Clinical Psychology Commons^™

The Mediating Role Of Sensitivity To Criticism On The Relationship Between Vulnerable Narcissism And Negative Affect, Sneha Shankar

Master's Theses and Doctoral Dissertations

Researchers have examined the interpersonal correlates of narcissistic traits through ego-threats precipitated by experiences of external rejection or criticism. However, few studies have empirically investigated the role of sensitivity to criticism in the relation between vulnerable narcissism and negative affect. This study sought to examine this relation through comparing the mediating and moderating effects of sensitivity to criticism to shame and psychological inflexibility within three feedback conditions (positive, negative, and none). Three samples were utilized to assess these trait and state associations. Sensitivity to criticism demonstrated only moderating effects on the relation between vulnerable narcissism and situational anger in the …

Trained And Derived Relational Responding, Jonathan D. Sober

Wayne State University Dissertations

Introduction: Persons with preclinical Alzheimer’s disease (AD) show impairments in semantic and associative memory years before the onset of clinical symptoms. However, many tasks used to assess these deficits make use of previously learned stimuli, often within well-established semantic networks that may be more resistant to disease-related changes. No research has been conducted examining trained and derived relational responding (TDRR) in older adults or in the presence of AD risk factors. The purpose of this study was to determine whether a novel TDRR task would be sensitive to age-related and disease-risk cognitive changes. Method: Thirty younger adults and 15 older …

Psychological Distress As A Predictor Of Methamphetamine Use Among Racial Minority Women, Sundra Barnett Allen

Walden Dissertations and Doctoral Studies

AbstractThe scope and magnitude of methamphetamine (MA) use among racial minority women (RMW) created pivotal health concerns due to its highly addictive nature. Despite much available research, the problem of psychological distress (PD) as an attribute of MA use among RMW remained as a gap in the literature. The purpose of the present study was to examine the relevancy between PD and MA use among RMW to determine if distress predicts MA use among this population. The attributes of PD, as defined in the K6, are nervousness, restlessness, hopelessness, feelings of sadness or depression, feelings that suppress effort, and a …

Narratives Of Chronic Pain After Treatment In Adult Patients, Matthew Sebastian Vittucci

Walden Dissertations and Doctoral Studies

In the United States 100 million people live with pain and must negotiate complicated clinical decisions that lead to a variety of treatments to control pain, some of which are effective and some that are not. Social identity theory and attribution theory guided the development of the interview protocol and analysis plan. A qualitative study was conducted to explore the complex nature of living with chronic pain through the narratives of seventeen adults in chronic pain for at least 3 months. Structural and thematic approaches were used to analyze the data. The structural results revealed three groups of participants: those …

The Connection Between Pain, Perceived Disability, Emotional/Behavioral Problems, And Treatment Satisfaction, Penny Renee Drake

Walden Dissertations and Doctoral Studies

With more than 100 million Americans living in chronic pain (CP), there is a growing need for better and more effective pain management strategies. CP can result from an injury, disease, or an emotional or psychological issue. The purpose of this quantitative, nonexperimental study using a multiple linear regression procedure was to determine if CP patients’ perception of their disability as measured by the Personality Assessment Screener (PAS) and their emotional and/or behavioral problems as measured by the Oswestry Disability Index predict their satisfaction with their pain management regimen as measured by the researcher-produced instrument Survey of Satisfaction with Pain …

Emotion Regulation And Executive Functioning : A Comparison Of Collegiate Taekwondo Athletes, Other Athletes, And Non-Athletes, Rae Danett Drach

Legacy Theses & Dissertations (2009 - 2024)

Emotion regulation and executive functioning are intricate processes that allow individuals to initiate, inhibit, or modulate emotions and behaviors in service of personally-relevant goals in familiar, novel, and ambiguous contexts. Research has demonstrated that exercise improves emotion regulation and executive functioning. Recently, researchers have started investigating whether mindful exercise – physical exercise that incorporates an inwardly directed, non-judgmental, contemplative focus – explicitly strengthens these capabilities. As a martial art and sport that combines training in body movement and mental focus, taekwondo is a globally popular example of mindful exercise that may benefit affective and cognitive processes. The current study examined …

