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Clinical Psychology Commons™

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2015

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Articles 121 - 150 of 412

Full-Text Articles in Clinical Psychology

Students' Perspectives After Participation In A Mandated College Level Alcohol Intervention Program: A Phenomenological Study, Suzanna L. Guizar Jul 2015

Students' Perspectives After Participation In A Mandated College Level Alcohol Intervention Program: A Phenomenological Study, Suzanna L. Guizar

Graduate Theses and Dissertations

Alcohol abuse among college students continues to be a significant problem by which the consequences impact the student, their peers, and the university. Although quantitative research with volunteer participants supports the use of enhanced brief motivational interventions and cognitive behavioral skills training in reducing risky drinking behavior (binge drinking), research with mandated students has shown inconsistent findings. The current study is a phenomenological qualitative study exploring the students’ perspectives after attending a mandated college-level alcohol intervention program. Mandated students are students who have been referred to an alcohol intervention as a result of violating an alcohol related policy on campus. …


Neural Plasticity In Response To Intervention In Adolescents With Autism Spectrum Disorders, Sheryl Jayne Stevens Jul 2015

Neural Plasticity In Response To Intervention In Adolescents With Autism Spectrum Disorders, Sheryl Jayne Stevens

Dissertations (1934 -)

Current theories of Autism Spectrum Disorders (ASD) suggest that they may develop from the transactional interaction between biological risk factors and environmental processes (Dawson et al., 2009). Due to the brain’s experience-expectant nature, one’s degree of social exposure may have a significant impact on their brain development and behavioral presentation. In addition to the primary critical neurodevelopmental period identified in early childhood, recent research has demonstrated a second period of substantial neurodevelopment during the adolescent period (Sisk & Foster, 2004). This study investigated the neural and behavioral impact of participation in an empirically validated behavioral intervention (The Program for the …


Primary And Family Stigma Of Mental Illness: Comparing Perceptions Of African Americans And European Americans, Julia Rubinshteyn Jul 2015

Primary And Family Stigma Of Mental Illness: Comparing Perceptions Of African Americans And European Americans, Julia Rubinshteyn

Dissertations (1934 -)

Research has shown that stigma is a significant barrier to mental health treatment seeking, and that African Americans tend to have significantly lower rates of treatment seeking compared to European Americans (Wang et al., 2005). Stigma affecting the individual directly is called primary stigma (Corrigan & Kleinlein, 2005), whereas stigma affecting the individual’s family members is referred to as family stigma. In the present study, a vignette was presented to 287 undergraduate students at Marquette University. The study examined attitudes of primary and family stigma toward a target based on race (European American or African American) and type of mental …


Examination Of A Parent-Assisted, Friendship-Building Program For Adolescents With Adhd, Denise Marie Gardner Jul 2015

Examination Of A Parent-Assisted, Friendship-Building Program For Adolescents With Adhd, Denise Marie Gardner

Dissertations (1934 -)

Attention-Deficit/Hyperactivity Disorder (ADHD) is a common childhood disorder that often contributes to impairment in multiple domains, including peer functioning. Specifically, youth with ADHD tend to have fewer friends and lower quality friendships, experience greater peer victimization, and engage in more inappropriate social behaviors than typically developing peers. Researchers have highlighted the need for long-term interventions that directly address peer difficulties, emphasize dyadic friendship-building, and include a parent component. Thus, the current pilot study will examine the effectiveness of PEERS, a parent-assisted, friendship-building program, at establishing mutual friendships and improving current peer relationships in adolescents with ADHD. Participants in the study …


A Daily Diary Investigation Of Discrimination And Binge Eating Among Lesbian Women, Tyler Mason Jul 2015

A Daily Diary Investigation Of Discrimination And Binge Eating Among Lesbian Women, Tyler Mason

Psychology Theses & Dissertations

Lesbian women may experience discrimination because of their gender and their sexual orientation termed sexism and heterosexism, respectively. Both sexism and heterosexism are associated with increased psychological distress and negative affect among lesbian women. Furthermore, preliminary evidence suggests that heterosexism is associated with binge eating among lesbian women. However, the relationship between discrimination and binge eating has received limited empirical examination. This study examined associations between sexism and heterosexism, negative affect, and binge eating using a daily diary methodology. Participants were recruited online through social media and LGBT organizations after completing an online eligibility survey with measures of demographics, binge …


