Clinical Psychology Commons^™

Acculturation As A Mediating Factor Between Ethnic And Self-Identities, Judith A. Hotvedt

Loma Linda University Electronic Theses, Dissertations & Projects

Is acculturation a mediating factor in self- and ethnic identity among ethnic minority emerging-adults? A conceptual model was tested examining links between self and ethnic identity and acculturation. An association was proposed between perceived social support, affirmation and belonging, and EOM self-identity statuses (diffusion, foreclosure, moratorium, achievement) as mediated by VIA mainstream and heritage acculturation. A second association was proposed between out-group orientation, interpersonal variables, and ethnic identity as mediated by VIA mainstream and heritage acculturation. This study did not provide full support for acculturation as a mediating variable; rather, the ‘interpersonal variable’ was an intervening variable in the association …

Predictors Of Neuropsychological Status In Cardiac Patients, Joel E. Kamper

Loma Linda University Electronic Theses, Dissertations & Projects

Heart Disease is one of the leading causes of death and disability in the United States. Disease processes such as Coronary Artery Disease (CAD) and Chronic Heart Failure (CHF) account for the majority of cases, and are responsible for Myocardial Infarctions (MI), Coronary Artery Bypass Grafting (CABG) surgery, and other common disease sequelae and treatment paradigms. While the fact that heart can negatively impact cognitive functioning is well documented, the factors that drive changes in cognition have not been studied in depth. Additionally, while many heart patients choose to enter cardiac rehabilitation (CR) programs designed to decrease morbidly and mortality, …

Implications Of Tailoring Emotional Expression Within An Expressive Writing Paradigm, Eric R. Hanson

Loma Linda University Electronic Theses, Dissertations & Projects

This dissertation uses the theoretical perspective that both emotion and emotional processing theories could greatly enhance feedback messages given in a linguistic writing paradigm. The measurement of emotional expression is briefly reviewed along with the basic expressive writing paradigm, outcome of this expressive writing paradigm, and the tailoring literature. Reference is made to the single study (Owen, et al., 2011), which has utilized tailoring in an expressive writing paradigm; the present study is a modification of this original study. This dissertation used clinically minded feedback which utilized both emotion and emotional processing theory. For the experimental design, three tailoring conditions …

Psychometrically Valid Relationships Between Acculturation And Neuropsychological Factors, Eunice E. Kwon

Loma Linda University Electronic Theses, Dissertations & Projects

Neuropsychological tests play a significant role in detecting brain dysfunction and treatment planning for patients. However, discrepancies in neurocognitive tests among ethnic minorities continue to perplex neuropsychologists and place ethnic minorities at a greater risk for misdiagnoses (Byrd et al., 2006). The aim of this study was to ascertain significant acculturation predictors influencing neuropsychological performance in ethnic minorities, particularly verbally mediated tasks which were known to be more susceptible to discrepancies in acculturation level were examined (Razani et al., 2007). Healthy participants from Hispanic (n = 52), Asian (n = 52), and Middle-Eastern (ME; n = 68) descents between the …

Screening Adherence And Emotional Adjustment Of Daughters Of Breast Cancer Patients, Sarah R. Ormseth

Loma Linda University Electronic Theses, Dissertations & Projects

Women at high risk for breast cancer oftentimes also experience psychological vulnerably related to experiences of cancer in their family, high bereavement rates and their own uncertainties regarding if and when they may develop the disease. This research sought to evaluate psychological adjustment and examine reattendance among a sample of women adhering to regular breast cancer surveillance, with a specific focus on daughters of breast cancer patients. The study described in Chapter 2 longitudinally profiled anxiety and depressive symptoms among these high-risk daughters across three consecutive surveillance appointments, and also evaluated the effects of a set of hypothesized predictors on …

Meta-Analysis Of Rodent Behavior In Various Brain Injury And Disease Models, Earl C. Thorndyke Iii

Loma Linda University Electronic Theses, Dissertations & Projects

The objective of this study was to identify patterns and profiles present in rodent behavioral assay data to inform methodology of future animal research. Domains of spatial learning, motor function, activity, and emotionality were examined. This study first identified how rodent performance on commonly used behavioral and neurocognitive assays varies by species, sex, and age. Significant differences were observed in spatial learning curves, patterns of motor function, emotionality and activity in rats and mice. Overall, males and females had similar performances on spatial learning and motor function, but sex and species interactions were also observed, indicating varied sex differences in …

