Clinical Psychology Commons^™

Trauma, Deviant Sexual Arousal, And Sexual Aggression In Adolescent Male Sexual Offenders, Kerry Elizabeth Nelligan

Antioch University Dissertations & Theses

Juvenile sexual abusers commit a significant proportion of the sexual offenses perpetrated in the United States each year. Researchers have identified several variables related to the etiology of sexual offending behavior in adolescent males. For example, there is evidence that both trauma and deviant sexual arousal have been independently linked to sexual aggression committed by adolescent sexual abusers. However, an etiological model that accounts for all of the variance with regard to sexual offending behavior or sexual recidivism in Juvenile Sex Offenders (JSOs) has not yet been developed. In the current study, a pre-existing data set of adjudicated JSOs who …

A Brief Motivational Intervention For Heavy Alcohol Use In Dental Practice Settings: Rationale And Development, James A. Neff, Scott T. Walters, Abby L. Braitman, Michelle L. Kelley, Michele L. Darby, Margaret F. Lemaster

Psychology Faculty Publications

Although brief alcohol interventions have proven effective in a variety of health care settings, the present article describes the development of the first brief intervention for heavy drinkers in dental practice. Elements of motivational interviewing and personalized normative feedback were incorporated in a 3- to 5-minute intervention delivered by dental hygienists. The intervention is guided by a one-page feedback report providing personalized normative feedback regarding the patient's current oral health practices, their drinking in comparison to others, and oral cancer risk associated with current smoking and drinking. Future publications will present data regarding intervention effectiveness from an ongoing randomized trial.

The Dsm-5 Dimensional Trait Model And The Five Factor Model, Whitney L. Gore

Theses and Dissertations--Psychology

The current thesis tests empirically the relationship of the dimensional trait model proposed for the fifth edition of the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders with five-factor models (FFM) of personality disorder (PD). The DSM-5 Personality and Personality Disorders Work Group proposes to diagnose the disorders largely in terms of a 25 trait dimensional model organized within five broad domains (i.e., negative affectivity, detachment, antagonism, disinhibition, and psychoticism). Consistent with the authors of DSM-5, it was predicted that negative affectivity would align with FFM neuroticism, detachment with FFM introversion, antagonism with FFM antagonism, disinhibition with …

Emotion Recognition And Social Functioning In Children With And Without Attention Deficit Hyperactivity Disorder, Rebecca Flake Aldea

Theses and Dissertations--Psychology

This study examined the emotion recognition of children (ages 7-9 years) with and without Attention Deficit Hyperactivity Disorder (ADHD). Children completed two emotion recognition measures, the Diagnostic Analysis of Nonverbal Accuracy 2 (DANVA2) and the Child and Adolescent Social Perception measure (CASP). Children and their parents also completed an assessment of children’s social skills, the Social Skills Improvement System (SSIS). Children with ADHD reported a significantly greater level of depressive symptoms and had significantly lower full scale IQ scores than children without ADHD. When these differences were accounted for, children with ADHD continued to show a handful …

The Impact Of Religiosity Dimensions And Ethnic Identity On Well-Being In African American Women, Ebony S. Vinson

Theses and Dissertations--Psychology

Religiosity is considered to be an important component of the cultural orientation and worldview of African Americans. African American women, in particular, have been found to be unique in their level of religious devotion and activity compared to other demographic groups but there has been minimal research examining the positive effects of religiosity over time. The purpose of the current study was to investigate the role of religiosity dimensions and ethnic identity in predicting self-esteem, social support, healthy behaviors, and licit drug use in African American women over time. Results indicate that behavioral and cognitive components of religiosity predict different …

Development And Validation Of A Measure Of Self-Critical Rumination, Laura M. Smart

Theses and Dissertations--Psychology

Shame and self-criticism are closely related constructs that have strong associations with many forms of psychopathology as well as general psychological distress. Rumination is a maladaptive form of repetitive thinking that is associated with a number of psychological disorders. Although measures of many different types of rumination (e.g. depressive rumination, angry rumination) have been developed, none assess self-critical rumination. The purpose of the present study, therefore, was to develop a measure of self-critical rumination. An initial pool of items for the Self-Critical Rumination Scale (SCRS) was developed by adapting existing rumination measures and through a writing task administered to both …

