Clinical Psychology Commons^™

The Impact Of Breast Cancer Screening On Sleep, Affect, And Immune Functioning, Caitlin Burbridge

Master's Theses

Despite great strides that have been made over the past several decades in terms of diagnosis and treatment, breast cancer remains the most commonly diagnosed cancer in American women and the second leading cause of cancer-related mortality for women in the United States. Although the benefits of early detection of breast cancer have been clearly established, the advantages of screening must also be weighed against a potential corresponding negative psychological impact of screening procedures. The purpose of the present study was to further investigate the impact of breast cancer screening on previously unstudied or understudied aspects of psychological and physiological …

Racial/Ethnic Differences In Possible Selves Of Diverse Adolescents: Implications For Higher Education And Mental Health, Viana Y. Turcios-Cotto

Master's Theses

There are striking disparities in the academic achievement of American youth, with Latino and Black adolescents attaining higher education at vastly lower rates than White adolescents. Though numerous reasons exist for these educational disparities this study examines possible selves as they may relate to educational achievement among Latinos. Specifically, this study investigates: a) racial/ethnic differences in the content and themes of expected possible selves held by young adolescents; b) within group differences among Latino students and their expected possible selves; c) racial/ethnic differences in the relation between higher education possible selves and current mental health adjustment. Written responses reflecting types …

Differences In Body Image: Comparing Asian American Ethnic Groups And White Americans, Alefiyah Z. Pishori

Master's Theses

No abstract provided.

Predictors Of Recidivism In Adolescent Offenders, Sara Kathryn Lawing

LSU New Orleans Theses and Dissertations

Adolescent offenders commit a significant number of physical and sexual assaults every year. A critical task for researchers and clinicians is to understand the distinct pathways that lead to these serious types of offending. The current study attempts to test the importance of these different pathways by comparing violent, violent sex, non-violent sex, and non-violent offenders based on SAVRY risk items, reoffending, and effects of treatment. A sample of 517 adolescents on probation was assessed for several risk factors (i.e., anger management, ADHD, low empathy/remorse) by probation officers. Recidivism over 12 months was assessed from official records. Results indicated that …

Assessing Parental Involvement In Type 1 Diabetes Management During Adolescence, Elizabeth M. Robinson

Theses and Dissertations

Type 1 diabetes is one of the most common pediatric chronic illnesses. Adolescents are at risk for poorer glycemic control; however, youth whose parents remain involved in diabetes care are in better control. The current study examined parental involvement (PI) using a multi-method, multi-source approach in a sample of 255 youth (Age M = 12.83). The Diabetes Family Responsibility Questionnaire, Parental Monitoring of Diabetes Care Scale, and 24-Hour Diabetes Interview assessed two types of PI, parental responsibility and parental monitoring. Global and specific assessment served to cross-corroborate indicators of PI related to HbA1c. Higher levels of monitoring related to lower …

The Practice Effect: The Relationships Among The Frequency Of Early Formal Mindfulness Practice, Mindfulness Skills, Worry, And Quality Of Life In An Acceptance-Based Behavior Therapy For Generalized Anxiety Disorder, Lucas Paul Kawika Morgan

Graduate Masters Theses

Mindfulness- and acceptance-based treatments are currently being used to treat a variety of medical and mental health difficulties. Most of these treatments teach formal mindfulness practices which aim at developing mindfulness skills. However, little is known about the relationships among amount of formal mindfulness practice, changes in mindfulness skills, and changes in outcome variables. An acceptance-based behavior therapy (ABBT) has been shown to be particularly effective in the treatment of Generalized Anxiety Disorder (GAD; Roemer & Orsillo, 2007; Roemer, Orsillo, & Salters-Pednault, 2008). This study explored the relationships among formal mindfulness practice, skills, and outcomes in the context of an …

Neuropsychological, Psychosocial, And Mood Outcomes Following Mild Traumatic Brain Injury, Julia L. Evans