Examining Cognitive And Behavioral Inflexibility : A Transdiagnostic Process Underpinning Maladaptive Exercise Behaviors And Attitudes, Mckenzie Miller

Legacy Theses & Dissertations (2009 - 2024)

Objective: Cognitive and behavioral inflexibility, or the inability to respond flexibly and adaptively to changing environmental demands, are hallmark features of eating disorders (ED). Individuals with EDs exhibit inflexibility across domains, often including in exercise behaviors, manifesting as exercise dependence and rigid workout routines. The purpose of this study was to assess how different motives for exercise are differentially associated with cognitive and behavioral flexibility, a marker of EDs. To the extent that inflexibility in exercise is a risk factor and symptom of disordered eating, increasing cognitive and behavioral flexibility as it relates to physical activity may be an effective …

Longitudinal Examination Of Contextual Risk, Promotive Factors, And Psychosocial Functioning Using Structural Equation Modeling With A Sample Of Serious Adolescent Offenders, Daniel J. Knauer

Legacy Theses & Dissertations (2009 - 2024)

Mental health problems, including substance use problems, are more prevalent among adolescent criminal offenders than among the general population and are associated with an elevated risk of re-offending. It is important to understand what factors are associated with serious adolescent offenders’ future mental health and re-offending outcomes to promote their positive development. This study examined potential mechanisms behind established relationships between risk factors for mental health and criminal offending and psychosocial outcomes while integrating ecological theory and a risk and protective framework. To do this, a mediation model was examined using structural equation modeling in which contextual risk was hypothesized …

The Effect Of Mindfulness On Autonomic Nervous System Coordination In Individuals With Interparental Conflict Exposure, Rachel Clegg

Legacy Theses & Dissertations (2009 - 2024)

Adverse childhood experiences, such as interparental conflict exposure, have long-term negative effects across various domains, including psychological and physiological health. Research reveals a link between interparental conflict and coordination between stress response systems, specifically sympathetic and parasympathetic nervous systems (SNS and PNS, respectively). Despite this knowledge, much less is known about potential protective factors or intervention strategies within this area. Mindfulness interventions have been found to be useful in the treatment of psychological and physical problems, including PTSD and stress-related diseases. The present study examined the effect of a mindfulness intervention on coordination between PNS, as measured by respiratory sinus …

The Effects Of Cumulative Risk And Cross-Domain Risk On Preschooler's Executive Functioning Performance : The Buffering Role Of Parental Autonomy Support, Atara B. Siegel

Legacy Theses & Dissertations (2009 - 2024)

There is robust evidence that early childhood adversity has wide ranging impacts on mental health, physical health and well-being in adulthood. Executive functioning (EF) deficits may partially mediate these effects, predisposing children to risky behavior and poor decision making. A growing body of research indicates that there is a link between early adversity and EF. However, more research is needed with younger children and with children at higher risk of multiple adversities. Measuring multiple adversities is complex, and researchers differ in their approaches to measuring cumulative adversity. Cumulative risk (CR) scores are an established method to capture important components of …

The Impact Of Problem Behaviors, Parenting And Availability Of Supports On Aspects Of Family Life In Children With Autism Spectrum Disorder, Celia Tam

Legacy Theses & Dissertations (2009 - 2024)

It is well documented that children with autism spectrum disorder (ASD) tend to exhibit more problem behaviors compared to typical peers; moreover, parents of children with ASD are more likely to report experiencing greater parental and family stress. The current study set out to shed light on the ways and degree to which problem behaviors in children with ASD may impact multiple aspects of family life. The potential moderating role of family resources and perceived support, including emotional, physical, and disability-related support, along with certain parenting behaviors, was also explored. Participants included parents/caregivers of children diagnosed with ASD between the …

Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper

PsyD Program in Clinical Psychology Doctoral Dissertations (Seattle)

According to the American Academy of Pediatrics (AAP, n.d.), 40% to 50% of individuals seeking mental health services terminate prematurely due to lack of access, lack of transportation, financial constraints, child mental health professional shortages, and stigma related to mental health. These barriers contribute to primary care providers assessing and managing mental health concerns at increasing rates, particularly symptoms consistent with attention deficit/hyperactivity disorder (ADHD). ADHD is a neurobiological disorder beginning in childhood that is defined as “a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development” (American Psychiatric Association [APA], 2013, p. 59). Current literature shows …