Bayesian Analysis Of Parental Drinking Motives And Children's Adjustment, Aaron A. Duke

Theses and Dissertations--Psychology

Harm reduction strategies can mitigate against some of the deleterious effects of alcohol on families. These strategies are most feasible and cost-effective when they can be targeted at those who are most at risk. Previous studies examining the relation between parents’ alcohol use and their children’s psychological adjustment have failed to consider important contextual questions such as drinking motives. The current investigation set out to identify the extent to which parents’ drinking motives predict internalizing and externalizing psychopathology in their children. The investigation consisted of cross sectional analysis of parents’ drinking motives and their children’s adjustment using data from 154 …

The Impact Of Acculturation And Labeling On African Americans' Stigmatization Of Mental Illness, Tahirah Abdullah

Theses and Dissertations--Psychology

Although African Americans endorse more stigma towards those with mental illnesses than European Americans and are quite susceptible to stigma’s detrimental effects on help-seeking for mental health problems, stigma has not been adequately studied for African Americans. Given that stigma is a key barrier to obtaining help for mental health problems, it is imperative that we gain a more nuanced understanding of stigma. This study used experimental design and vignettes to examine the influence of acculturation and labeling on African Americans’ stigmatization of depression, social phobia, alcohol dependence, and schizophrenia. Results indicated that schizophrenia was generally the most stigmatized disorder …

Expression Of Borderline Personality Disorder Symptoms Across The Ovulatory Cycle: A Multilevel Investigation, Tory A. Eisenlohr-Moul

Theses and Dissertations--Psychology

Borderline Personality Disorder (BPD) is a disabling condition characterized by chronic emotion dysregulation and behavioral impulsivity. Prospective studies that test proposed mechanisms of within-person change in BPD hold the key to improving symptom predictability and control in this disorder. A small body of evidence suggests that fluctuations in estradiol such as those occurring naturally at ovulation during the monthly female reproductive cycle may increase symptoms in women with BPD (DeSoto et al., 2003). Furthermore, there is preliminary evidence that both self-esteem and feelings of social rejection are highest at ovulation, when estradiol peaks (Durante and Hill, 2009; Eisenlohr-Moul et al., …

The Effects Of Posttraumatic Stress Disorder, Mild Traumatic Brain Injury, And Combined Posttraumatic Stress Disorder/Mild Traumatic Brain Injury On Returning Veterans, Hannah L. Combs

Theses and Dissertations--Psychology

Veterans of the Iraqi and Afghanistan conflicts have frequently returned with injuries such as mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD). More recently, concern has been raised about the large number of returning soldiers who are diagnosed with both. Literature exists on the neuropsychological factors associated with either alone, however far less research has explored the effects when combined (PTSD+mTBI). With a sample of 206 OEF/OIF veterans, the current study employed neuropsychological and psychological measures to determine whether participants with PTSD+mTBI have poorer cognitive and psychological outcomes than participants with PTSD-o, mTBI-o, or veteran controls (VC), when …

Ovarian Cancer Screening As A Teachable Moment For Health Behavior Change: Determining The Role Of Positive Affect And Self-Efficacy, Rachel F. Steffens

Theses and Dissertations--Psychology

In medical settings, a teachable moment (TM) has been described as an event which may lead to psychological changes prompting individuals to engage in health promoting behaviors. A cancer screening (CS) has been suggested as a potential TM because several types of positive health behavior change (HBC), ranging from dietary changes to smoking cessation, have been linked to CS. However, most research has examined the TM in CS settings using cross-sectional and prospective methodologies and has lacked a theory-driven model. Moreover, few intervention studies have attempted to capitalize on the potential TM in CS settings. In light of this, the …

Discriminating Between Adhd, Adhd With A Comorbid Psychological Disorder And Malingered Adhd In A College Sample, Kimberly Dawn Williamson

Theses and Dissertations--Psychology

The current study examined the efficacy of various neuropsychological measures for differentiating ADHD and comorbid ADHD from malingered ADHD in a large state university sample. The sample consisted of 23 nonclinical individuals assigned to malinger ADHD (NLM), 9 nonclinical individuals responding honestly (NLH), 22 individuals with diagnoses of ADHD only (ADHD-H), 9 individuals with comorbid ADHD/Learning Disorder presentations (ADHD-LD), and 13 individuals with comorbid ADHD/Anxiety presentations (ADHD-ANX). Due to limited sample sizes, the ADHD-LD and ADHD-ANX participants were pooled to create a comorbid ADHD group (ADHD-CO n = 22). The study utilized a simulation design with a NLM group instructed …

