Clinical Psychology Commons^™

Maternal Depressive Symptoms And Health Outcomes In Youths With Type 1 Diabetes: A Mediational Model, Struemph Kari Morgan

Theses and Dissertations

Objectives: The rate and impact of depressive symptoms were examined with two models based on known effects of depression on variables related to diabetes management, parental involvement and diabetes conflict. The proposed models will measure potential effects high maternal depressive symptoms may have on parental monitoring and involvement and diabetes specific conflict and how these variables may in turn relate to poor regimen adherence. Methods: Participants included 225 mothers and young adolescents (aged 11-14) with T1D. Diabetes self-care behaviors were measured with the 24 Hour Recall Interview, parental involvement and monitoring were measured with the Parent Management of Diabetes Scale, …

Differentiating Anxiety And Depression Using The Clinical Assessment Of Depression, Zane K. Dempsey

Masters Theses & Specialist Projects

Anxiety and depression are two disorders frequently diagnosed in adults. Given serious adverse affects such as physical health problems, interpersonal relationship difficulties, and suicide, differentiation in treatment of these often comorbid disorders is a necessity in providing appropriate care. The tripartite model of anxiety and depression (Clark & Watson, 1991) proposes that these disorders are linked by a common trait (Negative Affect) and differentiated by a trait common to depression (lack of Positive Affect) and a trait common to anxiety (Physiological Hyperarousal). The Clinical Assessment of Depression (CAD; Bracken & Howell, 2004), a recently published selfreport narrow-band measure of depression, …

The Predictive Power Of Therapeutic Alliance On Treatment Retention, James B. Anderson

Dissertations

Therapeutic alliance has long been recognized as an important contributor to successful psychotherapy, and research has demonstrated that it has a moderate and reliable impact on treatment outcome across studies employing a variety of treatment strategies. The current study seeks to build on the alliance literature by examining the degree to which therapeutic alliance is predictive of treatment retention. Two trained raters assessed the alliance between therapists and their patients by watching and rating therapeutic alliance in videotaped psychotherapy sessions. They watched tapes of therapists using two different types of treatment: cognitive modification and supportive therapy. Alliance was assessed via …

Analysis Of An Online Support Group For Women With Breast Cancer, Laura Boxley

Loma Linda University Electronic Theses, Dissertations & Projects

With over 200,000 new diagnoses in 2004, breast cancer is one of the most commonly diagnosed cancers among women in the United States. Both the stress of treatment and the threat of a potentially lethal illness present significant challenges to an individual's emotional well-being and coping skills, yet paradoxically many women report benefits from dealing with this adversity. The aims of this investigation were to describe the characteristics of benefit finding as expressed by breast cancer survivors participating in an online breast cancer support group, and to assess the relationship between symptom distress, emotional well-being and benefit finding using baseline …

Neuropsychological Symptoms Associated With Multiple Shunts, Jared Jackson

Loma Linda University Electronic Theses, Dissertations & Projects

Hydrocephalus is the excessive accumulation of cerebrospinal fluid within the cranium which may result in increased intracranial pressure, dilation of cerebral ventricles and displacement of adjacent brain structures. Ventriculoperitoneal shunting is often needed to treat hydrocephalus. Patients with Ventriculoperitoneal shunts have been found to have IQ scores below the mean of the general population. In addition, many of these patients experience shunt infections or other complications that require shunt replacement. Shunt replacements and shunt infections have been associated with additional deficits in intellectual functioning. However, previous research has failed to address the neuropsychological ramifications of shunt infections and shunt replacements. …

A Psychometric Investigation Of The Young Adult Social Behavior Scale (Yasb), Michelle Rene Augustin

Dissertations

Aggressive behavior is a serious public health concern that has resulted in several problems in contemporary society. Despite a considerable body of literature on human aggression, both popular and scientific, a focus on overt physical aggression has obscured other forms of aggression. As a result, considerably less is known about other, more subtle forms of aggression, such as relational aggression. Moreover, research on relational aggression, particularly among older adolescents and adults, has been hindered by the lack of psychometrically sound measures. Research in this area would be enhanced by the availability of such a measure, facilitating comparison of data across …

