Clinical Psychology Commons^™

Shame And Borderline Personality Features: The Potential Mediating Role Of Anger And Anger Rumination, Jessica R. Peters

Theses and Dissertations--Psychology

Two prominent emotions in borderline personality disorder (BPD) are anger and shame. Rumination has been demonstrated to occur in response to shame and to escalate anger, and rumination, particularly anger rumination, has been shown to predict BPD symptoms. The present study examined whether one way that shame leads to the features of BPD is via increased anger and anger rumination. A sample of 823 undergraduates completed self-report measures of global and situational shame, trait- level anger, anger'rumination, and BPD features. A structural equation model was constructed using these measures. The hypothesized model of shame to anger and anger rumination to …

The Relationship Between Infant Crying And Father Well-Being, Leslie Katch

Dissertations

Infant excessive crying and fussing has been linked to adverse maternal outcomes such as increased depression and stress, and decreased feelings of parenting self-efficacy. Infant crying has also been identified as the number one trigger caregivers report prior to an abusive action, placing infants who cry excessively at risk. Fathers and male caregivers have been identified as the primary offenders in the majority of infant abuse cases, suggesting a particular risk between fathers and infants who cry excessively. However, the relationship between excessive crying and fathers has not been explored to the same extent as mothers. In an effort to …

The Direct And Indirect Impact Of Pain Intensity, Weight Status, And Activity Involvement On Social Competence Outcomes In Children And Adolescents With Spina Bifida, Bonnie S. Essner

Dissertations

The purpose of this study was to test a mediated effects model in which youth with spina bifida who have greater pain, are more overweight, or have worse motor control were expected to have fewer friends and to display worse social performance in part because their higher degree of condition severity interferes with their involvement in developmentally-appropriate activities.

Data for the current study were drawn from the first wave of a larger, longitudinal study of psychosocial adjustment of children and adolescents with spina bifida. The sample was comprised of 108 children and adolescents with spina bifida and shunted hydrocephalus, ages …

Measures Of Executive Functioning And Their Relation To Functional Outcomes In A Sample Of Youth With Attention-Deficit/Hyperactivity Disorder (Add), Amy Marie Lyons Usher

Dissertations

The current study examined two commonly used neuropsychological assessments of executive functioning in a sample of children and adolescents with attention-deficit/hyperactivity disorder (ADHD). The Test of Everyday Attention for Children (TEA-Ch) is a performance-based, objective measure of executive functioning, and the Behavior Rating Inventory of Executive Functioning (BRIEF) is a subjective, parent-report measure. Confirmatory factor analysis (CFA) was used to establish the factor structures of these measures to determine their appropriateness with a sample of youth with ADHD. The association of these assessment tools with functional outcomes (academic achievement, social functioning) was examined to establish their ecological and incremental validity. …

Neuropsychological Functioning, Parenting Behaviors, And Healthcare Behaviors Among Youth With Spina Bifida, Lauren Kelly O'Hara

Dissertations

Objective This study was designed to examine whether neurocognitive functioning (attention and executive functions) and parenting behaviors (acceptance, behavioral control and psychological control) are associated with medical adherence and autonomy among preadolescents and adolescents with spina bifida. Methods Questionnaire and observational data were collected from a sample of 8 to 15 year olds with spina bifida (n = 139) and their mothers, fathers, and teachers. Youth also completed neuropsychological testing. Results Youth with spina bifida demonstrated impairment on measures of attention and executive function, based on questionnaire and test data. Attention, executive function, and parenting behaviors were associated with medical …

A Mediational Model Predicting Adjustment In Affluent Adolescents: The Role Of Parental Perfectionism, Perceived Parental Pressure, And Organized Activity Involvement, Edin Randall

Dissertations

The current cross-sectional study evaluated the relative contributions of parental perfectionism (i.e., self-oriented, other-oriented, and socially prescribed), perceived parental pressure, and organized activity involvement (i.e,. intensity) on depressive symptoms, anxiety, substance use, and life satisfaction in a sample of affluent adolescents. Findings indicated that parental perfectionism, and specifically other-oriented and socially prescribed perfectionism, is an important contextual factor negatively influencing affluent adolescent adjustment. Additionally, perceived parental pressure was found to have robust associations with adolescent adjustment and to explain the link between parental perfectionism and adolescent adjustment. Furthermore, the current study revealed a synergistic association between intensity of organized activity …