Toward The Development Of The Stereotypical Roles Of Black Young Men Scale, Amber Hewitt

Dissertations

There is a significant amount of literature on identity development in general, but there is a dearth of research focusing on identity development in relation to how other processes and constructs influence the identity development of African American young men. One such construct is the presence of stereotypical roles. The primary purpose of this study was to create a reliable and valid measure of the stereotypical roles of African American young men. This study explored the relationship between the endorsement of stereotypical roles, stigma consciousness, and masculinity of African American young men. African American young men (n = 164) between …

Neuropsychological, Psychological, And Injury Variables Associated With Post-Traumatic Stress Disorder In Individuals Who Suffered An Electrical Injury, Jana Wingo

Dissertations

Electrical injury (EI) represents a major form of trauma that can greatly impact the individual cognitively, physically, and emotionally. EI can lead to a variety of cognitive impairments affecting attention, processing speed, motor skills, and memory. Furthermore, EI can lead to a variety of physical impairments from burns to cardiac injury. In addition to other psychiatric disorders, individuals who suffer an EI can eventually develop Post-Traumatic Stress Disorder (PTSD).

This study examined a clinical sample of 143 individuals (86.0% male, 85.3% Caucasian, 44.1% diagnosed with PTSD) who have experienced an EI to determine the factors associated with the development of …

Social-Environmental Predictors Of Health-Related Quality Of Life In Youth With Spina Bifida, Caitlin Beth Murray

Master's Theses

Health-related quality of life (HRQOL) is a multidimensional construct including an individual's physical and mental health and psychosocial well-being (De Civita et al., 2005), and the measurement of HRQOL has been recognized as a key marker of health outcomes in pediatric populations (Eiser & Jenney, 2007). Due to medical and technological advances, an increasing number of individuals with chronic illnesses are living longer. As such, research that investigates improvements in HRQOL in youth with chronic illnesses has become essential. Indeed, the number of studies examining HRQOL in pediatric populations has increased markedly; spina bifida (SB) is one among several chronic …

The Relation Of Executive Functions To Active Coping Strategies And Internalizing Symptoms In A Community Sample Of African-American Youth, Arie Zakaryan

Master's Theses

The purpose of this study is to examine the relations between stressor appraisals, active coping, executive functions, and internalizing symptoms in a community sample of low-income African-American youth. There is a dearth of studies assessing how executive functions influence the connection between coping and internalizing symptoms, notably in community and minority populations. When faced with distressing, uncontrollable settings straining the capacity to self-regulate, youth with executive functioning deficits may encounter greater challenges in coping with stressors. Yet, since typically adaptive active coping strategies do not benefit some youth and can result in negative outcomes, it is important to identify what …

The Ticking Of The “Biological Clock”: Worry About Future Fertility In Nulliparous Women, Karen E. Kersting

Theses and Dissertations

Abstract

Title: The Ticking of the “Biological Clock”: Worry about Future Fertility in Nulliparous Women

By: Karen Kersting, M.A., M.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.

Virginia Commonwealth University, 2013.

Major Director: Kathleen M. Ingram, J.D., Ph.D.

Associate Professor of Psychology

Department of Psychology

Modern women are waiting until later in their lives to have children than women of previous generations, a trend influenced by a number of factors including financial stability, dating norms, and career goals and responsibilities. As women age, their fertility may decline …

Pharmacological Versus Social Alcohol Expectancies: Making An Important Distinction Between The Anticipated Rewarding Effects Of Alcohol, Megan Victoria Mcmurray

USF Tampa Graduate Theses and Dissertations

Despite over 30 years of research investigating alcohol expectancies, they have never been examined in terms of the anticipated pharmacological versus social rewards resulting from alcohol consumption, and both appear to play a central role in drinking motivation and behavior. The purpose of this study was to develop a two-dimensional instrument designed to assess both the pharmacological alcohol expectancies of pleasurable, internal states that result from alcohol consumption, as well as the social expectancies that drinking alcohol will result in higher social status and increased effectiveness in social situations. This measure, called the Pharmacological and Social Alcohol Expectancy Scale (PSAES), …

