Clinical Psychology Commons^™

Effects Of Compassion Satisfaction, Burnout, And Compassion Fatigue On Attrition Intention Of African American Mental Health Professionals, Kimberly A. Andrews

Walden Dissertations and Doctoral Studies

AbstractThe African American community tends to stigmatize mental health services and is underrepresented in both client and therapist populations. Retention of African American mental health professionals (MHPs) may mitigate distrust in these services, allowing more individuals to seek out counseling. The purpose of this nonexperimental survey study was to investigate if compassion fatigue, burnout, or compassion satisfaction can predict intended attrition rates in African American MHPs. Constructivist self-development theory was employed to predict both resiliency and the potential adverse effects of listening to client narratives of 99 African American MHPs with a variety of mental health credentials. Stepwise multiple regression …

The Effect Of Social Media Use On Physical Isolation In Individuals With Borderline Personality Disorder, Davena Limitless Longshore

Walden Dissertations and Doctoral Studies

Individuals with borderline personality disorder (BPD) experience extreme interpersonal conflict, crippling their ability to sustain successful relationships. Consequently, clinicians within the psychological field face difficulty in devising treatments plans which can assist these individuals with suffering minimal relationship loss. The purpose of this study was to understand how current technological methods of social interaction affect individuals who suffer from BPD to improve treatment outcomes. This research was guided by the principles of attachment theory and social baseline theory. A quantitative correlational design using social network analysis and multiple regression analysis was used to examine data from surveys. Participants were solicited …

The Experience Of Therapists Working With Mexican American Children Of Substance Abusing Parents, Tracy M. Basile

Walden Dissertations and Doctoral Studies

AbstractThe need for culturally competent mental health providers and the Mexican American immigrant population in the United States are growing. This study focused on themes from therapists’ narratives that may help to comprehend the intricacy of difficulties facing Mexican American children living with substance-abusing parents. The firsthand knowledge and experiences of the therapists who have worked with this population provided a basic understanding of what to expect and which therapeutic interventions may work best for both the child and their parents. The purpose of this narrative inquiry was to qualitatively identify therapists’ lived experiences and understand how they interacted with …

Phenomenological Study Of Fathers’ Parental Alienation Experiences, Jerry Dean Gibson

Walden Dissertations and Doctoral Studies

AbstractHigh-conflict divorce and resulting parental alienation (PA) impact both the children and the parent who has been the target of PA. This situation has been found to cause mental health issues and unhealthy coping skills in children. The purpose of this phenomenological study was to explore the lived experiences of nonresidential fathers who were alienated from their children in the context of a high-conflict separation or divorce. This study was rooted in Bowlby’s attachment theory. Data were collected from interviews with 10 adult participants. The software program Quirkos was used to review the data and discern thematic patterns and correlate …

Hurricane Survivors' Attitudes Regarding The Therapeutic Benefits Of Animals, Tina Callwood

Walden Dissertations and Doctoral Studies

There is research on the benefits of animal-assisted interventions. However, no study was found on hurricane survivors' lived experience and their attitudes toward animals after a traumatic experience. The purpose of this hermeneutic phenomenological study was to explore the lived experience of hurricane survivors' attitudes toward their companion animals or other animals they interacted with after a natural disaster. The transactional theory of stress and coping was used to explain how participants appraised their stress and reduced it. Constructivism was used to uncover hurricane survivors' experiences and their attitudes toward animals after the disaster. The research question examined the lived …

African Immigrants' U.S. Experience Of Mental Health, Mental Illness, And Help-Seeking, Bartholomew Edem-Enang

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this study was to qualitatively examine and explore African immigrants’ U.S. experience of mental health, mental illness, and help-seeking. Mental health, mental illness, and help-seeking are misunderstood public health issues. Indigenous cultural stigma concerning mental illness and help-seeking and mistrust of Western medicine inhibit African immigrants from reporting mental illness and seeking treatment. The segmented assimilation theory (SAT) and cultural risk theory (CRT) and interpretive phenomenological analysis (IPA) were used to guide data collection and analysis. Data were collected from a sample of 9 African immigrants who migrated from countries within the Five Main Regions of Africa …

Integration Of Morphine And Virtual Reality: Pain Management For Adult Hospice Cancer Patients, Arlisa Hurd