Adverse Childhood Experiences And Acute Coronary Syndrome In Adulthood, Kanchana D. Wijesekera

Loma Linda University Electronic Theses, Dissertations & Projects

Research studies demonstrate that exposure to adverse childhood experiences (ACEs) lead to physical and mental health consequences in adulthood, including cardiovascular disease (Dong, Giles, Felitti et al, 2004; Felitti, Anda, Nordenberg, et al, 1998). One potential mechanism linking ACEs to cardiovascular disease is impaired social competence necessary for successful relationships and adequate social support. In the current study, the impact of ACEs on social support and subsequent incidence of acute coronary syndrome (ACS) was examined in a cohort of 6,596 older Seventh-day Adventists. After controlling for sociodemographic, lifestyle, and psychological factors, ACE exposure predicted increased risk of ACS by 31% …

Freesurfer Vs. Manual Tracing: Detecting Future Cognitive Decline In Healthy Older Adults At-Risk For Alzheimer's Disease, Alissa Butts

Dissertations (1934 -)

Alzheimer's disease (AD) is a neurodegenerative pathological process that is thought to begin years prior to observable symptom onset. The hippocampus appears to be particularly vulnerable to the underlying brain pathology of AD. Hippocampal volume is a sensitive measure in predicting conversion from mild cognitive impairment to AD, but less is known regarding the use of hippocampal volume in asymptomatic individuals at risk for AD who eventually decline. The inconsistent findings may, in part, be due to the chosen method of hippocampal segmentation. FreeSurfer (FS) and manual tracings (MT) are two common segmentation techniques that have unique costs and benefits. …

Treating Family Members: The Effectiveness Of A Family-Oriented Dialectical Behavior Therapy Program, Melissa Lynn Miller

Dissertations (1934 -)

Borderline Personality Disorder (BPD) is a severe emotion regulation disorder that, according to the biosocial theory, is developed and maintained through transactions that occur between biologically vulnerable persons and their environment. The family members of persons with BPD may experience many deleterious consequences as a result of their relative's illness, including both objective and subjective forms of burden. Dialectical Behavior Therapy (DBT) was originally developed as a comprehensive treatment for persons with BPD, and new programs designed specifically to treat family members are emerging. These programs aim to help family members cope with their own stressors, as well as help …

Spiritual Questioning And Its Impact On The Therapeutic Alliance: A Preliminary Study, Cody Carson

Dissertations (1934 -)

A growing number of studies have found that clients would prefer to discuss spiritual and religious (S/R) concerns in psychotherapy and, notably, see it as an appropriate place to discuss these concerns. Although clients report they would prefer to discuss S/R matters with their therapist, psychologists are reluctant to do so. Lack of training may be a factor in the reluctance of psychologist to discuss spirituality and religion with their clients. In addition to the research on spirituality/religion and psychotherapy, the therapeutic alliance has been proposed as a similar component among all forms of treatment and consistently shown to be …

An Examination Of The Role Of Neurocognitive Functioning In Illness Management Among Adolescents With Type 1 Diabetes, Christopher James Fitzgerald

Dissertations (1934 -)

Children and adolescents living with Type 1 Diabetes Mellitus (T1DM) face many challenges in their daily lives due to the extensive care tasks that the illness requires. Adolescence is a period of development in which treatment adherence and metabolic control has been found to greatly decline. Research examining correlates of this decline in self-management has tended to focus on familial and psychosocial variables such as parental involvement and T1DM-related conflict. The period of adolescence is also marked by several changes in the development of the frontal lobes and prefrontal cortex, which are areas of the brain that are central to …

Revising The Body Esteem Scale For The Next Quarter Century, Katherine Frost

Dissertations (1934 -)

Recently, Frost, Franzoi and Oswald (2012) found evidence suggesting that the way individuals evaluate their physical selves, also called body esteem, may have changed over the past quarter century. The findings were particularly strong regarding men's self-evaluations. Because Frost et al.'s (2012) findings focused on the Body Esteem Scale (BES: Franzoi & Shields, 1984), which is a measure that captures dimensions uniquely important to adult self-perception and physical evaluation within a multidimensional and gender-specific framework, one obvious implication of this study is that the BES may need revising in order to remain as current and relevant as possible.