The Development And Validation Of The Physical Appearance Comparison Scale-Revised (Pacs-R), Lauren M. Schaefer

USF Tampa Graduate Theses and Dissertations

The Physical Appearance Comparison Scale (PACS; Thompson, Heinberg, & Tantleff, 1991) is a widely used 5-item measure that assesses an overall tendency to compare one's own appearance to the appearance of others in social situations. Research using the PACS and other measures of appearance comparison has shown this construct to be related to higher levels of body dissatisfaction and eating pathology. However, the measure is limited in that it only assesses comparison tendencies within a narrow range of social contexts and body sites. In the current investigation, the PACS was revised to examine a broader range of social contexts (e.g., …

Motivational Interviewing To Promote Physical Activity In Breast Cancer Survivors, Yasmin Asvat Patel

USF Tampa Graduate Theses and Dissertations

Abstract

Despite documented health benefits, most breast cancer survivors (BCS) do not meet physical activity (PA) guidelines. Hence, evaluating diverse intervention approaches to promote PA in BCS is imperative. Motivational Interviewing (MI) offers a non-prescriptive, client-centered approach to PA promotion that has not been adequately evaluated in BCS. In this randomized-controlled trial, 66 Stage 0-IIIa BCS within three years post-treatment, insufficiently active and contemplating increasing PA were randomly assigned to a MI intervention or an active control condition. The MI intervention implemented motivational and behavior change strategies consistent with MI principles. The active control condition provided education and prescriptive recommendations …

Emotional Invalidation: An Investigation Into Its Definition, Measurement, And Effects, Meredith Brown Elzy

USF Tampa Graduate Theses and Dissertations

Emotional invalidation is a construct closely related to childhood maltreatment, which has been linked theoretically and empirically to the development of psychopathology. This study sought to advance the empirical investigation into emotional invalidation through three primary objectives: 1) to critically review the way emotional invalidation is currently defined and measured in the existing literature, 2) to offer a novel approach at conceptualizing and measuring emotional invalidation as a two part construct comprised of emotionally invalidating behaviors and perceived emotional invalidation, and 3) to experimentally test the effects of invalidating behaviors on a person's perception of emotional invalidation and their level …

The Role Of Acquired Capability As A Differentially-Specific Risk Factor For Disordered Eating And Problematic Alcohol Use In Female College Students: A Measure Development And Validation Study, Christa D. Labouliere

USF Tampa Graduate Theses and Dissertations

Traditional college students are members of an age bracket noted for high levels of risky behavior, and research has shown that certain risky behaviors, such as disordered eating and problematic alcohol use, are particularly common among undergraduates. It is well established that certain events in the learning history predispose vulnerable persons to engage in maladaptive risky behaviors. What is less clear is why some persons facing these events go on to develop maladaptive behavior while others do not, or why people facing similar events develop different varieties of maladaptive behaviors. Current research has focused extensively on risk factors that are …

Exercise Barriers In Cancer Survivors: A Multi-Dimensional Approach, Morgan Lee

USF Tampa Graduate Theses and Dissertations

The population of cancer survivors is rapidly expanding, and promotion of health and quality of life for these individuals is a priority. Exercise confers numerous general and cancer–specific benefits, yet many cancer survivors are insufficiently active. Research on perceived exercise barriers in cancer survivors has been limited by methodological and conceptual problems. Recent research suggests barriers may be multi–dimensional, and different types of barriers may be salient depending on whether or not a person intends to engage in a given behavior. Global (i.e., abstract) barriers may be negatively associated with intention, while practical (i.e., concrete) barriers may be positively associated …

The Influence Of Campus Culture On Mental Health Help-Seeking Intentions, Jason I. Chen

USF Tampa Graduate Theses and Dissertations

Mental health issues are widespread on college campuses. However, the majority of these individuals do not seek help. Prior research suggests many factors which may be related to mental health help-seeking including age, gender, and prior treatment experience. There has however been little work considering the context of the college campus on mental health help-seeking, specifically the influence of campus culture. Accounting for the context of mental health help-seeking may help to determine which social groups have the greatest influence on mental health treatment processes.

