Clinical Psychology Commons^™

Motivational Interviewing Assessment And Behavior Therapy As A Stepped-Care Approach To The Treatment Of Adolescent Depression, Tanya N. Douleh

Dissertations

Depression is a significant public health concern with a lifetime prevalence of 24.01 for adolescents in grades 9-12 (Lewinsohn, Hops, Roberts, Seeley, & Andrews, 1993) and a point prevalence of 4-6% (Kessler, Avenevoli, & Ries, 2001). The risks associated with adolescent onset depression include comorbidity, depressive episodes continuing into adulthood, and suicidality. These risks make it imperative to develop effective treatments to address adolescent depression. Stepped care is an approach to treatment which involves treatment of illness using the least invasive measures first and moving toward more invasive treatment as indicated by ongoing assessment. Through a single-participant design, the current …

Experiences Of Latina First Generation College Students: Exploring Resources Supporting The Balancing Of Academic Pursuits And Family Life, Hercilia B. Corona-Ordoñez

Graduate Doctoral Dissertations

This study used a qualitative interview approach and thematic analysis (Braune and Clark, 2006) to interview first generation college student Latinas, exploring their experiences with higher education, their navigation/negotiation of resources for academic success and for wellness of self and family, and barriers they face as they attempt to both safeguard self and family wellness and reach their academic goals. It also directly explored the potential resources participants would find useful and ways in which colleges/universities might support them in these pursuits.

With this method, this study identified 6 major themes in the lives of first generation college student Latinas: …

When Boys Hurt: A Pilot Study On Adolescent Males With Nonsuicidal Self-Injury, Danessa Mayo

Loma Linda University Electronic Theses, Dissertations & Projects

The current literature on nonsuicidal self-injury among male adolescents is lacking in amount and level of understanding in comparison to females. The purpose of this study is to determine the gender differences in treatment outcomes for adolescents with nonsuicidal self-injury in a Dialectical Behavior Therapy outpatient program. A total of 65 adolescent males and females from ages 12-18 who successfully graduated from the program were available for this study. Results show that the overall group of male and female patients reported a significant improvement in their levels of distress from baseline to post-treatment. Quantitative analyses conducted between male and female …

Evaluating The Effects Of A Group Cognitive Behavioral Therapy For Veterans With Posttraumatic Stress Disorder And Insomnia: A Pilot Study., Laurin Mack

Theses and Dissertations

Combat and war zone veterans are particularly vulnerable to developing Posttraumatic Stress Disorder (PTSD) due to the increased risk of experiencing trauma inherent in military service. Insomnia and nightmares are core symptoms of PTSD and can be factors in the development, maintenance, and exacerbation of PTSD. However, sleep disturbance has received relatively little attention from a treatment point of view until recently. Recent research has demonstrated that cognitive behavioral therapy for insomnia (CBT-I) and imagery rehearsal therapy (IRT) for nightmares are effective stand alone and combination treatments for sleep disturbance in civilian and veteran populations. Although group interventions are lower …

Study Of Employment Retention Veterans (Serve): Improving Reintegration Of Oregon National Guard And Reserves In The Workplace, Gilbert Patrick Brady, Jr., Leslie B. Hammer

Student Research Symposium

This presentation will provide an overview of the recently funded Department of Defense grant (Principal Investigator, Leslie Hammer, Ph.D.). Since 9/11 over 2.8 million United States military personnel have served in and around Iraq and Afghanistan. By 2018, the number of post-9/11 veterans is projected to top 3.1 million. Of these most recent veterans, 18% have difficulty holding a job and many experience family difficulty. Presently, a third or more of these post-9/11 veterans – some 874,728 service members and counting – have deployed to various global hotspots as active-duty reservists of the U.S. armed forces. Unemployment, underemployment and mental …

The Role Of Family Organization In Family Health History Communication About Cancer, Vivian M. Rodríguez

Theses and Dissertations

Family health history (FHH) has been recognized as an important tool in cancer prevention and health promotion. To date, literature on FHH discussions about cancer have largely focused on patient-physician communication or the dissemination of cancer-specific genetic tests results within the family. Fewer studies have sought to identify family factors that may promote FHH discussions, yet this type of information could be used to identify families needing support in having these conversations. Thus, the present study examined relations between family organization (cohesion and flexibility), communication openness, and FHH communication about cancer within a diverse group of women recruited from an …

Effect Of Religiosity And Combat Exposure On Combat Veteran Posttraumatic Growth, Kurt C. Webb, William Buhrow, Rodger K. Bufford, Mark R. Mcminn

Faculty Publications - Doctor of Psychology (PsyD) Program

Investigates two research questions:

Coping With College Stress: Does Sense Of Coherence Influence The Use Of Alcohol And Otc Medication?, Rebecca Silver