With that …

Body Objectification, Ethnic Identity And Cosmetic Surgery In African-American Women, Allycin Powell-Hicks

Loma Linda University Electronic Theses, Dissertations & Projects

This study investigated the role of ethnic identity in African-American women's relationship with their bodies and their decisions for cosmetic procedures. The research hypotheses are: (1) The odds of receiving a cosmetic procedure increase with lower endorsements of ethnic identity. (2) Ethnic identity has an effect on surveillance, shame, and body control in African-American Women. Ethnic identity will be measured with the Multiethnic Identity Measure (MEIM), which measures subjects' self-assessed membership in their ethnic group. Body Objectification is measured by the Objectified Body Consciousness scale, which measures a woman's endorsements of surveillance, shame, and control. The sample consisted of 175 …

Childhood Externalizing Behavior Problems, Maternal Depression, And Father Involvement In Low-Income African American Families, Sara Johns

Master's Theses and Doctoral Dissertations

Data indicate that up to 25% of preschoolers are exhibiting clinical levels of externalizing behaviors. Among children in at-risk populations, such as those attending Head Start preschools, estimates of clinical levels of externalizing behavior problems are as high as 30%. Studies of early childhood externalizing behavior problems indicate the potential for stability of elevated externalizing behaviors over time and the association of these behaviors with a variety of negative outcomes. Maternal depression and father involvement may be important predictors of externalizing behavior. The current study investigated the nature of the relationship between maternal depression, father involvement, and child externalizing behaviors …

Anxiety Sensitivity As A Moderator For Ptsd Mediated Combat Exposure In Predicting Suicide Risk In A Military Sample, Barry Donovan Eye

Master's Theses and Doctoral Dissertations

Suicide took almost 40,000 U.S. lives in 2011, with military rates exceeding the general population (and rising). Anxiety sensitivity (AS; the fear of fear) includes three components: physical, cognitive, and social. Recent studies indicate a connection between AS and suicidality through the Interpersonal-Psychological Theory of Suicide (IPTS). Separate research has proposed that the development of severe psychopathology, like posttraumatic stress disorder (PTSD) and suicide, may be moderated by AS. The present study considered this mechanism from an IPTS perspective with a cross-sectional sample of veterans and active duty members from a Veterans Affairs clinic database. Regression models tested whether physical …

The Effects Of Offender Age And Offender-Victim Relationship On Modus Operandi Strategies To Lure The Victim, Hayley Lauren Tews

Dissertations and Theses

Research on the modus operandi (“method of operation”) of child sexual abuse (CSA) offenders has been useful in informing successful prevention programs (LeClerc, 2009). However, a gap in the literature regarding the strategies offenders use to lure potential CSA victims still remains. The present study seeks to examine the effects of offender-victim relationship and offender age on the use of strategies to lure victims for the purpose of committing CSA. Data for this study is taken from a larger investigation which included 854 identified adolescent and adult CSA offenders from nine different states. A 2 X 2 MANCOVA analysis revealed …

Mentoring Youth With Emotional And Behavioral Problems: A Meta-Analytic Review, David Aron Meyerson

College of Science and Health Theses and Dissertations

Our current service delivery models are falling short of helping youth with mental health problems. Mentoring is one option that may be effective at helping us address this shortcoming. Youth mentoring theory and research have typically treated mentoring as a prevention intervention (i.e., preventing school dropout, academic decline, psychopathology development, etc.), and research has found youth mentoring to be effective in a variety of domains. The benefits of mentoring may also be applicable to youth with known mental health problems. Research has begun to tackle this question. This meta-analysis addresses the questions of the effectiveness of mentoring programs targeting youth …

Collateral Consequences: The Impact Of State-Level Policies On Perceived Stigma And Stigma Coping Strategies Among Ex-Offenders, Bronwyn Anne Hunter