Walden Dissertations and Doctoral Studies

There is currently a problem in that cancer patients engaging in hospice may experience an excessive amount of perceived pain and a decreased quality of life. The purpose of this study was to explore an intervention that could lessen the perceived pain experienced by, and increase the quality of life of, cancer patients engaging in hospice. Immersion music virtual reality (IMVR) allows a user to interact with a realistic, computer-generated environment. 3D music (IMVR) is likely suited for pain management with patients in hospice and was used for this study. The theory for the study is the gate control theory. …

Experience Of Parents Receiving In-Home Behavioral Treatment For Their Child With Autism, Gerald Lavarias

Walden Dissertations and Doctoral Studies

In-home applied behavior analysis (ABA) treatment has well-documented results and is widely recommended for children with autism. Since 1987, parents have sought and implemented ABA treatment in their homes for their children with autism. However, research on parents’ lived experiences with in-home ABA treatment is limited. As such, there is a need to study the impact and influence of ABA treatment on parents’ quality of life (e.g., challenges, scheduling, parenting). This qualitative study explored parents’ lived experiences while their children with autism received in-home ABA treatment. A phenomenological approach was used to explore the experiences of 5 parent participants who …

Can Parent-Child Interaction Therapy Improve Core Features Of Autism? Findings From A Comparison Of Pcit For Children With And Without Autism Spectrum Disorder, Robin C. Han

Graduate Theses, Dissertations, and Problem Reports (ETD)

Although there is a small yet growing body of evidence supporting Parent-Child Interaction Therapy (PCIT) as an effective treatment for disruptive behaviors among children with autism spectrum disorder (ASD; Scudder et al., 2019), further study is warranted, particularly with more robust methodology (e.g., larger sample sizes, comparison groups). Furthermore, preliminary studies have demonstrated improvements in symptoms of autism following the completion of PCIT, including improvements in frequency of child verbalizations (Hansen & Shillingsburg, 2016), caregiver report of social skills and social responsiveness (Zlomke et al., 2017), time spent in pretend toy play (Lieneman et al., 2019), and shared positive affect …

Construction Of A Developmental Social Privilege Integration Scale, Abigail M. Martin

Antioch University Dissertations & Theses

The APA’s 2017 multicultural guidelines task psychologists with the aspirational goal of understanding the nuances of historical and contemporary systems of power, privilege, and oppression. Scholars such as Helms (1984) demonstrated the critical need to readjust psychology’s focus from oppressed groups to privileged groups. In her seminal 1988 article, McIntosh insisted that in order to “redesign social systems,” privileged groups must first acknowledge their “unseen dimensions” (p. 1). Similarly, Black and Stone (2005) and Johnson (2018) asserted the lack of social privilege awareness is part of American culture, which helps to maintain the invisibility of privilege and the status quo …

Homelessness And Adhd: A Hidden Factor?, Elizabeth A. Shepherd

Antioch University Dissertations & Theses

Attention deficit/hyperactivity disorder, henceforth known as ADHD, is a common psychiatric problem recognized and diagnosed in children; however, it is not recognized or diagnosed as often in adults. There has been some research illustrating a relationship between ADHD and homelessness. The purpose of this study was to further explore if ADHD could be a hidden factor contributing to homelessness in adults. This descriptive study utilized archival data of patients at a health center in the United States to examine the relationship between homelessness and ADHD. Two analyses were completed using IBM SPSS version 25. Starting from a master dataset including …

Moral Injury: Examining The Role Of Meaning Making In Veterans, Katelyn A. Mccreight

College of Graduate Studies: Theses & Dissertations

Moral injury is a transdiagnostic process that spans a collection of symptoms similar to PTSD (Litz et al., 2009). Many veterans develop PTSD symptoms following exposure to potentially morally injurious events (pMIE) occurring in the context of war (e.g., killing an enemy combatant or accidentally killing a civilian; (Currier, Holland, & Malott, 2014; Litz et al., 2009; Purcell, Koenig, Bosch & Maguen, 2016). The potential mediating and moderating variables between moral injury and PTSD may also contribute to pMIE-related PTSD symptoms being overlooked and left untreated (Litz et al., 2009). Furthermore, while extensive research has been conducted on coping and …