Examining The Effectiveness And Efficiency Of Two Delivery Models To Teach Children Abduction Prevention Skills, Kimberly E. Seckinger-Bancroft

Dissertations

Nearly all children receive abduction prevention training. Most traditional education programs increase the learner's knowledge, but often fail to produce concomitant behavior change. Behavioral Skills Training (BST) is a multicomponent, behavior-based training strategy with empirical support demonstrating its effectiveness in teaching children safety skills, behavioral generalization and maintenance over time. BST, however, is restricted by financial, human and time costs and limited resources to implement the training protocol. These factors likely limit widespread adoption of the training model. This study examined the use of computer-based instruction that emphasized active responding and mastery level performance requirements to teach school-aged children abduction …

Unattainable Beauty: An Analysis Of The Role Of Body Shame And Self-Objectification In Hopelessness Depression Among College-Age Women, Meredith A. Evans

Graduate Doctoral Dissertations

Despite substantial evidence that women suffer from depression at twice the rate of men, the etiology for this difference remains unclear. Prior to puberty, the difference in depression is negligible; however, when adolescence begins, a precipitous rise in female depression occurs that persists across the lifespan. While no definitive biological change has been linked to this phenomenon, objectification theory (Frederickson & Roberts, 1997) can be used to gain insight into the social influences at play during that transitional period. This study of 269 undergraduate women from a northeastern university used structural equation modeling to propose a path leading from self-objectification …

Clarifying The Relationship Between Emotion Regulation, Gender, And Depression, Emi Sumida

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study investigates the relation between emotion regulation problems and clinical depression. One goal of the present study was to bring increased clarity and parsimony to how emotion regulation is presently measured by consolidating three widely used instruments. In addition, of interest was an investigation of whether particular emotion regulation problems and management strategies interact with gender to predict either severity of overall depression symptoms or the presence of a formal mood disorder diagnosis. The results clearly showed that irrespective of a person's gender, particular emotion regulation indicators, both singly, and in combination, are, indeed, more strongly related to the …

Young's Schema Theory: Exploring The Direct And Indirect Links Between Negative Childhood Experiences And Temperament To Negative Affectivity In Adulthood, Mark S. Jesinoski

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Young's schema theory offers a theoretical approach that relates negative childhood experiences, temperament, and early maladaptive schema, to the experience of negative affect and/or depression in adulthood. However, despite the widespread use of schema therapy in clinical practice, little research has explored the pathways theorized by Young. This study explored the pathways posited by Young and colleagues looking at the direct and indirect relationships among negative childhood experience, temperament, early maladaptive schema, and the experience of negative affect in adulthood. Self-report data were collected from 365 undergraduate students. Results demonstrated consistent and robust direct relationships between temperament and negative affect, …

Body Depilation Among Women And Men: The Association Of Body Hair Reduction Or Removal With Body Satisfaction, Appearance Comparison, Body Image Disturbance, And Body Dysmorphic Disorder Symptomatology, Michael Scott Boroughs

USF Tampa Graduate Theses and Dissertations

Body depilation, or the reduction or removal of body hair, is a relatively new area of research inquiry. Although women in many industrialized cultures have engaged in depilation for several decades, this behavior has been documented only recently among men. Though originally thought to be widely practiced by women and only a small proportion of men, including athletes or bodybuilders, recent studies suggest that more men engage in body depilation than previously hypothesized. In fact, one recent study estimated the prevalence of men's body depilation at 83.7% which suggests that men are depilating at rates similar to women. Nevertheless sparse …

The Santa Clara Strength Of Religious Faith Questionnaire: Assessing Faith Engagement In A Brief And Nondenominational Manner, Thomas G. Plante

Psychology

The Santa Clara Strength of Religious Faith Questionnaire is a brief (10-item, or five-item short form version), reliable and valid self report measure assessing strength of religious faith and engagement suitable for use with multiple religious traditions, denominations, and perspectives. It has been used in medical, student, psychiatric, substance abuse, and among general populations nationally and internationally and among multiple cultures and languages. Brief non denominational self report measures of religious and faith engagement that have demonstrated reliability and validity are not common but can have potential for general utility in both clinical and research settings. This article provides an …

Editor’S Farewell, Irvin Sam Schonfeld

Publications and Research

No abstract provided.