Child Appraisals Of Interparental Conflict: The Effects Of Intimate Partner Violence And The Quality Of Parent-Child Relationships, Caleb J. Figge Jun 2015

Child Appraisals Of Interparental Conflict: The Effects Of Intimate Partner Violence And The Quality Of Parent-Child Relationships, Caleb J. Figge

College of Science and Health Theses and Dissertations

Children’s appraisals of parental conflict, particularly perceived levels of threat, self-blame, and coping efficacy, have consistently been shown to mediate the association between conflict exposure and maladaptive outcomes. However, few studies have examined factors that may contribute to children’s use of these maladaptive appraisals, particularly among children exposed to more severe forms of interparental conflict. The current study will examine the influence of intimate partner violence (IPV) exposure and parent-child relationship quality on children’s appraisals of conflict, evaluating if these factors have independent effects, if they interact (i.e., parent-child relationship quality buffers the effect of IPV) or if parent-child relationship …


The Importance Of Family Meals And Sedentary Behavior In Understanding Childhood Depression And Obesity, Draycen D. Decator Jun 2015

The Importance Of Family Meals And Sedentary Behavior In Understanding Childhood Depression And Obesity, Draycen D. Decator

College of Science and Health Theses and Dissertations

The ongoing obesity epidemic within the United States is a problem that has received a lot of attention, but is still inadequately understood. Understanding the epidemic requires examining BMI from a larger perspective, with an ecological mindset (Rosenkranz & Dzewaltowski, 2008). A bidirectional relationship between depression and obesity, which has been found in the past, might be due to family meals. Sedentary behaviors has been linked to both outcomes, and is predicted by family meal frequency, suggesting that it may play a mediational role. In order to help clarify the relationship between depressive symptoms and obesity, a sample of 120 …


The Role Of Guilt, Shame, And Self-Compassion In Promoting Racial Justice Engagement For White Students, Elizabeth A. Mcconnell Jun 2015

The Role Of Guilt, Shame, And Self-Compassion In Promoting Racial Justice Engagement For White Students, Elizabeth A. Mcconnell

College of Science and Health Theses and Dissertations

Diversity courses and activities are a part of the multicultural mission of many institutions of higher education. However, universities, colleges, and diversity educators continue to grapple with how to increase participation and student engagement in these courses. The lens of privilege studies provides an important perspective for thinking about how to achieve this goal for White students learning about systems of racial inequity. In the current study, we conducted four studies to better understand how to decrease resistance to reflecting on White privilege (e.g., defensive affect or withdrawal) and to promote racial justice engagement (e.g., willingness to take diversity courses …


Exploring Mindfulness As A Culturally Sensitive Intervention For The Deaf Community, Barrymore R. Rosellini Jun 2015

Exploring Mindfulness As A Culturally Sensitive Intervention For The Deaf Community, Barrymore R. Rosellini

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Mental health issues are as prevalent in the deaf community as the hearing community, if not more. Yet, Deaf individuals are often treated by mental health professionals less frequently and less effectively. Many systemic barriers exist that influence the lack of services provided to the Deaf community, primarily related to a lack of cultural understanding rooted in perceptions of Deaf individuals. However, the Deaf community may be best understood as a cultural minority, a unique community sharing a distinct culture, history, and language. This paper investigates the effects of systematic barriers and cultural misunderstanding among mental health professions regarding the …


Development Of A Psychological Assessment Battery To Measure Client Beliefs About The Effectiveness Of Psychotherapy, Christopher Peavey Jun 2015

Development Of A Psychological Assessment Battery To Measure Client Beliefs About The Effectiveness Of Psychotherapy, Christopher Peavey

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The author attempted to develop a brief scale to measure clients' beliefs about the effectiveness of psychotherapy. The study is an early pilot study to determine if the scale can predict therapy outcomes. While the scale did differ significantly between clients who were active in therapy and those who were not, higher scores on the instrument were not indicative of greater involvement. Possibilities for future research to refine the instrument are discussed.