Psychology - Dissertations

The combination of stress and psychological symptoms (e.g., anxiety, depression) have been associated with alcohol consumption and the nonindicated use of over the counter (OTC) medications. However, some people have personal resources that contribute to a successful management of the stress response. Antonovsky's (1987) salutogenic theory proposes that a person's sense of coherence (SOC) buffers the relationship between stress appraisal and stressor-induced reactions. This study examined the SOC in relation to associations of stress-related indices with substance-related coping behaviors. One hundred and sixty-five college student participants completed questionnaires that assessed their demographics, stressors, perceived stress, SOC, psychological/physical symptoms, as well …

Does Emotion Invalidation Cause Emotion Dysregulation? Evidence From A Healthy Sample Of College Students And Implications For The Development Of Borderline Personality Disorder, Melissa Jean Zielinski

Graduate Theses and Dissertations

Linehan's BioSocial theory is a widely accepted model of the development of borderline personality disorder (BPD). However, the tenet that experiences of invalidation causally influence the development of the emotion dysregulation that characterizes BPD has been subject to relatively little empirical attention. The purpose of this study thus was to experimentally investigate the effects of validation and invalidation on indices of emotion dysregulation including self-invalidation, distress tolerance, and Social problem solving. The current study used a laboratory-based emotion induction procedure in which ninety college students participated in validating or invalidating conversations about emotional events with a peer confederate. Contrary to …

Social Affiliation: A Model Of Anxious Avoidance In Women, Milena Stoyanova

Department of Psychology: Dissertations, Theses, and Student Research

There is substantial evidence demonstrating that women experience greater anxiety and fear compared to men. However, our understanding of specific factors accounting for women’s greater vulnerability remains rather limited. Taylor and colleagues (2000) proposed that women may have a different biobehavioral response to stress, which has evolved to protect and nurture offspring. The tend-and-befriend model provides new opportunities to explore underlying processes that may contribute to women’s greater anxiety and fear.

The present study examined women’s stress response combined with the absence of positive social contact as it relates to the presentation of fear and anxiety. One hundred and seven …

An Empirically-Supported Model Of Posttraumatic Stress Disorder In Maltreated Youth, Adrianna Wechsler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Posttraumatic stress disorder in maltreated youth is a young and burgeoning field. Lemos-Miller and Kearney (2006) were among the first to propose and test a theoretically and empirically-based model of PTSD in maltreated youth. The present study replicated and evaluated the Lemos-Miller and Kearney model within a larger and more diverse sample of maltreated adolescents. First, the Lemos-Miller and Kearney model was tested via structural equation modeling (SEM). Second, the model was evaluated across age, gender, and ethnicity. Third, trauma history, family environment (i.e., cohesion and conflict), dissociation, and trauma-related cognitions were evaluated as potential mediating variables within the model. …

Increasing Psychological Flexibility Regarding Interpersonal Conflict Between Religious Beliefs And Attitudes Towards Sexual Minorities: An Acceptance And Commitment Therapy (Act) Intervention, Cory John Myler

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study was designed to facilitate the development and assessment of a group therapeutic intervention for lesbian, gay, bisexual, and questioning individuals. Previous research has established that this population is particularly vulnerable to psychological distress and that religiosity contributes to this vulnerability, but there have been no interventions established specifically for the population of sexual minorities who are experiencing religious conflict. The components of Acceptance and Commitment Therapy were used to inform the development of a group intervention, which was then carried out. An assessment battery of numerous quantitative measures was given to participants before and after the intervention to …

Delay And Probability Discounting Functions Of Adults With Attention-Deficit/Hyperactivity Disorder (Adhd), Gretchen Scheidel

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Impulsivity and risk-taking behaviors, concerns that are common for individuals with ADHD, can be measured using computerized tasks called delay and probability discounting measures. These measures can look at differences between individuals with ADHD and peers who do not have ADHD to determine how similar or different they are regarding these concerns. Individuals with ADHD often take stimulant medications, such as Ritalin or Adderall, to help reduce their impulsivity, hyperactivity, and risk-taking behaviors. The present study examined impulsivity and risk-taking for adults with ADHD while taking their stimulant medication and while not taking it, as well as comparing them to …

The Psychological And Physiological Effects Of Using A Therapy Dog In Mindfulness Training, Courtney L. Henry

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study examined the psychological and physiological effects of adding animal-assisted therapy to a modified mindfulness-based stress reduction program (MBSR) for clients experiencing psychological distress, including anxious and depressive symptoms. State and trait mindfulness, state and trait anxiety, psychological distress, blood pressure, and heart rate were collected during each session of the intervention from college students recruited at Utah State University. Results support that participants experienced less anxiety and depressive symptoms and increased mindfulness skills from pre- to posttreatment. No significant difference was found between the control and experimental groups, indicating that that interaction with a therapy dog had no …

Pathways To Social Functioning Via Emotion Regulation In People With Serious Mental Illness, Hayden C. Bottoms

Department of Psychology: Dissertations, Theses, and Student Research

Recent research on social cognitive deficits associated with serious mental illness (SMI) has demonstrated a range of emotion processing difficulties, from emotion perception to emotion regulation. Whereas emotion perception deficits are well documented in this population, little is understood about emotion regulation and the relationship of emotion regulation to other abilities and impairments.