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) in adolescents and adults can result in cognitive, emotional, behavioral and neurological deficits that can persist more than a year after an injury. The aim of the current preliminary study was to use a comprehensive neuropsychological assessment to determine the nature of cognitive impairments and their relationship with specific psychosocial factors, including coping skills and perceived quality of life, following mild TBI (mTBI). Neuropsychological tests administered measured intelligence, pre-morbid intelligence, executive functioning, verbal memory, complex visual construction and non-verbal memory, sustained attention distractibility, and vigilance, verbal learning and memory, fine motor speed, and novel problem solving …

Examining The Effect Of Medical Risk, Parental Stress, And Self-Efficacy On Parent Behaviors And The Home Environment Of Premature Children, Kathryn Woods

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

The purpose of this study was to examine the relationship between medical risk and parenting stress and the extent to which parental self-efficacy moderates the relationship between medical risk, parenting stress, specific parenting behaviors (i.e., parental responsivity, acceptance of child, parental involvement) and the home environment (i.e., organization of environment, learning materials, variety in experience, and IT-HOME total score) of premature children. Participants included 72 parent-child dyads with premature children between the ages of 7 and 35 months corrected age. Measures included parent reports of medical risk, stress, self-efficacy, and the IT-HOME. Results show that medical risk was not significantly …

Women's Cognitive Appraisals Of Their Birth Experience As Predictive And Maintaining Factors Of Postpartum Posttraumatic Stress Symptom Severity, Lauren Carr Spooner

Dissertations

Empirical support has accumulated for evidence of posttraumatic stress symptoms following approximately 30% of childbirth experiences (Olde, van der Hart, Kleber, & van Son, 2006). Researchers have suggested that there is a complex relationship among predisposing, precipitating, and maintaining factors that impact postpartum PTSD (Slade, 2006). Anxiety, perception of support, and negative cognitions are such factors that have been shown to significantly correlate with PTSD symptoms (Foa & Rothbaum, 1998; Olde et al., 2006; Soet, Brack, & Dilorio, 2003), but have not been studied together in relation to PTSD associated with traumatic birth. The current study controlled for trait anxiety …

The Relation Between Children's Perceived Containment And Parental Antisocial Behavior, Joye L. Henrie

Graduate Theses and Dissertations

Researchers have invoked a variety of theories when discussing the relation between children's orientation to authority and the development of antiSocial behavior (ASB). Here, the focus is children's sense of containment. Previous studies revealed an association between perceived containment and child externalizing behaviors. In this study, the degree to which a child's sense of containment is related to parents' level of ASB was examined. One hundred sixty aggressive children and their parents participated. I hypothesized that ineffective discipline would moderate the relation between parent ASB and child perceived containment. I expected to find an inverse relation between parents' level of …

The Social Negotiation Of Ambiguous In-Between Stigmatized Identities: Investigating Identity Processes In Multiracial And Bisexual People, Vali Dagmar Kahn

Graduate Doctoral Dissertations

To date, most bisexual and multiracial identity models in psychology capture a largely internal developmental process (Collins, 2000; Kich, 1992; Weinberg, Williams & Pryor, 1994). However, individuals learn to manage their socially stigmatized identities in social interactions (Goffman, 1963). While the demands to socially negotiate stigmatized identity affect all minority peoples, individuals with in-between ambiguous stigmatized identities, such as multiracial and bisexual people, must negotiate also being situated at the margins of their own reference groups (e.g. heterosexual and gay/lesbian). Using a comparative grounded theory approach, this study explored the question: How do experiences of socially negotiating an in-between ambiguous …

Trajectories Of Psychological Distress Among Low-Income, Female Survivors Of Hurricane Katrina, Sarah Ryan Lowe

Graduate Doctoral Dissertations

The purpose of this study was to investigate trajectories of psychological distress among low-income women, primarily unmarried and African American, who survived Hurricane Katrina (N = 386). Data were collected in the year prior to the hurricane, as well as approximately one and three years thereafter. Using Latent Class Growth Analysis (LCGA), we detected six distinct trajectory groups. Over half of participants fit into a trajectory consistent with resilience; that is, they maintained low levels of psychological distress over the course of the study, but experienced an elevation in symptoms at the first pre-disaster time point, followed by a return …

Rejection Sensitivity And Early Relationships: Explaining Differential Outcomes In Early Dating, Heather Holly

Master's Theses

No abstract provided.