Health Coaching For Chronic Disease Management: A Program Evaluation Conducted At Denver Health Managed Care, Adam Altschuh Jun 2015

Health Coaching For Chronic Disease Management: A Program Evaluation Conducted At Denver Health Managed Care, Adam Altschuh

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The purpose of this study is to evaluate health coaching at Denver Health Managed Care Center. We evaluated patients with diabetes and obesity who received a telephonic, motivational-interviewing intervention. Our hypothesis was that patients who received health coaching would have improved health outcomes compared to patients who received standard medical care alone. This research benefits this specific program in clarifying effectiveness (i.e. improvement in health and efficiency, indicated by length of treatment). Health coaching is a growing area of study. This research also adds to a broader conversation about what professionals best serve in the role of health coaches, what …


Understanding Change In A Therapeutic Community For People With Severe Mental Illness: An Interpretive Phenomenological Study, Julie Caroline Keys Jun 2015

Understanding Change In A Therapeutic Community For People With Severe Mental Illness: An Interpretive Phenomenological Study, Julie Caroline Keys

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In order to gain better understanding of how therapeutic communities instigate change, this interpretative phenomenological study explores the recognized agents of change as reported by current and recent community members of a particular therapeutic community. Four superordinate themes were discovered: the structure of the program, engagement in the community, intentionality/mindfulness, and applied knowledge. While the results from this study are similar in several ways to the current literature, they also expand the literature about therapeutic communities in one important way. The change agents reported as leading to healing strongly resemble current best practice for the treatment of trauma. Limitations and …


The Effects Of Inclusion Classrooms On Students With And Without Developmental Disabilities: Teachers’ Perspectives On The Social, Emotional, And Behavioral Development Of All Students In Inclusion Classrooms, Allison E. Evins Jun 2015

The Effects Of Inclusion Classrooms On Students With And Without Developmental Disabilities: Teachers’ Perspectives On The Social, Emotional, And Behavioral Development Of All Students In Inclusion Classrooms, Allison E. Evins

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

In education settings, inclusive or mainstream classes are resisted at the secondary level and there is little research about the possible positive aspects of including students with and without disabilities or an Individualized Education Plan in classes together. In order to better understand the potential benefits of mainstream classrooms, it is important to understand the perspectives of teachers who work within these high school settings. The purpose of this study was to tell the stories of teachers and describe the development that teachers see in inclusive classrooms. Interviews with four teachers revealed insights on mutual learning between the two groups …


The Clinical Utility Of The Adult Attachment Projective Picture System: A Clinician's Perspective, Ashley Gunterman Jun 2015

The Clinical Utility Of The Adult Attachment Projective Picture System: A Clinician's Perspective, Ashley Gunterman

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The Adult Attachment Projective Picture System (AAP) is the first performance-based measure of adult attachment to be developed. The purpose of the measure is to provide a clinical understanding of an adult client's attachment status and associated coping mechanisms. The AAP is a relatively new measure that has yet to be examined from a utility perspective. In the current study, seven psychologists completed a structured survey in order to identify their perspectives of the AAP and its utility as a clinical instrument. A phenomenological qualitative analysis of the data was conducted to derive themes about the AAP and its clinical …


Functional Analytic Psychotherapy Compared To Watchful Waiting For Enhancing Social Connectedness: A Randomized Clinical Trial With A Diagnosed Sample, Daniel W. M. Maitland Jun 2015

Functional Analytic Psychotherapy Compared To Watchful Waiting For Enhancing Social Connectedness: A Randomized Clinical Trial With A Diagnosed Sample, Daniel W. M. Maitland

Dissertations

The efficacy of Functional Analytic Psychotherapy (FAP) has not yet been show in randomized controlled trials in any population. The current study utilized a stratified randomization technique conducted by a computer system to assign twenty-three college students recruited for difficulties in interpersonal functioning who scored one standard deviation below the norm on the Fear of Intimacy Scale and met diagnostic criteria via independent assessment for Major Depressive Disorder, Generalized Anxiety Disorder, Social Anxiety Disorder, Avoidant Personality Disorder, or Dependent Personality Disorder to either a FAP condition or a Watchful Waiting Condition to assess the conditions ability to increase social relating …


The Effects Of Schedule Density Of Reinforcement For Alternative Behavior On Resurgence, Kathryn M. Kestner Jun 2015