Method. Participants included 41 individuals with SMI recruited from a day rehabilitation program. Assessments included a range of functional domains, including symptom severity, neurocognition, social cognition, emotion regulation, and social functioning.

Results. Emotion dysregulation was hypothesized to be associated with more severe positive symptoms, poorer neurocognitive …

An Evaluation Of Culture-Specific Risk Factors And Emotion Regulation Strategies On Psychological Distress And Maladaptive Behaviors Among Asian Americans, Joo-Hyun Lee

Master's Theses and Doctoral Dissertations

Cultural context is fundamental in cross-cultural conceptualizations of risk factors for mental health status among ethnic minorities. Existing studies indicate that acculturation level predicts psychological adjustment, but findings remain inconclusive. This study, consisting of university students of Asian descent, evaluated the relationship between acculturation level and internalizing/externalizing problems via the incorporation of more proximal measures of risk factors associated with acculturation (e.g., acculturative dissonance and acculturative stress). In addition, the predictive values of non-culture specific risk factors, such as emotion dysregulation and experiential avoidance, were examined. Acculturation-related stressors and difficulties with emotion regulation increased risk for maladjustment within the study’s …

The Effects Of Hiv/Aids On The Mother-Child Relationship, Margaret Gross

Creative Activity and Research Day - CARD

39 semi-structured interviews were conducted with HIV+/- mothers living in central Uganda. Interviews were assisted by a translator and recorded manually on paper then coded and analyzed. The majority of HIV+ mothers were found to be single, supported 5+ children, worked longer days to get by, and emphasized the importance of having a counselor. These findings suggest a strong relationship exists between HIV and motherhood. There is a need for further attention to help single mothers and foster programs that encourage economic growth within their families, nutritional improvement, and overall attention to a group that is currently receiving little assistance.

An Exploration Of Men's Attitudes Regarding Depression And Help-Seeking, Brian Paul Cole

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

Despite significantly higher risk of suicide and co-morbid substance abuse, college age men are far less likely than college age women to seek help when depressed (ACHA, 2010). This “gender gap” has led researchers to suggest that college men are experiencing a mental health crisis (Davies, Shen-Miller, & Isacco, 2010). Several theories have been suggested for this gender gap including: (a) barriers caused by male gender socialization, (b) inaccurate diagnostic criteria, and (c) men experience different symptoms when depressed (Cochran, 2005; Levin & Sanacora, 2007). Additionally, the current researcher hypotheses that fear of femininity is a core aspect of the …

Pornography Addiction And Mental Health Disorders, Tabitha Cassidy

Senior Honors Theses

This study aims to understand the differences between mental health disorders in a sample of pornography users, addicts, and non-users. Participants in the study included males and females who visited a paraprofessional counseling center on a college campus (n=1048). Between non-users and users of pornography, one-way analysis of variance planned comparison results indicated that participants significantly differed in scores of Depression, Anxiety, and Global Severity Index as measured by the Brief Symptom Inventory 18 (BSI 18). Non-Suicidal Self-Injurious behaviors as measured by the Ottawa Self-Injury Inventory; and Grandiosity/Narcissism as measured by the Spiritual Assessment Inventory. Independent sample t-test scores indicated …

A Qualitative Analysis Of Latina Adolescents' And Their Mothers' Perspectives On Adolescent Dating Violence, Carla Shaffer

Theses and Dissertations

Adolescent dating violence is a prevalent and disconcerting reality for many adolescents. Communication with others (e.g., parents, older siblings, friends) about dating violence may buffer some negative outcomes associated with experiencing dating violence. Although researchers are attending more to this public health problem, what we know about the messages that adolescents receive about dating violence is limited, especially for Latina teens. To address this gap in the literature, 18 Latina adolescents (14-17 years) and their mothers participated in semi-structured interviews to explore their beliefs about what dating violence means to them, messages that are shared about dating violence with mothers …

Resilience At St. Labre: Childhood Adversity, Spiritual Well-Being, Employment, And Resilience In A Multi-Ethnic Rural Population, Kristie Knows-His-Gun, Rodger K. Bufford, Kathleen Gathercoal, Winston Seegobin