East African Immigrants’ Perceptions Of Mental Illness In The United States, Marion R. Kwoba

Walden Dissertations and Doctoral Studies

AbstractMental illness is considered a silent killer in East Africa as it affects 1 in 4 people. Differences exist in how individuals from Western countries perceive mental illness compared to East Africans’ perceptions. The purpose of this qualitative study was to understand the lived experiences of East African immigrants to the United States and the impact of these experiences on their perceptions of mental illness. Social learning theory and Berry’s acculturation model provided the framework for the study. Data were collected from 12 semistructured individual interviews with participants 20 years and older. The three themes that emerged from coding analysis …

Importance Of Childhood Maltreatment On Borderline Personality In Adults: Meta-Analysis, Lisa Nicole Trentacosti

Walden Dissertations and Doctoral Studies

Early childhood maltreatment (CM) is a risk factor for later psychopathology specifically Borderline Personality Disorder (BPD). CM has been found to negatively affect social, emotional, and psychological development as well as the ability to foster and sustain interpersonal relationships throughout all stages of life. There are evidence-based interventions for different kinds of CM including Trauma-Focused Cognitive-Behavior Therapy (TF-CBT), Alternatives for Families - Cognitive Behavioral Therapy (AF-CBT), relaxation training, and social skills training. The current study is a meta-analysis of published research into CM as it contributes to BPD in adults and is designed to examine the effect size of childhood …

Stress, Depression, And Anxiety, Oh My: Examining The Effects Of A Single-Session Seminar On Depression And Anxiety Symptomatology, Katelyn Sharpe

Electronic Theses and Dissertations

Young adults (aged 18-25) were identified as the most stressed age group due to internal and external factors that are relatively unique to their group. High stress levels are alarming as they coincide with a multitude of adverse effects on psychological health, including difficulty falling and staying asleep, reduction in overall sleep quality, and exacerbated depression and anxiety symptomatology. Young adults attending post-secondary education institutions are at particular risk for developing and maintaining these adverse psychological effects of stress, especially considering the low rate in which they seek treatment for psychiatric difficulties. Limited literature exists to date regarding condensing a …

Interictal Avoidance Of Sensory Stimuli Among Individuals With Migraine, Daniel Rogers

Electronic Theses and Dissertations

Migraine is the most debilitating neurological disorder worldwide and is associated with high economic and psychological costs. Common behavioral strategies for coping with migraine include avoidance of stimuli believed to precipitate an attack, though literature suggests that avoidance behaviors may serve to exacerbate migraine-symptoms and increase disability. Although the incorporation of trigger avoidance in modern conceptualizations of headache-related disability represents a more comprehensive understanding of disability occurring outside of migraine attacks (interictally), extant literature has emphasized trigger avoidance to the exclusion of other factors. Learning principles suggest stimuli that exacerbate migraine may take on similar eliciting properties as pain and …

Assessment Tools In Clinical And Counseling Psychology, Alea Reifenrath

Undergraduate Research Journal

Evidence-based assessment (EBA) is defined as the use of standardized assessment tools that have research support for their psychometric properties (Jensen-Doss & Hawley, 2010). Assessment is a key aspect of the therapeutic process. It involves screening individuals who are at risk for a particular mental health concern, determining the severity of a given issue, and monitoring the effectiveness of treatment. EBA allows for best practice by providing empirically sound, valid, reliable measures of assessment.

The broad areas of anxiety and depression represent extremely common disorders. Because of their high prevalence, evidence-based assessment tools catered toward depression and anxiety could be …

A Longitudinal Examination Of Depression Among Older Adults: The Role Of Working Memory And Sleep, David Brush

Electronic Theses and Dissertations, 2020-2023

Introduction: The development and regulation of depressive symptoms and the ability to regulate their development is a complex process. Both working memory and sleep disturbance relates to depressive symptom endorsement, though the mechanisms relating these variables have not been examined longitudinally. The current manuscript contains a series of three interrelated studies that aim to elucidate the relationship between potential emotion regulation resources longitudinally within the context of the Selection, Optimization, and Compensation of Emotion Regulation (SOC-ER) model. Study one examined the temporal relationship between working memory and depression, study two examined working memory and depression following loss of spouse, and …