The Effects Of Schedule Density Of Reinforcement For Alternative Behavior On Resurgence, Kathryn M. Kestner

Dissertations

Resurgence is the reemergence of a previously extinguished response when an alternative response no longer produces reinforcement. Although returning to previously successful methods for obtaining reinforcement is likely advantageous, resurgence also occurs in the form of treatment relapse. An individual may return to problematic behavior (e.g., aggression, self-injury, drug use) when an alternative behavior (e.g., communication response, coping skill, social behavior, etc.) is no longer successful at producing a reinforcer. Behavior analysts rely on treatments based on differential reinforcement of alternative behavior, and resurgence has been demonstrated following changes to reinforcement schedules due to errors in treatment integrity or intentional …


Four Lessons Learned From Treatingcatholic Priest Sex Offenders, Thomas G. Plante Jun 2015

Four Lessons Learned From Treatingcatholic Priest Sex Offenders, Thomas G. Plante

Psychology

Perhaps there is no one in our society more despised and vilified than sex offenders, especially those who sexually violate young children. And during the past decade perhaps no particular subgroup of sex offender has been more despised than those who are Roman Catholic priests. We need to be attentive to the state-of-the-art facts, best practices, and create policies and procedures to keep those who might harm children away from children. To do otherwise is foolish and harmful. Yet strong opinions, advocacy, and hysteria sometimes gets more attention than actual evidence-based quality research and practice which is not ultimately in …


Weight Stigma As A Mediator Among Bmi, Childhood Overweight, Body Image And Depression, Serena D. Stevens Jun 2015

Weight Stigma As A Mediator Among Bmi, Childhood Overweight, Body Image And Depression, Serena D. Stevens

Loma Linda University Electronic Theses, Dissertations & Projects

Higher body mass index (BMI), childhood overweight, and weight stigmatization are correlated with depression and body dissatisfaction. Given that overweight/obese individuals are likely to experience significant weight stigma, the goal of the current study was to examine the effects of current weight and childhood overweight on depression and body dissatisfaction, and to examine weight stigmatization as a mediator in these relationships. Participants were 380 undergraduate students from the University of South Florida (84.5% female) with a mean age of 21.18 (SD = 4.32) and a mean BMI of 23.86 (SD = 5.03). Of these students, 53.4% were White, 24.7% were …


Relationship Among Psychotherapy Measurements: Predictors Of Ors And Oq-45 Scores, Evan Lima Jun 2015

Relationship Among Psychotherapy Measurements: Predictors Of Ors And Oq-45 Scores, Evan Lima

Loma Linda University Electronic Theses, Dissertations & Projects

Psychological services have become increasingly important and accepted. The increase in the utilization of services has led to third party payers (e.g., insurance companies) paying more in reimbursement to providers of psychological services and therefore tightening parameters regarding how many sessions will be reimbursed. With the pressure from third party payers, a standardized means of monitoring client’s progress in treatment has become necessary. The goal of the current study was to determine whether (1) the trajectories of Outcome Questionnaire 45 (OQ-45) and Outcome Rating Scale (ORS) scores are the same over time, and if the Session Rating Scale (SRS) predicts …


Cultural Beliefs And Self-Efficacy In Diet Adherence Among Type 2 Diabetics, Sonika Kravann Ung Jun 2015

Cultural Beliefs And Self-Efficacy In Diet Adherence Among Type 2 Diabetics, Sonika Kravann Ung

Loma Linda University Electronic Theses, Dissertations & Projects

Type 2 Diabetes (T2D) is a global epidemic that disproportionately affects socioeconomic and ethnic minority populations (International Diabetes Federation, 2013). Mapuches, the largest Native American population in Chile, shifted from the lowest incidence of T2D to equal rates in comparison to mainstream Chileans within a decade (King & Rewers, 1991; Perez-Bravo et al., 2001). This may be due to economic growth and rapid nutritional shifts (Yu & Zinman, 2007). Previous research has identified the importance of cultural beliefs in explaining health behavior (Betancourt, Flynn, & Ormseth, 2011). This study, guided by Betancourt’s Integrative Model for Culture, Psychological Factors and Behavior …