Disclosure And Health: Enhancing The Benefits Of Trauma Writing Through Response Training, Andrea Konig

Theses and Dissertations

Writing about a personal traumatic event has been found to have psychological and physical health benefits. Focusing on traumatic memories in writing may be a form of exposure. In imagery exposure and trauma writing, greater physiological reactivity was predictive of better outcomes. Given the importance of physiological output in emotional processing, response training was developed and found to be effective in increasing appropriate physiological reactivity in imagery exposure. If response training amplifies physiological reactivity and the benefits of writing, the hypothesis that writing is a form of exposure would be strengthened, and training may be a valuable tool to improve …

Sex Talk: Factors That Influence Parent-Child Communication About Sex, Tiffany Abrego

Master's Theses and Doctoral Dissertations

Between 50 and 70% of young people are first sexually active between the ages of 15 and 17, and almost 90% by age 18. This early sexual debut puts adolescents at high risk for sexually transmitted diseases and unplanned pregnancy if they are uneducated about safe sex. For this reason, it is important to determine the variables that contribute to early sexual debut. One factor that researchers have explored is the communication between parents and their children concerning sex. Researchers have found that the communication about sex is influenced by parents’ own beliefs, experiences, and comfort level discussing sexual topics. …

Efficacy Of A Cognitive-Behavioral Treatment For Insomnia Among Afghanistan And Iraq (Oef/Oif) Veterans With Ptsd, Margolies Skye Ochsner

Theses and Dissertations

Sleep disturbances are a core and salient feature of PTSD and can maintain or exacerbate associated symptoms. Recent research demonstrates that cognitive-behavioral sleep-focused interventions improve sleep disturbances as well as PTSD symptoms. The present study is a randomized controlled trial comparing Cognitive Behavioral Therapy for Insomnia (CBT-I) to a waitlist control group. Conducted at a Veterans Affairs Medical Center, the study: 1) compared subjective outcome measures of sleep amongst veterans assigned to either a treatment group (CBT-I) or a waitlist control group; (2) examined the influence of the intervention on measures of PTSD, general mood and daytime functioning, comparing veterans …

The Attachment And Clinical Issues Questionnaire (Aciq) : Scale Development, Marc A. Lindberg Ph.D., Stuart W. Thomas

Psychology Faculty Research

In line with dynamic systems and dialectical theories of development, it was theorized that a psychopathology such as an addiction could have several causes (equifinality) and that more specific diagnoses and treatments of the most salient clinical issuesfor individuals coming from different developmental paths could increase the success rates of most therapies. Further, the issues from a developmental dynamic systems perspective should include not only individual clinical issues, but also relational, familial, peer, and organizational functioning. The Attachment and Clinical Issues Questionnaire (ACIQ) was developed as a research and clinical instrument relevant to these concerns. The 29 scales were based …

Moving To The Other Side Of The Desk: An Examination Of The Practice Of Including Peer Support Specialists As Treatment Providers Within The Dialectical Behavior Therapy Paradigm, Chelsea Cawood

Master's Theses and Doctoral Dissertations

Dialectical Behavior Therapy is the primary empirically supported treatment for Borderline Personality Disorder. This multi-modal treatment consists of individual therapy, group skills training, the availability of 24-hour phone coaching, and weekly consultation meetings for therapists. A recent trend in Michigan Community Mental Health has been to add an additional component to traditional DBT, the inclusion of peer-provided services. In this role, graduates of DBT programs become members of the DBT team and may function to provide services at a variety of levels. Currently, no research exists examining this potential new treatment modality. The purpose of the current qualitative and descriptive …