Effects Of Mindful Attentional Regulation On Illicit Opioid Use For Individuals Participating In Medication Assisted Treatment: A Pilot Study, Stephen Sooter

Walden Dissertations and Doctoral Studies

AbstractIllicit opioid use takes thousands of Americans’ lives each year, reduces the quality of life for affected individuals, and results in sizable socioeconomic costs. Existing research has supported medication-assisted treatment (MAT) for this condition; however, MAT participants often continue to experience opioid craving and using behaviors. Mindfulness based relapse prevention (MBRP) uses mindfulness meditation and cognitive behavioral therapy to reduce likelihood of substance use relapse. This study used a combination of physical dependence theory, positive incentive theory, and classical conditioning theory to evaluate the impact of MBRP on illicit opioid use and cravings in a quantitative randomized, controlled experimental design. …

Gastrointestinal Symptoms And Belly Pain During The Phases Of The Menstrual Cycle In Healthy Young Females, Preethashree Anbukkarasu

Honors Undergraduate Theses

There are significant differences between the incidence of gastrointestinal (GI) symptoms between males and females. A recent review found that females report having more severe GI health problems compared to males. One explanation for the higher reporting rates of GI symptoms in females could be attributed to menstrual cycle influences rather than GI processes.

This research aims to examine the relationship between how gastrointestinal (GI) symptoms experienced by women covary with the different stages of the menstrual cycle. Additionally, a secondary purpose is to determine the moderating effect of health anxiety on the severity of menstrual and GI symptoms.

Responses …

Therapist Multicultural Orientation: Client Perceptions Of Cultural Humility, Sexual Identity, And The Working Alliance, Todd L. Jennings

All Graduate Theses, Dissertations, and Other Capstone Projects

Research examining the benefits of cultural humility for diverse clients has increased dramatically over the last 10 years. However, little empirical research has applied therapist cultural humility to lesbian, gay, and bisexual (LGB) clients. In a sample of 333 LGB persons, the current study examined whether therapist cultural humility predicted a stronger client-therapist working alliance. LGB identity centrality (IC) and identity affirmation (IA) were considered as possible moderators of this relationship. Therapist cultural humility predicted stronger working alliances in the present sample; however, this association was not moderated by IC or IA. These results suggest that therapist cultural humility is …

Invariant Structural Features Of Retrograde Amnesia Affected Memory, Daniel K. Burch

Walden Dissertations and Doctoral Studies

Traumatized individuals may use one or several emotional defensive strategies to cope with their experience; one method is via autobiographical amnesia which may influence the efficacy of amnesiac patients’ psychological adjustment during a sensitive period. Little research has addressed the potential of how emotionally invariant structural features may impact the reconsolidation of autobiographical memory, which in turn may support patients to complete successfully psychotherapeutic treatment or intervention. This phenomenological study addressed how lived experiences (i.e., invariant emotional and behavioral conscious states) may play into patients’ transformational memory of some or all of the traumatizing event details. To answer these questions, …

The Relationships Between Personality Characteristics Of Hardiness And Resilient Grief Outcomes In An Aging Female Population, Meryle J. Vinje

Walden Dissertations and Doctoral Studies

AbstractThere is increasing empirical evidence that bereaved individuals vary considerably in their reactions to loss and that individuals experience varying pathways through the grief process. This quantitative correlational study advanced understanding of Bonanno’s pathways to resilient grief theory and contributed to the strengths-based grief and bereavement literature by examining if hardiness commitment, control, and challenge were significantly related to grief resolution and posttraumatic growth (PTG), controlling for participant age, depression, religiosity, and time since the death of a spouse, in a sample of 218 widowed women aged 50 or older. Descriptive findings revealed that study participants were in their mid-60s, …

Reaction Time And Verbal Working Memory Differences In Ncaa Concussed Female Athletes, Kelly Delph

Walden Dissertations and Doctoral Studies

Empirical evidence suggests that female collegiate athletes participating in soccer are likely to suffer from TBI and subsequent concussion syndrome. Studies further indicate that TBI adversely affects the quality of life of athletes both on an academic level and social life. This study examined data with the intent to fill existing gaps in the current literature and focused on the experiences of NCAA female collegiate soccer athletes who have suffered TBI and neurocognitive deficit symptoms in verbal memory and reactional time. This quantitative research method relied on the theory of mind (ToM) as the theoretical basis to investigate research questions …