The purpose of this study was to explore the relationship between perceived peer, student body, …

Longitudinal Validation And Diagnostic Accuracy Of The Minnesota Borderline Personality Disorder Scale (Mbpd), Elizabeth Rojas

USF Tampa Graduate Theses and Dissertations

Borderline Personality Disorder (BPD) has been previously conceptualized as an extreme variant of normal personality traits, captured by continuous indices. A previous study successfully developed and validated a self-report BPD measure, the Minnesota Borderline Personality Disorder Scale (MBPD). I conducted two studies aimed at providing further validation for this measure. Results from Study 1 (clinical sample of substance users) indicated that MBPD exhibited strong positive correlations with measures of convergent validity (self-report and diagnostic measures). Additionally, the MBPD showed similar correlations with external correlates as those of the convergent validity measures, in addition to incremental utility in predicting these external …

Treatment Maintenance Of Cognitive-Behavioral Therapy For Anxiety In Youth With Autism Spectrum Disorders, Robert Rein Selles

USF Tampa Graduate Theses and Dissertations

Anxiety disorders commonly co-occur in children and adolescents with an autism spectrum disorder (ASD). Recently, treatment of anxiety using cognitive behavioral therapy (CBT) has been modified and studied in youth with ASD, with results consistently demonstrating positive treatment outcomes. In typically developing populations, CBT gains are well maintained as long as 14-years post-treatment; however, maintenance of CBT has not yet been studied in anxious youth with ASD. Using a sample of 32 youth who previously completed one of three CBT for anxiety in ASD treatment studies, the present study re-assessed parent report of anxiety symptoms in youth, 12-26 months (M …

Apathy In Parkinson's Disease: A Behavioral Intervention Study, London Butterfield

USF Tampa Graduate Theses and Dissertations

Apathy, a symptom reflecting motivational and self-initiation impairment, is one of the most common neuropsychiatric symptoms in Parkinson's disease (PD), with an average estimated prevalence of 40-45%. Elevated apathy has been associated with a host of negative associates and consequences, including cognitive impairment, poor daily functioning, poor treatment compliance and illness outcome, reduced quality of life, and increased caregiver burden and distress. While some studies have evaluated pharmacologic approaches to the treatment of apathy, few studies have evaluated non-pharmacologic approaches and we have identified no studies that have evaluated the efficacy of non-pharmacologic treatments of apathy in Parkinson's patients despite …

Meta-For, Vincent Mario Pignatiello Ii

Antioch University Dissertations & Theses

A clinician is entrusted with the difficult task of organizing, integrating, and formulating a vast amount of information provided by a patient in order to conduct therapy. Typically, a theoretical paradigm is employed in this endeavor. This paper constructs a theory of theoretical paradigms—a meta-theory—to understand better how clinicians organize and understand patient information. The theory of theory posits that theoretical paradigms function as complex metaphors developed within a culture. The argument presented here utilizes research from various areas of psychology—including those focusing on cognitive research, psycholinguistics, and philosophy of theory—to develop the meta-theory. The central thesis of this research …

Existential Concerns Of Individuals Living With Chronic Mental Illness In Guam, Christina Maria B. Dela Cruz

Antioch University Dissertations & Theses

Individuals living with chronic mental illness experience a host of challenges associated with the symptoms of their illness. In an effort to help restore healthy functioning, mental health treatment for individuals with chronic mental illness thus focuses primarily on symptom reduction and management. Recent research exploring the lived experience of individuals with chronic mental illness suggests that apart from their symptoms, these individuals also encounter existential issues related to the self, relationships with others, temporality, making meaning out of the illness experience, and managing life with the illness. At the same time, however, this research has tended to focus on …

A Preliminary Investigation Of The Validity Of Time-Based Measures Of Sustained Attention For Children, Michael R. Kulfan

Antioch University Dissertations & Theses

This study is a preliminary investigation of the validity of using time-based measures to quantify sustained attention in children ages 6-12. Problems with sustained attention negatively affect childhood learning and development. The prevalence of disorders known to impact sustained attention performance continue to rise in the United States. Currently, commercially available, objective measures of sustained attention use normative comparisons that provide limited information about the effect such problems have on child performance in natural settings. We reviewed test data from 290 charts of children ages 6-12 referred for neuropsychological evaluation. The Test of Everyday Attention for Children (TEA-Ch) is an …