, job loss, economic insecurity, and the hospitalization or death of a close friend or relative. Using correlational and bifactor analyses, we found that the PAI demonstrated solid convergent and discriminant validity. The findings suggest that the PAI can be used in research and clinical practice.

The Pandemic Anxiety Inventory: A Validation Study, Irvin Sam Schonfeld, Tasmyn Prytherch, Mark Cropley, Renzo Bianchi

Publications and Research

The Pandemic Anxiety Inventory (PAI) assesses anxiety symptoms individuals attribute to the presence of a pandemic. We conducted this study of 379 British adults during the COVID-19 pandemic and found that the PAI exhibited excellent reliability and solid criterion validity. Pandemic anxiety was associated with reduced social support, anticipated life changes, financial strain, job loss, economic insecurity, and the hospitalization or death of a close friend or relative. Using correlational and bifactor analyses, we found that the PAI demonstrated solid convergent and discriminant validity. The findings suggest that the PAI can be used in research and clinical practice.

How Did The Tamagotchi Become A Worldwide Phenomenon, Gianna V. Bona

CAFE Symposium 2023

The Tamagotchi is a popular Japanese toy by Bandai Co that pioneered virtual pets and led other companies to develop virtual toys and games that changed how children and consumers interacted with toys.

Emotional Support Animal Partnerships: Behavior, Welfare, And Clinical Involvement, Jillian Ferrell, Susan L. Crowley

Psychology Student Research

The present study gathered information about the characteristics of individuals and dogs in Emotional Support Animal (ESA) partnerships, instances of service-animal misrepresentation, animal welfare and behavior, dimensions of bond quality, and health professional involvement. Seventy-seven adults (53 female, 24 male) with a canine ESA were surveyed via Qualtrics panel services. Data were analyzed for descriptive data, as well as correlational analyses among variables. Participants reported high frequencies of misrepresentation of emotional support animals, access law violations, and problematic instances including ESAs with a history of aggression and times when participants were unable to care for their dog. The majority of …

Bibliography, Aaron Wichman

Faculty/Staff Personal Papers

Bibliography of publications by Aaron Wichman.

Ptsd And Alcohol Use Disorders Predict The Pace Of Cellular Aging, Sage E. Hawn, Xiang Zhao, Mark W. Miller, Sara Wallander, Christine Govan, Anjanette Stone, Steven A. Schichman, Mark W. Logue, Erika J. Wolf

Psychology Faculty Publications

Advanced epigenetic age is associated with psychopathology and may help to explain the link between psychopathology and physical health morbidity and mortality. Using a longitudinal sample of 171 trauma-exposed Veterans, we modeled the rate of change in epigenetic age across two time points (averaging 5.58 years apart) using two epigenetic age algorithms (GrimAge and Horvath) and tested associations with posttraumatic stress disorder (PTSD), alcohol use disorder (AUD), and depression. Results showed that PTSD (β = .199) and AUD (β = .186) were associated with a quickened pace of epigenetic aging over time (ps < .021). Results replicate and extend prior work and offer foundational support for identifying interventions that slow the pace of biological aging among those with psychopathology.

College Transition Fall 2020 And 2021: Understanding The Relationship Of Covid-19 Experiences And Psychosocial Correlates With Anxiety And Depression, Andrea Lourie, Susan Kennedy, Erin J. Henshaw, Drexler James

Faculty Publications

Rates of mental health symptoms, particularly anxiety and depression, have increased significantly in college students in the past decade along with utilization of mental health resources. The COVID-19 pandemic created an additional source of stressors to an already challenging landscape of college transition. COVID-19 has been associated with an increase of anxiety among college students, particularly first year students, entering college in Fall 2020. The shifts in policy (e.g., federal, state, and college) accruing medical data, and vaccine availability between Fall 2020 and Fall 2021 provide an opportunity to examine the role of COVID-19 experiences in the transition to college …

Characterizing And Predicting Canadian Adolescents’ Internalizing Symptoms In The First Year Of The Covid-19 Pandemic, Haley E. Green, Andrew R. Daoust, Matthew R. J. Vandermeer, Pan Liu, Kasey Stanton, Kate L. Harkness, Elizabeth P. Hayden

Psychology Publications

To date, most longitudinal studies of adolescents’ internalizing symptoms during the COVID-19 pandemic include few time points, limiting knowledge about the long-term course of adolescents’ mental health during the pandemic. Moreover, examining intraindividual variability in symptoms, which may have important implications for adolescents’ adjustment beyond mean or “typical” symptoms, requires multiple time points. We examined the course of internalizing symptoms in 271 Ontario adolescents (mean n = 193 across time points) during the first year of the pandemic (March 2020–April 2021) via mixed-effect location scale models, drawing upon established internalizing symptom risk factors as predictors of mean trends and intraindividual …

Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker

Antioch University Dissertations & Theses

Autistic populations experience significant mental health challenges. A growing body of research supports addressing autistic mental health problems using the framework of minority stress theory, the social model of disability, and the neurodiversity paradigm (e.g., Botha & Frost, 2018; Cage et al., 2018). This quantitative study explored how identification with the neurodiversity paradigm versus the pathology paradigm related to mental well-being in autistic adults. Participants (N = 135) completed an online survey in which they rated their identification with autism descriptions representing both paradigms. Participants also completed measures of psychological distress, self-esteem, personal autism acceptance, and internalized autism stigma. Most …

The Impact Of Poorly Facilitated Anti-Racist Conversations, Brandon Kirkwood

Antioch University Dissertations & Theses

It is well established that the graduate school experience is significantly different for students of color; on top of a rigorous training program, they face additional distinct challenges including racism, discrimination, and feelings of isolation. Insidious Trauma theory provides the framework for this quantitative exploration assessing the impact of poorly facilitated anti-racist conversations on the physical and emotional wellbeing of clinical psychology graduate students of color. George Floyd’s murder, among many other incidents of racial injustice, was a powerful catalyst that propelled academic institutions into action. Anti-racist dialogue became the intentional focus of graduate classes almost overnight. Well-meaning but insufficiently-prepared …

With Liberty And Justice For All: Psychological And Functional Consequences For Service Members Acquitted Of Sexual Assault, Jamie Leavey

Antioch University Dissertations & Theses

Policy makers are tasked with changing laws and improving systemic processes in response to evolving moral standards. As societal outrage grew regarding sexual assault in the military, those in power sought to balance what was perceived as a system that ignored, retaliated against, or unfairly burdened victims. However, as the pendulum swung toward victims’ rights and privileges, those accused of this crime inherited the burden of an imbalanced system. In the military context, the experience of the accused is impacted by the lack of separation between functional domains of life (e.g., work, home, community), multiple roles of military commanders (e.g., …