Exposure To Community Violence And Social Maladjustment Among Urban African American Youth: The Role Of Emotion Dysregulation, Devin Colleen Carey

Master's Theses

The goal of the present study was to further previous research that has focused on the detrimental outcomes of violence exposure by identifying the mechanisms that influence children's psychosocial vulnerabilities. Specifically, it examined emotion regulation as a possible mediator of community violence exposure to social adjustment. Moreover, because of the evidence that children living in inner city communities are chronically exposed to violence, this study longitudinally explored the reciprocal and perpetuating relationship between exposure to violence and child social maladjustment. Participants were 268 African American students (M age = 11.65 years, 40% males and 60% females) from six inner city …

Gender Differences In Depressive Symptoms: The Interaction Of Cognitive Avoidance Coping And Specific Stressor Domains During Freshmen Adaptation To College, Daniel Dickson

Master's Theses

The first year of college can be a stressful experience that can lead to depressive symptoms in emerging adults. Due to the significant impairments that are associated with depressive symptoms across the lifespan, it is important to understand the elements of the first-year college experience that contribute to depressive affect. The goals of the current prospective study are to examine sex differences in the relationship between life stressors (i.e., social and achievement stressors) and cognitive avoidance coping in the development of depressive symptoms in first-year college students. The findings suggest that although cognitive avoidance is predictive of more depression, there …

Organized Activity Involvement Across The Transition To College: Multiple Dimensions Predicting Adjustment, Nicole Arola

Master's Theses

Utilizing a sample of first semester first year college students, this study examined the relation between multiple dimensions of college organized activity (OA) involvement (i.e., intensity, breadth, identity relevance, and continuity) and measures of adjustment (i.e., depressive symptoms, optimism, positive affect, and negative affect). This study also explored whether the degree of association between the OA dimensions and the adjustment variables was moderated by gender and residential status. Additionally, this study examined whether adjustment at the start of college was associated with patterns of OA involvement in college. Participants completed measures of depressive symptoms, optimism, positive affect, negative affect, and …

The Wounded Healer: Finding Meaning In Suffering, Garret B. Wyner

Antioch University Dissertations & Theses

In modern history, no event has more profoundly symbolized suffering than the Holocaust. This novel “Husserlian-realist” phenomenological dissertation elucidates the meaning of existential trauma through an interdisciplinary and psychologically integrative vantage point. I use the testimony of a select group of Holocaust witnesses who committed suicide decades after that event as a lens to examine what their despair may reveal about an unprecedented existential, moral, and spiritual crisis of humanity that threatens to undermine our faith in human history and reality itself. By distinguishing what they actually saw about our condition from what they merely believed about reality, I show …

Inter-Rater Reliability Of The Anxiety Disorders Interview Schedule For Dsm-Iv In High Functioning Children And Adolescents With Autism Spectrum Disorder, Danielle Ung

USF Tampa Graduate Theses and Dissertations

The present study examined inter-rater agreement on the Anxiety Disorder Interview Schedule DSM-IV Child and Parent Interview (ADIS-IV-C/P) in youth with autism spectrum disorder and if age and ASD diagnosis moderated agreement. Diagnoses established for 70 7-16-year-old youth with ASD during a live administration of the ADIS-IV-C/P were compared to diagnoses identified by a second rater after listening to audiotaped recordings of the interviews. Inter-rater agreement on parent and child reports was excellent (k=1.00). Inter-rater agreement on principal diagnoses (k=0.91), individual anxiety diagnoses (k=0.85-0.97), and other comorbid diagnoses (i.e., major depressive disorder, dysthymia, oppositional defiant disorder, attention deficit hyperactivity disorder-Inattention/Hyperactivity/Combined …

Quality Of Life In Adult Obsessive-Compulsive Disorder: The Role Of Moderating And Mediating Variables, Brittany Belle Speisman

USF Tampa Graduate Theses and Dissertations

Background: This study examined the contribution of various aspects of obsessive-compulsive disorder (OCD) on quality of life (QoL) in 102 adults with a principal diagnosis of OCD from an archival database. Method: Participants were assessed for DSM-IV diagnoses by trained clinicians using the Anxiety Disorders Interview Schedule, 4th Edition (ADIS-IV), the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), and an unstructured interview. Further information was attained using the Beck Depression Inventory II (BDI-II), the Obsessive Compulsive Inventory Revised (OCI-R) and the Medical Outcome Study-36 (MOS-36). Results: Results indicated that obsessive-compulsive symptom severity was positively correlated with diminished emotional health, social …