Consensus Statement On Ethical & Safety Practices For Conducting Digital Monitoring Studies With People At Risk Of Suicide And Related Behaviors, Matthew K. Nock, Evan M. Kleiman, Melissa Abraham, Kate H. Bentley, David A. Brent, Ralph J. Buonopane, Franckie Castro-Ramirez, Christine B. Cha, Walter Dempsey, John Draper, Catherine R. Glenn, Jill Harkavy-Friedman, Michael R. Hollander, Jeffrey C. Huffman, Hye In S. Lee, Alexander J. Millner, David Mou, Jukka-Pekka Onnela, Rosalind W. Picard, Heather M. Quay, Osiris Rankin, Shannon Sewards, John Torous, Joan Wheelis, Ursula Whiteside, Galia Siegel, Anna E. Ordóñez, Jane L. Pearson

Psychology Faculty Publications

OBJECTIVE: Digital monitoring technologies (e.g., smart-phones and wearable devices) provide unprecedented opportunities to study potentially harmful behaviors such as suicide, violence, and alcohol/substance use in real-time. The use of these new technologies has the potential to significantly advance the understanding, prediction, and prevention of these behaviors. However, such technologies also introduce myriad ethical and safety concerns, such as deciding when and how to intervene if a participant's responses indicate elevated risk during the study?

METHODS: We used a modified Delphi process to develop a consensus among a diverse panel of experts on the ethical and safety practices for conducting digital …

Examining The Ecological Validity Of The Power Of Food Scale, Lindsay M. Howard, Kristin E. Heron, Kathryn E. Smith, Ross D. Crosby, Scott G. Engel, Stephen A. Wonderlich, Tyler B. Mason

Psychology Faculty Publications

Purpose

Appetite for palatable foods may impact eating-related behaviors in everyday life. The present study evaluated the real-world predictive validity of the Power of Food Scale (PFS) using ecological momentary assessment (EMA).

Methods

30 women who reported binge eating completed the PFS and related measures. Subsequently, during a 14-day assessment period, participants completed five daily EMA surveys of appetite and binge eating via text message and web.

Results

Results of generalized estimating equations showed that higher PFS scores were associated with higher momentary levels of hunger, eagerness to eat, and urge to eat but were unrelated to fullness, preoccupation with …

Examining Trauma, Aggression, And Anxiety In African American Girls, Katelyne Griffin-Todd

UNF Graduate Theses and Dissertations

The study of trauma through bully victimization, rates of aggression, and anxiety in African Americans (AA) and other minorities, as well as the influence that their weight has on these items is severely understudied. This study had four aims: 1) Evaluate the relationship of anxiety, victimization, and aggression in early adolescent AA females, 2) Observe whether the individuals who are victimized also report being aggressive in early adolescent AA females, 3) Investigate the relationship between weight, victimization, anxiety and aggression, 4) Test mediation effects of poverty ratio, and moderation of poverty level and caregivers education. This study contains 77 AA …

The Influence Of Autism Spectrum Disorder Disclosure On Peer Social Distancing In Higher Education, Hope Marie Sparks

UNF Graduate Theses and Dissertations

Students diagnosed with Autism Spectrum Disorder are almost twenty percent less likely than their non-autistic peers to graduate college (White et al., 2017). The diagnosis of Autism Spectrum Disorder, or ASD, can be a significant facet of personal identity for many individuals on the spectrum. Due to this, disclosure of diagnoses can be a deeply personal decision and can be situational. Because college-age students on the spectrum are forming an identity concerning their diagnosis (Bent et al, 2016; Cox et al., 2017), peer social distancing behaviors are an important factor in student confidence and academic success. Researchers completed this study …

A Test Of The “Teachable Moment” Heuristic’S Relevance For Understanding Cancer Survivors’ Health Behavior Motivation And Performance: A Cross-Sectional Study, Gabriella Puleo

Theses and Dissertations--Psychology

Cancer diagnosis has potential to motivate health behavior changes to promote better health outcomes. The Teachable Moment Heuristic is a parsimonious, transtheoretical framework for understanding the conditions under which behavior change might occur, with constructs that include affective, cognitive, and social factors. This exploratory study aimed to measure the three primary constructs of the Teachable Moment, evaluate the extent to which they are associated with cancer survivors’ motivation to adopt favorable health behaviors, and explore their potential as a model for health behavior performance. Participants (n = 93) in this cross-sectional study were adult breast, prostate, colorectal, lung, and …

Trauma-Related Shame And Guilt As Prospective Predictors Of Daily Mental Contamination And Ptsd Symptoms In Survivors Of Sexual Trauma, Jesse P. Mccann