College of Science and Health Theses and Dissertations

Incarcerated individuals have many needs that are not addressed while incarcerated or upon return to the community. These needs are exacerbated by the 'collateral consequences,' and 'invisible punishments' of a criminal conviction which are the state and federal social policies that limit formerly incarcerated persons opportunities for voting, employment, housing, financial benefits, and education, among others. The stigma associated with a criminal conviction may impact offender reentry and reintegration and be compounded by reentry policies. For example, studies have demonstrated that ex-offenders' perceive stigma related to the ex-offender label and that perceived stigma often leads to adverse coping strategies. Furthermore, …

Exposure To Community Violence And The Trajectory Of Internalizing And Externalizing Problems In A Sample Of Low-Income Urban Youth, Jeremy Jay Taylor

College of Science and Health Theses and Dissertations

Intro: The transition from childhood to adolescence is a period of increased risk for psychological problems (e.g. Keiley, & Martin, 2002). Exposure to community violence, may impact the degree to which psychological problems emerge during adolescence (Grant et al., 2004). Previous research also indicates that low-income urban youth are disproportionately exposed to severe community violence, leaving them at higher risk to experience psychopathology (Grant et al., 2004). However, recent longitudinal research suggests that this elevated risk may decline throughout the adolescent years (Murphy et al., 2000) especially for internalizing problems (J. Twenge & S. Nolen-Hoeksema, 2002). The current research hypothesizes …

Individual And Community Factors Associated With Thriving Among African American Adolescents In The Context Of Stressors, Adia Shani Gooden

College of Science and Health Theses and Dissertations

This dissertation used the transactional-ecological framework along with principles from positive youth development literature to examine naturally occurring individual and contextual factors

that promote thriving among African American adolescents. Specifically, this study examined how religiosity, religious support, racial identity, and communalism relate to thriving. This study

also assessed the negative influence of stressors on thriving in order to understand how thriving manifests in the context of risk factors. This cross-sectional study included 152 youth

participants who were surveyed at five Black churches on the south side of Chicago. Structural equation modeling was used to assess whether the proposed model fit …

Using A Resiliency Framework To Examine Natural Mentoring Relationships And The Coping Efficacy As Buffers Of The Negative Impact Of Stressors On Academic Outcomes In Urban, Low-Income Ethnic Minority Youth, Rachel M. Feuer

College of Science and Health Theses and Dissertations

This paper used Resiliency theory to examine natural mentoring and coping efficacy as protective factors that may buffer the negative impact of stressors on academic and psychosocial outcomes in urban, low-income, Latino youth. Research has demonstrated that natural mentoring may serve a protective role for youth who are experiencing high levels of stressors, and that coping efficacy may correlate with positive outcomes. The present study used Structural Equation Modeling to test the compensatory and protective factors models of resilience to examine the ways in which stress, coping efficacy and natural mentoring interact to predict a variety of academic outcomes for …

Identifying Barriers And Facilitators Of Successful School-Based Mental Health And Behavioral Programs Delivered In The Context Of Urban Poverty: A Qualitative Exploration Of Perspectives From Service Providers And Youth, Farahnaz K. Farahmand

College of Science and Health Theses and Dissertations

The goal of this study was to identify the barriers and facilitators of successful mental health and/or behavioral programs implemented within inner-city schools. The impetus for this study came from prior meta-analytic research which demonstrated programs being offered within inner-city schools, as a whole, showed very low effect sizes, with many of the programs offered to youth within these settings showing iatrogenic effects. The use of qualitative methods, specifically a phenomenological approach, provided an in-depth understanding of 1) service providers' experience(s) delivering mental health and/or behavioral programs in inner-city schools; and, 2) low-income, urban youths' experience(s) with receiving school-based mental …

The Role Of Pain-Related Catastrophizing In Outcomes And Recovery From Minimally Invasive And Surgical Procedures For Treating Temporomandibular Disorders, Aaron Martin

Theses and Dissertations

The current study examined the ability of pain-related catastrophizing to predict outcomes following non-surgical and surgical intervention for temporomandibular disorders (TMDs). The interpersonal context of pain-related catastrophizing, referred to as the communal coping model, was also examined to determine if patient perceptions of punishing and solicitous responses from significant others would moderate or mediate relations between pain catastrophizing and outcomes. The role of pain duration as a moderator of the relation between pain-related catastrophizing and perceived significant other responding was also examined. A total of 94 patients were identified for which 65 had follow-up outcomes that could be examined. Patient …