Ethical Decision-Making Regarding Nonsexual Multiple Relationships, Diana Jochai

Loma Linda University Electronic Theses, Dissertations & Projects

The current American Psychological Association Ethical Principles of Psychologists and Code of Conduct (APA Ethics Code) states that a multiple relationship is established between a psychotherapist and a client when they engage in a relationship (personal or professional) in addition to the therapeutic relationship (AP A, 2002). Evidence that psychologists do become involved in such relationships, sometimes resulting in harm to the client, comes from examination of complaints to professional organizations and licensing boards, and of scant existing research. Remarkably, however, there has been no research to date regarding the ethical decision-making process in which a psychologist engages regarding whether …

Validity Study Of The Psychopathic Personality Inventory In A Noncriminal Population, Julie Madeleine Woltil

Loma Linda University Electronic Theses, Dissertations & Projects

The Psychopathic Personality Inventory (PPI) is a self-report measure which was created by Lilienfeld and Andrews (1996) to identify the personality traits of psychopathy in noncriminal populations. These personality traits were grouped into eight subscales in the PPI including Machiavellian Egocentricity, Social Potency, Coldheartedness, Carefree Nonplanfulness, Fearlessness, Blame Extemalization, Impulsive Nonconformity and Stress Immunity. In this study, the relationship between the PPI and four theoretically related concepts (psychopathy, empathy, sensation seeking and driving anger) were examined to evaluate its concurrent and construct validity. A positive correlation was found between the PPI and the Self-Rep0l1 Psychopathy Scale, the Driving Anger Scale, …

Body Image Satisfaction In Infant And Pediatric Cardiac Transplant Recipients As Adolescents, Danusia Nedilskyj

Loma Linda University Electronic Theses, Dissertations & Projects

With the long-term survival rate of infant and pediatric heart transplant recipients reaching as high as 85%, there is now a significant number of these youths entering adolescence. Although psychological factors thought to be associated with pediatric heart transplant have reached clearer delineation in the literature, few studies have been conducted. Given the emphasis on development typically seen in adolescence combined with the unique experience of receiving a heart transplant, factors such as body image, self-perception, stress and mood have emerged from the literature. As such, this study assessed psychosocial variables of body image satisfaction, self-concept, depression, and social stress …

The Use Of The Minnesota Multiphasic Personality Inventory-Ii (Mmpi-2) In Pre-Employment Evaluations, Ana M. Gamez

Loma Linda University Electronic Theses, Dissertations & Projects

Psychological testing is an important facet in the selection and hiring processes of law enforcement and public safety personnel. Research in this area suggests that the MMPI-2 scales have been correlated with problematic behavior among police officers, poor job performance, and officer misconduct. This study examined the extent to which suitability for hire could be predicted by the MMPI-2 scale L (Lie), scale K (correction), Infrequency scale (F), scale 4 Psychopathic Deviate (Pd), scale 6 Paranoia (Pa), scale 7 Psychasthenia (Pt), and scale 9 Hypomania (Ma). It examined whether profile differences emerged as a function of suitability across gender, between …

Post-Traumatic Stress Disorder-Like Symptomatology In Pediatric Intensivists, Dina Gabriella Cuervo

Loma Linda University Electronic Theses, Dissertations & Projects

Helping professionals, such as social workers, emergency first responders and medical personnel are susceptible to traumatic stress reactions through indirect exposure to trauma via the traumatized population whom they serve. This phenomenon, known as secondary traumatic stress (STS), mimicking the symptoms of posttraumatic stress disorder, can have an impact on a provider’s work with his/her patient or have longer-term effects such as deciding to leave the profession. This study found that physicians’ level of job stress was the strongest predictor of STS and that this relationship was also influenced by resiliency, ego strength and attachment style. Individuals with higher levels …

Client/Therapist Feedback And The Role Of The Alliance On Psychotherapy Outcomes, Elizabeth Preston Cisneros

Loma Linda University Electronic Theses, Dissertations & Projects

Through a system of patient-focused outcomes research which has employed a quality assurance system for tracking client progress in therapy, there has been consistent evidence that utilizing the system to identify those who are not responding to treatment and warning their therapist about the client’s risk significantly improves client outcomes in psychotherapy. Although outcomes have been improved, significant proportions of clients have treatment failures or see no improvement in therapy. Moreover, feedback to therapists appears to be most effective in improving outcomes for the minority of clients who are already at risk of treatment failure.