The Development Of The Common Factor Therapist Competence Scale For Youth Psychotherapy, Ruth Brown

Theses and Dissertations

In order to continue to improve the effectiveness of psychotherapy, researchers must identify key change processes. Unfortunately, there are disparate views in the field about the relative importance and potency of specific techniques versus relationship factors. Few measures have been developed to examine the relative contribution of these factors, particularly for child-focused treatment. The Common-Factor Therapist Competence Scale for Youth Psychotherapy (COMP-CF) was developed to address this deficit. For this study, 142 video-taped sessions of child CBT for anxiety were observed and rated by independent coders using the COMP-CF. The measure demonstrated good reliability and internal consistency. Significant between-therapist and …

Individual Differences In Anxiety Sensitivity: The Role Of Emotion Regulation And Alexithymia, Amrit Kaur

Master's Theses and Doctoral Dissertations

The literature has shown anxiety sensitivity to be a significant risk factor in the development of pathological anxiety. Recent theoretical models have also emphasized the additional importance of emotion regulation in predicting the development of anxiety disorders. The present study examined the interactive influence of anxiety sensitivity and emotion regulatory strategies on anxiety symptoms in an ethnically diverse sample recruited in Singapore in order to determine the most appropriate anxiety prevention strategies to pursue. Results indicate that emotion regulation skills had a much greater effect on anxiety levels in this non-clinical sample than anxiety sensitivity and, second, that emotion regulation …

The Effectiveness Of A Substance Abuse Treatment Group For At Risk College Students, Melissa D. Simundson

Doctoral Dissertations

There has been limited research in the area of treatment effectiveness for college students who abuse substances (e.g., alcohol, marijuana). There is no published research to date that addresses the effectiveness of college students' substance abuse counseling groups utilizing therapeutic reactance as a covariate. The purpose of this study was to examine the effectiveness of motivational interviewing and cognitive therapy techniques with a university counseling center substance abuse group and the extent to which group members' levels of reactance influence the treatment outcome. There were 35 college students approximately 18-25 years of age in six groups with an average of …

Cognitive-Behavioral Group Treatment For A Sexually Abused Child And A Nonoffending Caregiver: Case Study And Discussion, Grace S. Hubel, Rosalita C. Maldonado, Poonam Tavkar, David J. Hansen, Mary Fran Flood

Department of Psychology: Faculty Publications

This study presents the case of 11-year-old Amanda and her mother (Ms. Jones) who completed Project SAFE (Sexual Abuse Family Education), a manualized group treatment for sexually abused children and their nonoffending caregivers. Amanda experienced sexual abuse by her stepfather on multiple occasions over a 4-year period. Prior to treatment, Amanda reported symptoms of anxiety, posttraumatic stress, and fear related to victimization. Ms. Jones also reported clinically significant internalizing problems for Amanda. Ms. Jones presented with stress related to parenting as well as depression and anxiety. Both Amanda and Ms. Jones completed the entire 12-session protocol. Amanda and Ms. Jones’s …

Ambivalent Sexism And The Expected Distribution Of Power In Romantic Relationships, Teni Davoudian

Master's Theses (2009 -)

The present study examined the associations between ambivalent sexism toward women and power in heterosexual romantic relationships. Specifically, power was measured globally and in specific domains of relationships (e.g., finances, childcare, sexual activities). College students were asked to complete measures assessing their levels of ambivalent sexism and the amount of power that they expected to have in their future, long-term romantic relationships as well as their perceived power in their current romantic relationships. It was predicted that participants would anticipate having more power in various areas of their relationship according to their gender and their levels of ambivalent sexism. Results …

Parents' Influence On Child Social Self-Efficacy And Social Cognition, Denise Marie Gardner

Master's Theses (2009 -)

No abstract provided.