Human Or Natural Trauma: What’S Worse?, Heather Merrell, Rodger K. Bufford, Kathleen Gathercoal

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Acculturation, Marianismo Gender Role, And Ambivalent Sexism In Predicting Depression In Latinas, Andreana T. Jezzini

Electronic Theses and Dissertations

This study explores acculturation, the Latina gender role of marianismo, and ambivalent sexism in predicting depression in a community sample of Latinas. A review of existing literature regarding these variables reveals that all three constructs can be both risk factors as well as protective factors. Since marianismo and ambivalent sexism may share similar traits, both may be self-protective coping mechanisms by Latinas in the context of a patriarchal environment with structured gender roles and strong gender disparities. One hundred and thirteen adult Latina participants from various ancestries of origin were solicited from the community using an Internet survey tool. …

Emotion Processes In Cognitive Behavioral Therapy For Adolescent Depression, Patrice Siapno Crisostomo

Electronic Theses and Dissertations

Although cognitive behavioral therapy (CBT) is an efficacious treatment for adolescent depression, recent findings indicate that positive treatment effects are reduced among youth with a history of childhood interpersonal trauma (CIT). The processing of emotionally-difficult content has been previously emphasized in therapeutic models for the treatment of depression, as well as post-traumatic stress disorder. The present study evaluated the impact of emotion processes on treatment outcomes in two forms of psychotherapy (CBT and usual care treatment) for adolescent depression. This study observationally coded client emotional involvement, specifically during discussions of trauma-related content, as a potentially critical mechanism of change in …

Social Media And Relationship Development, Gretchen Kelmer

Electronic Theses and Dissertations

The present study examined the use of social media to represent romantic relationships among a diverse, national sample (N=831) of Facebook users aged 20-37. Taken together, results from this study indicate that relationship representation via Facebook is associated with various aspects of commitment, including couple identity, prioritization of one’s relationship, and commitment to the future, and was also associated with stability of the relationship over time. Social media relationship representation was also found to be associated with lower levels of sexual infidelity, alternative partner monitoring, and partner’s jealousy, as well as higher levels of perceived social pressure from friends and …

Therapists' Attitudes Toward Forgiveness: The Relationship Between Forgiveness Conceptualizations And Predicted Likelihood To Assist Clients To Forgive During Treatment, Cameron F. Cannon

Electronic Theses and Dissertations

Research supports the use of forgiveness in psychotherapy; however, little is known about how this process is integrated into treatment. Views on the utility of forgiveness appear to be mixed. Differences in conceptualization appear to exist between interventionists who promote its use and those who argue against it. This study explored the potential relationship between therapists' conceptualization of forgiveness, categorized as either agreeing with popular interventionists or not, and their predicted assistance of client forgiveness, as well as relationships between attitudes toward forgiveness and other potentially related variables Two hundred sixty nine participants recruited from practice-focused graduate training institutions completed …

Empathy And Threatened Egotism In Men’S Use Of Violence In Intimate Relationships, Jessica H. Turner

Electronic Theses and Dissertations

The current study was undertaken to explore the relationship between self-esteem, narcissism, and empathy with intimate partner violence perpetration among men in 2 samples: college students and inmates. The sample was analyzed both as an aggregate and separately. A negative relationship was hypothesized between intimate violence perpetration and both self-esteem and empathy. A positive relationship was expected between intimate violence perpetration and narcissism. A 2-way interaction was examined between self-esteem and narcissism as a test of threatened egotism, defined as high self-esteem coupled with high narcissism, which was not expected in the current study. Empathy was hypothesized to moderate the …

Further Analysis Of The Competitive Prosocial/Aggression Continuum Task, Alexander Mark Biondolillo

Dissertations

The Competitive Prosocial/Aggression Continuum Task (COMPACT) (Biondolillo, 2010) was developed in order to create an improved reaction time paradigm for aggression that reduces demand characteristics and increases the scope of research applications available in previous designs by using a behavioral response palette of both aversive and pleasant auditory stimuli to model both aggressive and prosocial behaviors. Initial validation research on the COMPACT demonstrated significant correlations between aggressive responding and several scales of interest; however, such correlations demonstrated smaller effects than the medium-sized effects predicted based on the literature available on similar reaction time paradigms, and pleasant response options on the …