Attempts to augment the feedback …

Urban Adolescents’ Cognitive Responses To Peer Victimization: Does Psychosocial Adjustment Play A Role?, Amie Bettencourt

Theses and Dissertations

Peer victimization is characterized by acts of physical, relational, and verbal aggression that can contribute to maladjustment. Youths’ responses to peer victimization are guided by social information-processing (SIP) skills that impact their adjustment. Maladjustment can contribute to biases in SIP. Biased processing occurs when youth rely on existing schemas without attending to cues from the immediate social context. These processing deficits contribute to the enactment of problematic responses that may lead to further maladjustment. However, not all youth exhibit SIP deficits. A recent study identified four adjustment clusters based on differences in aggression, anxiety, depression, social acceptance, and victimization within …

Memory Consolidation In Developmental Disorders, Laszlo A. Erdodi

Master's Theses and Doctoral Dissertations

The relationship between memory and adaptive functioning was studied in sample of 268 children with attention deficit/hyperactivity disorder (ADHD, n = 83), autism spectrum disorder (ASD, n = 62), velo-cardio-facial syndrome (VCFS, n = 21), and low birth weight (LBW, n = 38) and neurotypicals (n = 64). Children with ASD and VCFS demonstrated a relative weakness in facial and visual memory, while no between-group differences were found during the auditory verbal learning task of the TOMAL. Learning curve analyses showed that after the first trial of the visual span test, all groups performed at the same level, but the …

The Relationship Between Adult Attachment And Trauma, Lauren Earls

Master's Theses and Doctoral Dissertations

Prior research has suggested a complex relationship between childhood interpersonal traumas perpetrated by attachment figures and the experience of trauma in adulthood. Very little is known, however, about how various forms of childhood interpersonal abuse and neglect affect trauma sequelae and adult romantic attachment in women during the childbearing years. Using a sample of postpartum women (N = 104), this study examined the associations between a history of attachment-related traumas (operationalized as childhood interpersonal abuse and neglect) and complex trauma sequelae believed to be unique to victims of interpersonal traumas; the possible role that adult romantic attachment anxiety and avoidance …

Relationship Education For Low Income Couples And Individuals: New Research Directions, Lindsey Einhorn

Electronic Theses and Dissertations

The current study implemented and evaluated an adapted version of the Within Our Reach program called FRAME. Participants were 173 low-income couples in committed relationships and caring for at least one child together. Participating couples were randomly assigned to one of the four study conditions (couples group, female group, male group, or control group). The impact of the program was investigated on a range of relationship and mental health outcomes. The present findings suggest that the FRAME workshop was helpful in reducing negative communication and improving positive bonding for our sample. Couples were able to benefit in some areas when …

Willingness Of Individuals To Seek Mental Health Treatment: The Impact Of Gender And Parent Therapy Experience, Amanda Kristin Mcclure

Masters Theses & Specialist Projects

The purpose of this study was to investigate whether parent therapy experience and gender influenced men's and women's attitudes toward seeking mental health treatment. Participants included 207 women and 212 men ages 18 to 30 years attending Western Kentucky University. Participants completed a demographics survey and the Inventory of Attitudes Toward Seeking Mental Health Treatment. Results indicated that more favorable attitudes toward seeking mental health services were exhibited by participants who reported that a parent attended therapy. Additionally, a gender difference in attitudes toward mental health services was uncovered, in that women were found to display more positive attitudes toward …

Social And Educational Functioning In College Students With A Chronic Physical Health Condition, Natalie Truba