Parental Stress And Child Behavior Problems In Families Of Children With Autism, Allyson Davis Jun 2015

Parental Stress And Child Behavior Problems In Families Of Children With Autism, Allyson Davis

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Studies have shown that parents of children with autism spectrum disorders (ASD) exhibit higher levels of stress than parents of typically developing children or children with other types of developmental disabilities. This relationship appears to be mediated by elevated levels of behavior problems observed in children with ASD. However, little is known about what specific child behavior problems are most common in this population, how these behavior problems relate to parental stress, and/or how these behavior problems may impact the efficacy of a stress-reduction intervention. We examined the relationship between parenting stress and child behavior problems in parents of …


Self-Protective Behaviors And Campus Threat Assessment, Sarah Hoff Jun 2015

Self-Protective Behaviors And Campus Threat Assessment, Sarah Hoff

Department of Psychology: Dissertations, Theses, and Student Research

Extreme acts of targeted violence on postsecondary campuses have prompted many institutions to commit more resources to increasing safety while maintaining an open and creative environment. Investigations after incidents of targeted violence on campuses have identified pre-incident behaviors, or “red flags,” that were observed before the perpetrator engaged in violence. Threat assessment is a proactive approach to preventing acts of targeted violence that was initially developed by members of the United States Secret Service (USSS), and has since expanded into the context of postsecondary campuses. Research has shown some individuals may engage in self-protective behaviors in order to reduce their …


Triple Stigma In Forensic Psychiatric Patients: Mental Illness, Race, And Criminality, Michelle Leigh West May 2015

Triple Stigma In Forensic Psychiatric Patients: Mental Illness, Race, And Criminality, Michelle Leigh West

Dissertations, Theses, and Capstone Projects

Stigma involves negative beliefs and devaluations of people in socially identified groups (e.g. race, mental illness). Although people have many reactions to social stigma, some labeled people internalize these attitudes. Research has increasingly explored mental illness self-stigma, when people with mental illness begin to believe that society's negative beliefs are true of them (e.g., that they are hopeless due to mental illness). Self-stigma predicts poorer functional and treatment outcomes. Stigma research has typically investigated stigmatized labels individually. Forensic psychiatric patients, people with mental illness with history of criminal conviction, by definition experience multiple stigmas, yet no research has explored how …


Electrophysiological Markers Of Short-Term Visual Adaptation: An Examination Across The Schizophrenia Spectrum, Gizely N. Andrade May 2015

Electrophysiological Markers Of Short-Term Visual Adaptation: An Examination Across The Schizophrenia Spectrum, Gizely N. Andrade

Dissertations, Theses, and Capstone Projects

The experiments comprising this dissertation sought to contribute to the understanding of basic sensory processing in schizophrenia-spectrum disorders and risk-liability. We leveraged the sensitivity of visual processing deficits along with widely reported sensory-gating deficits (in other modalities) to develop a new paradigm assaying short-term visual adaptation to repetitive stimuli. In the first experiment, adaptation properties of the visual system were characterized in neurotypical adults using a classic "paired adaptation paradigm" and a more taxing "block adaptation paradigm," using high-density EEG. In the second experiment, we deployed our new visual adaptation assay in a clinical population. We replicated classic early VEP …


Factors That Affect Treatment Compliance Among Individuals With Mental Illness, Marsha Brown May 2015

Factors That Affect Treatment Compliance Among Individuals With Mental Illness, Marsha Brown

Dissertations, Theses, and Capstone Projects

Approximately 6% of the American population suffers from a severe mental illness such as Schizophrenia, Bipolar Disorder, Major Depressive Disorder, Post-Traumatic Stress Disorder, and Obsessive-Compulsive Disorder. Treatment compliance in individuals with severe mental illness is imperative as without treatment these individuals may experience homelessness, unemployment, and a decreased life expectancy of up to 34 years. Consequently, researchers have increasingly examined factors that may affect overall compliance among these individuals, such as insight, social support, symptom severity, and substance abuse. However, many of these studies focus on compliance with prescribed medications and few examine compliance with recommended psychological treatment. The current …


Psychosocial Sequelae Of Homicide Among Murder Victims' Family Members: An Appraisal Of Depression, Grief, And Posttraumatic Stress, Sarah Kopelovich May 2015