Theses and Dissertations--Psychology

Mental contamination–the experience of dirtiness or pollution in the absence of a physical contaminant–has established links with posttraumatic stress disorder (PTSD). Emotions such as shame and guilt have well-documented relationships with PTSD symptoms and are suggested to play a role in the development and maintenance of mental contamination. The goal of the present study was to examine whether trauma-related shame and guilt prospectively predicted daily experiences of mental contamination and PTSD symptoms among women with sexual trauma history. Forty-one women with a history of sexual trauma completed baseline and twice-daily assessments of mental contamination and PTSD symptoms over a two-week …

Impact Of Ptsd On Hcv/Hiv Risk-Reduction Interventions Among Incarcerated Drug-Using Women In Rural Appalachia, Caitlyn Hood

Theses and Dissertations--Psychology

Justice-involved women in rural Appalachian Kentucky are a particularly vulnerable group in need of targeted risk-reduction interventions for hepatitis C virus (HCV) and human immunodeficiency virus (HIV). Compared to women in the general U.S. population, justice-involved women in rural Appalachia report dramatically higher rates of HCV/HIV risk behaviors (e.g., injection drug use and risky sex), interpersonal violence (IV; e.g., physical, sexual, or emotional abuse), and posttraumatic stress disorder (PTSD). IV and PTSD may exacerbate rural Appalachian women’s risk for contracting and transmitting HIV/HCV, indicating a need to approach HCV/HIV risk-reduction interventions from a trauma-informed perspective.

Brief motivational interviewing and psychoeducation …

Impact Of Violence Exposure On Children's Mental Health And Family Functioning: An Ecological-Transactional Approach, Rice Mary Dusing

Dissertations

N/A

Adherence To A Mindfulness App For College Students With Depression: Patterns, Predictors, And Outcomes, Brynn Marie Huguenel

Dissertations

National trends indicate that mental health concerns, particularly rates of depression, continue to rise on college campuses; however, treatment utilization remains low. Technology-based mental health interventions, such as mental health apps (MHapps), are a promising means of overcoming treatment barriers. MHapps are effective in improving psychological outcomes, but low rates of adherence are a noted limitation. The current study explored patterns of adherence to a MHapp, investigated the bidirectional relation between adherence and depression, and identified motivational predictors of adherence rates. Undergraduate students (N= 66) reporting clinically-elevated depressive symptoms completed a three-month trial using Headspace, a mindfulness MHapp. Patterns of …

Ethnic Racial Socialization, Ethnic Identity, And Internalizing Outcomes In The Context Of Stress Among Mexican Origin Families, Sarah Alicia Jolie

Master's Theses

Research demonstrates that it is important to study the impact of cultural factors on child development and well-being (Garcia Coll et al., 1996). Among Latino youth, ethnic racial socialization and ethnic identity have been associated with positive outcomes, such as academic competence and lower reports of internalizing problems (Liu & Lau, 2013; Berkel et al., 2010; Umaña-Taylor & Guimond, 2010). Additionally, there is evidence of ethnic identity mediating the association between ethnic racial socialization and child internalizing symptoms among Mexican-origin adolescents (Umaña-Taylor et al., 2014). However, more research is needed in examining these associations within stressful contexts relevant to Latino …

Menstrual Pain Trajectories And Their Psychological And Behavioral Predictors, Hannah Marie Alves Hagy

Master's Theses

Despite the high prevalence of menstrual pain (i.e., dysmenorrhea) and the negative impact on quality of life, there is a dearth of research on how menstrual pain changes over time. There is also a critical need to understand psychological and behavioral predictors of these menstrual pain trajectories because dysmenorrhea is a known risk factor for the development of chronic pelvic pain (CPP) and chronic non-pelvic pain (CNPP). Given that current treatments for CPP and CNPP have had limited success, developing preventative strategies for dysmenorrhea is of high importance. Relying on longitudinal survey data collected as part of a larger investigation, …

Kinship Involvement And Strength Development In The Child Welfare System, Nicole Amper Hodgkinson

Master's Theses

For youth involved in the Child Welfare System (CWS), maltreatment and ecological losses pose enormous challenges to healthy development. Kin and fictive kin involvement, a current CWS priority, may have the potential to aid in strength development; however, little is known about its role in this process. The current study explored the following aims: (1) identify the role of kin and fictive kin in strength development (2) investigate the impact of maltreatment on initial strength levels and their development over time and (3) examine the extent to which kinship involvement interacts with prior maltreatment to buffer the impact of maltreatment …

A Psychometric Evaluation Of The Best In Class Adherence And Competence Scale, Katrina A. Markowicz