Masters Theses & Specialist Projects

The purpose of the current study is to examine the academic and social functioning of college students with a chronic physical health condition (CPHC). For the current study, chronic physical health condition will be defined as follows: “A physical [or mental] health condition that has lasted or is expected to last at least 6 months and interferes with their activities,” (Varni & Limbers, 2008, p. 107). The sample consisted of 174 participants attending Western Kentucky University. Two groups (CPHC vs. Healthy) were comprised based on the participants’ self-reported health status. Participants were solicited through Western Kentucky University’s department of Psychology …

Testing The Efficacy Of A Computerized Behavioral Activation Treatment Of Depressive Disorders, Alyssa H. Kalata

Dissertations

The present study sought to examine the feasibility and preliminary efficacy of a computerized behavioral activation treatment for depressive disorders (IMMBA), while also investigating potential mechanisms of action involved in the treatment of depression through the use of behavioral activation. Nine adults who met criteria for either Major Depressive Disorder or Dysthymic Disorder were recruited from Kalamazoo, Portage, and surrounding areas in Southwestern Michigan. All participants received ten sessions of IMM-BA treatment. Symptoms of depression and related information were assessed at pretreatment and one-week, onemonth, three-month, and six-month follow-up through the use of the Beck Depression Inventory - II (BDI-II), …

Is Everyone Rated Equal? An Examination Of Factors Related To Sexual Risk In Ethnically Diverse Male Adolescents Who Have Sexually Offended, Veronica Chavez

Department of Psychology: Dissertations, Theses, and Student Research

As the juvenile justice system has evolved, there has been a need for clinicians to make judgments about risk posed by adolescents who have committed sexual offenses. There are inherent difficulties in attempting to assess risk for violence among adolescents due to the developmental changes taking place and the absence of well-validated instruments to guide risk prediction judgments. With minority groups increasing in numbers in the U.S., it is likely that professionals will encounter minority individuals when conducting risk assessments. Overall questions regarding race/ethnicity have been neglected and there are few if any published research that explores risk factors with …

Predicting Problematic Approach Behavior Toward Politicians: Exploring The Potential Contributions Of Control Theory, Douglas Owen Cacialli

Department of Psychology: Dissertations, Theses, and Student Research

The potential merits of Carver and Scheier's (1981) control theory in the prediction of targeted violence are reviewed and several novel indicators of risk that are consistent with this theory are suggested for study. It was hypothesized that: (a) similarity between inappropriate contact with politicians and extremist group literature and writings; (b) the temporal proximity to violent or otherwise criminal actions and notable anniversaries of such groups; (c) detailed specification of a plan to engage in problematic approach behavior, and; (d) self-focus, will be significant predictors of problematic approach behavior. A sample of 506 individuals who engaged in threatening or …

Verbal And Visual Learning And Memory Deficits As Trait Markers For Psychosis In Bipolar Disorder, Griffin P. Sutton

UNLV Theses, Dissertations, Professional Papers, and Capstones

The presence of neurocognitive deficits in the affective and psychotic psychiatric disorders (i.e., bipolar disorder with psychotic features, bipolar disorder without psychotic features, and schizophrenia) has been well documented, with such these deficits having been found to overlap across these diagnostic categories to a degree. Along with other types of evidence reported, these findings suggest that bipolar disorder and schizophrenia may not be isolated disorders as suggested by the current diagnostic criteria outlined in the DSM-IV (APA, 1994), but rather may be related disorders on a spectrum marked by bipolar disorder without psychosis on one end and by schizophrenia on …

Initial Development Of A Healthy Living Curriculum Within Family Behavior Therapy For Substance Abuse, Holly B. Lapota

UNLV Theses, Dissertations, Professional Papers, and Capstones

A mother referred for child maltreatment and substance abuse treatment after her son tested positive for methamphetamines at birth participated in an in-home Family Behavior Therapy-Healthy Lifestyle intervention to eliminate substance use, improve parenting behaviors, lose weight, and develop better exercise habits. Twenty sessions were completed in 6 months that targeted familial communication, self-control, goal setting with contingency management, job getting skills, and stimulus control techniques. Upon termination from treatment, the participant’s self-report and urine testing was consistent with substance cessation, and she evidenced substantial improvements in her level of stress, family communication and relationships, and child maltreatment potential. She …