Psychosocial Sequelae Of Homicide Among Murder Victims' Family Members: An Appraisal Of Depression, Grief, And Posttraumatic Stress, Sarah Kopelovich

Dissertations, Theses, and Capstone Projects

The current investigation explored what is known regarding the psychological sequelae of the post-homicide experience for murder victims' family members and friends (MVFM). Participants were also asked about whether they felt they had attained closure, a term which populates anecdotal and theoretical accounts of MVFM's experience. Previous literature guided a theoretical definition of closure as a dimensional construct that represents adaptive functioning following a murder, and includes (1) absence of disabling symptomatology, (2) absence of ruminations about the event or murder victim, and (3) subjective return to baseline functioning. This quasi-experiment consisted of a between-subjects cross-sectional design. The dependent variable …


Effectiveness Of Psychological Techniques In Increasing Deviant Sexual Fantasy Self-Disclosures, Christian Maile May 2015

Effectiveness Of Psychological Techniques In Increasing Deviant Sexual Fantasy Self-Disclosures, Christian Maile

Dissertations, Theses, and Capstone Projects

The assessment of deviant sexual fantasy and interests is an important component in sex offender risk assessment and subsequent treatment planning. However, clinicians and researchers have long acknowledged that sex offenders often distort or underreport details related to their sex offenses, particularly details relating to offense-related deviant sexual fantasy and interests. Some of the common methods used to minimize underreporting of deviant sexual fantasy and interests include the use of phallometry (or plethysmography) and polygraphy; however, not all assessment/treatment facilities or private practitioners providing services to sex offenders have access to such resources. Thus, the development of more efficient, cost-effective …


Negative Cognitive Style, Rumination, And Negative Emotionality As Mediators Of The Antidepressive Effects Of Physical Activity Among Young Adults, Kara Pegram May 2015

Negative Cognitive Style, Rumination, And Negative Emotionality As Mediators Of The Antidepressive Effects Of Physical Activity Among Young Adults, Kara Pegram

Clinical Psychology Dissertations

Abstract

This study assessed whether three potential cognitive and affective mechanisms mediated the relationship between physical activity and depressive symptoms. Participants were 143 young adults between the ages of 18 and 29 (M = 19.29, SD = 1.65); the majority of participants were female (72%) and Caucasian (69.9%). Participants were followed across eight weeks and completed measures of trait and state rumination, negative emotionality, cognitive style, depressive symptoms, and physical activity. A mediated model was proposed hypothesizing negative association between physical activity and depression mediated by less rumination, negative emotionality, and cognitive style. Hypotheses were examined cross-sectionally and prospectively. …


Investigating Sleep Behaviors In Autistic Infants, Alanna R. Flynn May 2015

Investigating Sleep Behaviors In Autistic Infants, Alanna R. Flynn

Undergraduate Honors Theses

Autism Spectrum Disorder (ASD) is defined by social, emotional, and learning deficits. Past research suggests that ASD and sleep problems often co-occur. The goal of this research was to investigate sleeping behaviors in autistic infants in comparison to typically developing infants (TD). The data of this study has been acquired at the University of California San Diego Autism Center of Excellence. One main goal of this center is to identify early indicators of ASD in infants (1-3 years of age), which could lead to earlier treatment and better therapy techniques. The current study used a sleep questionnaire to compare parent-reported …


The Relation Of Hyperactivity To Parenting Stress Within The Parent-Child Relationship In Children With Autism Spectrum Disorders, Heather Davis May 2015

The Relation Of Hyperactivity To Parenting Stress Within The Parent-Child Relationship In Children With Autism Spectrum Disorders, Heather Davis

Clinical Psychology Dissertations

Research indicates that parents of children with autism spectrum disorder (ASD) experience more total stress and more stress within specific domains of the parent-child relationship. Specific externalizing behaviors such as hyperactivity have been related to elevated adverse parent-child outcomes in families with typically developing children. To date, the relation of child hyperactivity to parenting stress has not been examined in children with ASD. This study investigated the extent to which child hyperactivity differs between children who are typically developing (TD) and children with ASD. In addition, this study also examined the relation of child hyperactivity to parenting stress. Participants included …