Theses and Dissertations

It is critical to utilize treatment integrity instruments to support the evaluation of evidence-based programs in early classroom contexts. However, in the early childhood field, guidelines for collecting treatment integrity data are underdeveloped. Consequently, most treatment integrity instruments employed in the field solely assess adherence, vary in design features and have little psychometric evidence supporting their use. As such, this represents a gap in the field that might slow efforts to implement evidence-based programs. The current study examines the score reliability and validity of an observational treatment integrity instrument (The BEST in CLASS Adherence and Competence Scale [BiCACS]; Sutherland et …

E-Cigarette Use And Perceptions Among Adolescents With Attention-Deficit/Hyperactivity Disorder: The Role Of Parental Messages About Tobacco, Mayra S. Ramos

Theses and Dissertations

Adolescents with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of using e-cigarettes compared to their neurotypical peers. Parent-adolescent communication about tobacco use and number of ADHD symptoms can influence adolescents’ perceptions of e-cigarettes and their e-cigarette use. Adolescents with ADHD (n = 80) completed questionnaires assessing parental messages about tobacco use; e-cigarette harm perceptions; susceptibility to use e-cigarettes; and e-cigarette use. Parents reported on messages about tobacco use, adolescent’s ADHD symptomatology, and completed demographic questionnaires. Twenty-percent of adolescents reported e-cigarette ever use. Adolescent girls were significantly more likely to report higher e-cigarette harm perceptions than boys. Parents reported providing messages …

Mobile-Based Contingency Management To Promote Daily Self-Monitoring Of Pain Severity And Related Measures In An Online Sample Of Individuals With Chronic Pain, Kathryn Polak`

Theses and Dissertations

Between 11% and 40% of the US population experience chronic pain. One promising pain management solution is remote self-monitoring. Unfortunately, low rates of adherence have impeded the use of remote self-monitoring among chronic pain patients. One robust strategy for improving adherence is contingency management (CM). This project pilot tested a fully-automated CM app (DynamiCare Rewards) programmed with an escalating variable-ratio reinforcement schedule for promoting daily self-monitoring of pain symptom severity, related variables (e.g., sleep), and prescription opioid use over a 28-day period in a sample of individuals with chronic pain. A pilot RCT compared participants randomized to CM (n …

Breaking The Cycle: A Longitudinal Study Of Factors That Disrupt Peer Selection And Influence Processes Among Urban Youth, Kelly E. Oconnor

Theses and Dissertations

Having friends who engage in problem behavior (i.e., aggression, substance use, delinquency) has consistently been linked to adolescents’ own engagement in problem behavior. There are, however, several key gaps in the literature on peer influence. Few studies have considered the influence of friends’ prosocial behavior and there has been limited research to identify promotive factors that influence urban youths’ affiliation with peers who engage in problem and prosocial behavior across early adolescence, a time of heightened susceptibility to peer influence. The purpose of this study was to identify modifiable promotive factors that reduce adolescents’ problem behavior by decreasing exposure to …

Motivational Interviewing In Vocational Rehabilitation: Why It Matters For People With Disabilities, Alicia Wein-Senghas

Antioch University Dissertations & Theses

Motivational Interviewing (MI) is increasingly being trained within and integrated into public vocational rehabilitation (VR) programs based on its efficacy in related fields and yet research specific to the efficacy of MI in public VR programs is almost nonexistent. This study used a quantitative sequential design to explore relationships between MI training, MI proficiency, and VR customer outcomes within the State of Vermont’s Division of Vocational Rehabilitation (VT DVR) program. The study occurred in two phases. In the first phase, 30 VR counselors were recruited, and their level of MI proficiency was established using the Motivational Interviewing Treatment Integrity Measure …

An Assessment Of Therapist Attitudes Toward Polyamorous People, Chelsea V. Randall

Antioch University Dissertations & Theses

Polyamorous people can encounter unique negative experiences in psychotherapy. Western culture perpetuates the ideal of romantic and sexual exclusivity between two people through monogamy as the dominant social norm, to the extent that nonmonogamous relationships are considered abnormal or othered. Polyamorous people have reported experiencing such biases from therapists, resulting in being pathologized, inaccurately labeled as infidelitous, and spending excessive treatment time providing education on polyamory. Research on the therapist’s contribution to polyamorous clients’ negative experiences is lacking, which limits suggestions for affirmative practices and the rationale from which to implement them. The current study sought to directly survey therapists’ …