Acculturation, Cultural Values, And Latino Parental Beliefs About The Etiology Of Adhd, Kathryn E. Lawton

Master's Theses (2009 -)

Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent mental health disorders of childhood, but despite the availability of several evidence-based interventions, Latino children are more likely than non-minority children to have an unmet need for services related to ADHD. Because parental beliefs about the etiology of ADHD likely influence which services are sought, more research is needed to examine this aspect of help-seeking behavior in order to address the unmet need among Latino families. Specifically, research needs to focus on cultural factors that likely influence parental beliefs about the etiology of child behavior problems. Thus, the goal of the …

Effects Of Chronic Variable Stress Across Developmental Stages In Mice, Sheryl Jayne Stevens

Master's Theses (2009 -)

Posttraumatic Stress Disorder (PTSD) is a response to trauma exposure that involves a number of symptoms that can be highly impairing to affected individuals. Only a subset of those exposed to traumatic events will develop the disorder, which is conceptualized as developing via conditional fear. Research into factors predisposing for PTSD is needed. Furthermore, little work has been done to investigate predisposing factors in children more specifically. This research tests the effects of stress exposure on subsequent fear learning, across developmental stages in mice, as a model for PTSD. Juvenile and adult male mice were exposed to chronic variable stress …

Stress-Generation Processes In Latinos: The Roles Of Acculturation, Acculturative Stress, And Intercultural Competence, Mark W. Driscoll

Dissertations (1934 -)

Using a brief longitudinal design, this study examined the role of cultural adaptation processes (acculturation, acculturative stress, and intercultural competence) in predicting depression symptoms among Latinos living in the United States. Based on previous research employing stress generation processes (e.g., Hammen, 2005), it was hypothesized that depression symptoms measured at baseline predicted dependent stressful life events measured at six-month follow-up. It was further hypothesized that depression symptoms measured at baseline predicted dependent stressful life events measured at six-month follow-up indirectly through acculturation, acculturative stress, and intercultural competence, also measured at six-month follow-up. Finally, it was hypothesized that six-month follow-up acculturation, …

Military Mental Health: Problem Recognition, Treatment-Seeking, And Barriers, Laura Bein

Dissertations (1934 -)

Substantial numbers of military troops are serving overseas in military operations and are returning home with elevated reports of psychological symptoms; however, a treatment gap exists between those reporting mental health problems and those receiving appropriate treatment. Stigma has been cited as a potential barrier to treatment-seeking, although few studies distinguish between perceived and public stigma or between stigma for having a mental illness versus that for seeking treatment.

In the present study, Army National Guard soldiers returning from deployment to Iraq were asked to complete questionnaires assessing psychological symptoms, as well as reports of perceived stigma from self and …

Long Term Effects Of Chronic Variable Stress Administered During Different Developmental Stages In Mice, Henry Boeh

Dissertations (1934 -)

A number of studies have suggested that the occurrence of past trauma can increase an individual's chance of developing PTSD from a new traumatic experience later in life. Trauma that occurs during childhood appears to have a particularly strong effect on this risk increase. Furthermore, conditioned fear responses have been shown to incubate over extended periods of time in animal models. To further investigate the role these phenomena play in the development of PTSD, this study exposed juvenile and adult mice to 7 days of chronic variable stress (CVS). One month later, a Pavlovian delay fear conditioning procedure was used …

Influences On Father Involvement: Testing For Unique Contributions Of Religion And Spirituality, Mark Lynn

Dissertations (1934 -)

The role of the father in children's development historically has been neglected. Studies examining family processes were primarily limited to mothers, under the assumption that mothers' influences encapsulated what (little) effects could also be attributed to the father. Although theory and research have begun to address fathers' roles in families in earnest, there is still much work to be done, particularly in regard to understanding the determinants of father involvement. One direction that has received attention from researchers is towards a conceptualization of environmental and contextual influences on fathers' interactions with their families. The goal of this study was to …