Fatherhood And A Partner's Postpartum Depression: Coping, Relationship Satisfaction, Gender Roles, And Empathy, Martha G. Ruiz

Antioch University Dissertations & Theses

The present study focused on assessing differences in new father’s coping styles when living with a partner suffering from symptoms of postpartum depression. It further investigated whether a relationship existed between father’s coping style and their level of relationship satisfaction, empathy, and views on gender. Five fathers, between the ages of 27 and 46 volunteered their participation in this study. Fathers were recruited through their partners from medical and mental health clinics and agencies offering services to new mothers or mothers suffering from symptoms of postpartum depression. The Coping Responses Inventory (CRI) was utilized to determine if differences existed in …

Is Suicide Training Sufficient For Psychology Trainees To Respond Appropriately To Suicidal Clients?, Nicole M. Bromley

Antioch University Dissertations & Theses

This study reports the frequency of suicide training for current psychology trainees. Additionally,the research uses the Suicide Intervention Response Inventory - Second Edition (SIRI-2) to assess psychology trainees' ability to respond appropriately to suicidal clients. This study compares scores on the SIRI-2 between participants who are in pre-internship years of training and those currently in internship or having completed internship training. Finally, this study compares SIRI-2 scores between high training, low training, and no-training groups, as well as the scores of no-training versus training groups. Findings indicate no statistically significant difference in SIRI-2 scores between participants early in their programs …

How Managed Behavioral Health Care Impacts Psychotherapeutic Practices, Beth S. Abramson

Antioch University Dissertations & Theses

The cost of health and mental health care is a growing problem for the United States. Managed care evolved as a way to continue providing quality services in a cost-effective fashion. In the mental health field, some individuals believe managed care reduces the quality of treatment. This exploratory study investigates current sentiments among mental health clinicians regarding managed care’s impact on mental health treatment and looks at how clinicians practice in light of managed care’s guidelines for treating patients. This study explores the current impact of managed care compared with managed care’s first detectable impact in the 1980s.

The Other Child: Health Narratives Of Adults Raised With A Chronically Ill Sibling, Danielle Anna Hughes

Antioch University Dissertations & Theses

The sibling relationship brings with it a powerful experience and unique effects on individual development. Within this paper the personal health narratives of adult siblings who grew up with a chronically ill brother or sister are explored in depth. Using a naturalistic, qualitative paradigm and approach to the research a small sample of participants (N=7) provided in depth, semi-structured interviews geared to explore their experiences growing up with their siblings, and later effects on the development of personal health narratives. Using thematic analysis, a number of themes were identified including: (a) at home: finding out, the early relationship, early environment, …

Voices Of Adoptees: Stories And Experiences Within Schools, Elizabeth S. Donalds

Antioch University Dissertations & Theses

Adoption is an emotional topic for many families. Today there are between 5-7 million adoptees in the United States alone, and 40% of U.S. adults report considering adoption as a way to form families. With so many children being adopted, therapists who work with children in the public schools need to be educated about the ways in which adoption can affect those involved in the family of adoption. Unfortunately, there is little information about adoption available to professionals working in schools. The following research helps us understand the experiences of the adopted child in schools, as told by adult adoptees. …

The Role Of Cognitive Insight, Hope, Self-Stigma, And Symptomatology In Predicting Treatment Engagement In Individuals Diagnosed With Serious Mental Illnesses, Patrick D. Boyle

PCOM Psychology Dissertations

Adherence to and engagement with treatment is a complex and multifaceted issue encountered throughout many medical and helping professions, particularly in the fields of psychology and psychiatry. Adherence to treatment/service engagement is especially an issue in the treatment of serious mental illnesses; studies have shown that up to 80% of individuals do not adhere to their treatment (Tait et al., 2003). This study investigated if cognitive insight, as measured by the Beck Cognitive Insight Scale ([BCIS] Beck et al., 2004), and clinical insight are related to the recovery concepts of hope and self-stigma as well as symptomatology in predicting treatment …