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Hiv/Aids Care, Coping Strategies And Work Environmental Stress Among Nurses In Botswana, Thabo T. Fako, Debra Rose Wilson, James G. Linn, Ntonghanwah Forcheh

Walden Faculty and Staff Publications

Since 2006 there has been universal acceptance in both developing and industrialized societies that HIV treatment and related services, including more effective programs, be available to all citizens. However, as a result of the worldwide recession and shifting health priorities, progress toward these goals has stalled. While the epidemic continues to grow (approximately 34 million globally, with 2.7 million new cases in 2010), fewer resources are dedicated to treatment and prevention than previously, and clinical staffs, especially nurses are challenged by more patient care responsibilities. This paper focuses on the relationships of HIV/AIDS care, coping strategies and work environmental stress …

The Relationships Of Sleep Quality, Length, And Napping To Physical Performance, Rebecca M. Hoffmann

Doctoral Dissertations

College students suffer from more sleep disturbances than the general population. Sleep difficulties can lead to lower levels of performance, memory, and cognitive ability. Sleep quality is known to impact individuals' physical and psychological health. The relationship between sleep variables (i.e., sleep quality, sleep length, sleepiness, and a nap/relaxation) and physical performance (i.e., flexibility, grip strength, and peak performance) has not been fully examined. The purpose of this study was to explore the relationship between sleep quality, sleep length, and sleepiness and physical performance (e.g., flexibility, grip strength, and peak power), as well as to determine if a short nap …

Counselor Demographics, Client Aggression, Counselor Job Satisfaction, And Confidence In Coping In Residential Treatment Programs, Erik Braun

Counseling & Human Services Theses & Dissertations

Counselors at residential agencies are sometimes assaulted by physically aggressive clients (Flannery & Walker, 2001, 2008). As a possible result of this professional hazard, mental health professionals typically resign from residential counseling positions after approximately 14.6 weeks (Connis, 1979). Although job satisfaction and counselor confidence in coping with client aggression have been widely studied individually in the context of residential settings, researchers have examined these variables together. The overarching purpose of this study was to examine the association between counselor demographic characteristics, agency/environmental characteristics, and crisis intervention training and job satisfaction and confidence in coping with client aggression. Data were …

Emotional, Social, And Cognitive Correlates Of Stalking And Intrusive Harassment, Allissa Marquez

Department of Psychology: Dissertations, Theses, and Student Research

Although stalking has been recognized as social problem for the last twenty years, few studies have examined the treatment needs or effectiveness with these persistent offenders. The dearth of information on appropriate intervention is in part related to the difficulty of operationalizing stalking behavior in empirical studies. Accordingly, the present study sought to examine clinically relevant indicators of functioning using both categorical and continuous definitions of stalking behavior. Two hundred and fifty male prisoners were surveyed about their engagement in intrusive and aggressive behaviors during a significant conflict, as well as their social, emotional, and cognitive functioning. Results indicated quantitative …

Trauma And Post-Traumatic Stress Disorder In Therapeutic Day School Students: Prevalence In This Population And Effective Treatment Programs, Monica Roberts

Dissertations

This survey-based, comparative study investigated the percentage of students at a suburban Chicago therapeutic day school who meet criteria for clinically significant levels of PTSD as compared to students in a general education setting. The directional hypothesis was that students placed at therapeutic day schools have a higher prevalence of PTSD than a general population of students. The method used was a survey assessment called the Child PTSD Symptom Scale (CPSS) given to 16 students at a suburban Chicago therapeutic day school. These CPSS scores were analyzed and statistically compared to CPSS scores of an already published study with students …

Finding Balance: Integration As A Four-Legged Stool, Rodger K. Bufford

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Measuring Grace: Further Development And Validation Of A Grace Measure, Rodger K. Bufford, Amanda Blackburn, Rodney Bassett, Timothy Sisemore

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Schemas, Core Beliefs, Worldviews, And Clinical Practice, Chad A. Houchin, Rodger K. Bufford

Faculty Publications - Doctor of Psychology (PsyD) Program

No abstract provided.

Stress, Anxiety, And Somatic Symptoms: A Comparison Of Biomarkers In A Clinical Sample, David J. Finitsis

Master's Theses

Anxiety disorders are the most prevalent class of mental disorders, often characterized by a chronic course and comorbid psychopathology. The anxiety-stress literature utilizing cortisol as a biomarker of the hypothalamus pituitary adrenal (HPA) axis has been inconsistent. The establishment of salivary alpha-amylase (sAA) as a biomarker of sympathetic nervous system (SNS) activation allows researchers an opportunity to examine the stress response more fully. This study sought to explore relationships between trait anxiety and salivary stress biomarkers in an outpatient sample attending a specialized anxiety treatment center. Multiple regression and moderator analyses were conducted to examine associations between psychosocial and physiological …