Coping Strategies Among Disciplined Psychologists Working High-Conflict Custody Cases, Stephanie Joy Norris

Walden Dissertations and Doctoral Studies

Psychologists who work with high conflict custody cases have one of the highest risks of receiving a board complaint against their license. There is no qualitative research specific to psychologists who have been disciplined from their state licensing board because of their work with high conflict custody cases. The purpose of this qualitative study was to explore and understand the meaning of the experiences of psychologists who have worked or are currently working on high-conflict custody cases and have received discipline from their state licensing board. The transactional theory of stress and coping was used as the foundation for which …

Psychological Distress And Relationship Satisfaction Among Survivors Of Sexual Violence, Alyssa Campbell

Theses and Dissertations--Family Sciences

The World Health Organization (WHO; 2002) has indicated that sexual violence is a serious public health concern, and both the WHO and the United Nations (UN) have declared that violence against women, in particular, is a profound violation of human rights (UN General Assembly, 1993; WHO, 2017). Although the systemic and negative impact of trauma on family and intimate relationships have been well documented, the empirical literature regarding the effects of adult sexual trauma on relationship satisfaction is less robust. These studies are designed to address this gap and will do so with analyses centered on an understudied population: the …

Gender Role Beliefs, Household Chores, And Modern Marriages, Jaquoya Carreiro

Antioch University Dissertations & Theses

A primary change in modern marriages is the shift from traditional marriages to modern dual-earner marriages. With this change comes significantly higher divorce rates with traditional marriages averaging over forty years and modern marriages averaging seven years. This paper reviews research studies conducted from the 1980s to present day on heterosexual dual-earner couples and marital satisfaction, particularly in regards to gender role beliefs and household chore division. The social construction of gender remains virtually unaltered and resistant to change; therefore, it follows that individual beliefs regarding gender roles remain unchanged. While dual-earner marriages contributed significantly to changing gender roles external …

Circling The Wagons: A Re-Entry Program For Substance Use In Nh, Angela Leigh Walter

Antioch University Dissertations & Theses

This dissertation aimed to adapt Circles of Support and Accountability (CoSA) to a substance-involved population in New Hampshire (NH). CoSA is a volunteer-based community program that provides accountability and various forms of support to previously incarcerated individuals rejoining the community. Program recommendations were created through qualitative realist thematic analysis of a literature review and interviews. Recommendations were integrated with existing CoSA manuals to create the proposed program. NH CoSA, through the principles of narrative reconstruction, risk-need-responsivity, and the Good Lives Model, aims to help individuals successfully re-integrate into their community over a period of about a year. The program will …

Internet Pornography Addiction In The Treatment Of Heterosexual Dyadic Relationships: A Literature Review, Sarah Ogier-Bloomer

Antioch University Dissertations & Theses

The following dissertation provides a thorough literature review of internet pornography and internet pornography addiction for psychologists treating heterosexual couples in therapy and those training said clinicians. Factors that contribute to the development of compulsive sexual behavior are discussed, as well as how the addiction is maintained through reinforcing cycles. Factors including neuropsychological effects of neurotransmitters on the pleasure-reward system, insecure attachment, and childhood development provide insight into the manifestation of an addiction to pornography. Therefore, a thorough literature review on these aspects is necessary for current clinicians, as well as for those who are training clinicians. In addition, questionnaires …

Evaluating Antecedents To Treatment Success In Juveniles With Sexually Problematic Behavior, Alexandra P. Pappas

PCOM Psychology Dissertations

The impact of rape and other sexual offenses represents a major problem in society and can lead to chronic and harmful physical, psychological, and social consequences. Juveniles (younger than 18 years old) account for 20% of sexual offense arrests in the United States, with 96% of reported cases committed by male perpetrators. Risk indicators and characteristics of juveniles who sexually offend include demographic factors (e.g., history of sexual abuse), personality factors (e.g., antisocial behavior), and below average intelligence and cognitive functioning. Treatment of problematic sexual behavior in juveniles varies in intensity, structure, and level of supervision, though research investigating unsuccessful …