Clinical Psychology Commons^™

Neurocognitive And Momentary Assessment Of Fear-Based Mechanisms Underlying The Transition From Partial To Full Remission In Anorexia Nervosa., Caroline Christian

Electronic Theses and Dissertations

Background. Anorexia nervosa (AN) is a serious psychiatric illness, with high mortality, chronicity, and societal costs. Many individuals with AN that are weight restored do not to fully remit from cognitive-affective symptoms (e.g., fear of weight gain) maintaining the disorder, contributing to the poor outcomes. This critical stage of AN is called partial remission. AN is characterized by high levels of fear and avoidance, which may prevent full remission; however, the role of fear-based mechanisms (i.e., fear approach; avoidance) in partially-remitted AN remains untested. Methods. In the current study (N = 55 partially-remitted AN), participants completed two behavioral paradigms …

The Effects Of Stigma On Quality Of Life And Psychological Outcomes In Participants With Varying Reports Of Subjective Cognitive Decline., Lauren Flaherty

Electronic Theses and Dissertations

Background: Diagnostic labels such as cognitive impairment, dementia or MCI often carry associated stigmatization. Stigma can lead to social isolation and rejection; increasing the likelihood of loneliness, depression, and anxiety. Depression and anxiety can be predictive of cognitive function; depression and anxiety are linked to stigma. Subjective cognitive decline (SCD) can be indicative of actual cognitive impairment. Subjective impairment and stigma can significantly predict quality of life. The aim of the proposed dissertation study was to explore whether higher SCD scores associate with more internalized stigma, and if this stigma mediates the relationship between SCD and depression, SCD and …

Call The Doctor! A Study Of Parental Medical Nonadherence Within Child Custody Proceedings, Karissa Lynn Cummons

Theses and Dissertations

Medical nonadherence is a common and formidable problem that many pediatric healthcare providers face when treating children with acute and chronic medical conditions because adhering to a physicians’ treatment recommendations is beneficial for successful treatment, disease prevention, and healthy promotion (Dawood et al., 2010). It was estimated that at least one third of patients are unable to complete or adhere to relatively short treatment regimens (Dawood et al., 2010). Reasons for nonadherence to a physicians’ recommendations range from extended duration of treatment, multiple prescribed medications, and periods of symptom remission (Dawood et al., 2010). Despite a parent’s or family’s reason …

How Well Do Your Family Members Know You? The Relationship Between Informant Report And Cognitive Performance Of Older Adults, Mairy Yousif

Theses and Dissertations

Introduction: Given the clear impact and prevalence of dementia on the aging population, there is a need for greater research and understanding in this area. As the dementia progresses, medical providers rely heavily on caregiver and family member reports of the patient’s functioning and other aspects of their care. Therefore, it is important to know how accurate caregivers and family members are in judging their loved ones’ cognitive and physical strengths and weaknesses. This study aims to expand upon these previous studies by comparing caregiver/collateral reports of cognitive and functional status on the DSRS to neuropsychological tests and an objective …

Therapists’ Demonstrated Multicultural Competence In Treating Latinx Immigrants, Dulce Diaz Benitez

Graduate Theses and Dissertations

Studies suggest that health disparities occur when people from marginalized communities receive care that is inadequate based on their cultural needs (USDHHS, 2011). Multicultural competence (MCC) models have been proposed to provide a framework of the competencies that therapists should develop to work with multicultural populations (Sue et al., 1992). Researchers have questioned the validity of measures, which are mostly based on therapist self-report (Cartwright, 2008). The multicultural case conceptualization ability task has been used in previous studies as a measure of demonstrated cultural competence using a vignette to assess case conceptualization abilities (Ladany et al., 1997). However, it has …

Headache Disorders And Neurocognitive Performance Pre- And Post-Concussive Injury, Kaci Gorres

Theses and Dissertations

Objective: The aim of this study is to examine the relationship between pre-existing headache disorders, such as headache or migraine, and neurocognitive testing obtained before and after college-athletes sustain a concussion. Method: A total of 1129 NCAA Division II college athletes from Florida Tech were included in the present study. Participants were included in this study if they completed baseline and/or post-trauma neuropsychological evaluations that included the Sports Concussion Assessment Tool – Fifth Edition (SCAT-5) and Immediate Post-Concussion Assessment and Cognitive Tool (ImPACT). Athletes’ headache and/or migraine history was self-reported at baseline and indicated their position in headache history or …

Parent Emotion Socialization And Emerging Adult Internalizing Symptoms: Differences And Moderation By Rurality, Cheston West

Electronic Theses and Dissertations

Emerging adulthood is a unique developmental period from late adolescence to late 20s during which individuals experience a multitude of developmental transitions and are at an increased risk for internalizing symptoms. Parent emotion socialization in childhood can also contribute to risk for internalizing symptoms and is shaped by parent gender and sociocultural context. Rurality is a sociocultural context that has implications for parenting, but less research has explored how parent emotion socialization varies by rurality. The present study examined maternal and paternal emotion socialization in relation to rurality and emerging adult internalizing symptoms. Participants were 270 emerging adults (18-29 years …

Distress In The Workplace: Characterizing The Relationship Of Burnout Measures To The Occupational Depression Inventory, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

Burnout has been found to problematically overlap with depression. However, the generalizability of this finding remains disputed. This study examined burnout–depression overlap using the recently developed Occupational Depression Inventory (ODI) and two burnout measures, the Maslach Burnout Inventory (MBI) and the Copenhagen Burnout Inventory (CBI). The study involved two teacher samples employed in France (N = 1,450) and New Zealand (N = 492). We found the correlations of the ODI with (a) the MBI’s emotional exhaustion (EE) subscale and (b) the CBI to reach .80. An explanation of these high correlations based on content overlap in fatigue-related items was ruled …

Disentangling Instrumental And Reactive Aggression In The Competitive Reaction Time Task And Their Associations With Factors Of Meanness In Psychopathy, Ashley Michelle Poston

UNLV Theses, Dissertations, Professional Papers, and Capstones

Aggression is often subtyped into reactive and instrumental aggression. Reactive aggression occurs in response to some form of provocation and is often accompanied by anger. Instrumental aggression is not provoked and is relatively unemotional. Existing aggression paradigms primarily measure reactive aggression, and the laboratory measurement of instrumental aggression has proved challenging. This study modified the competitive reaction time task to include an entire block of instrumental aggression trials, in addition to the standard block of reactive trials, in effort to create a single paradigm within which both reactive and instrumental aggression can be measured in the laboratory. Psychopathy is a …

How Medical Students Use Social Support To Cope With Burnout: A Grounded Theory Approah, Michelle Nicole I. Janeo

UNLV Theses, Dissertations, Professional Papers, and Capstones

Medical education to become a physician is a rigorous training process resulting in high rates of burnout in medical students. Research on burnout in human service providers results in negative impacts on professionalism, well-being, and the future healthcare workforce. Previous research investigating strategies to combat burnout has demonstrated that resilience is a dominant explanation for recovery from burnout. There is limited data exploring how social support is used by medical students as a resource to cope with the demands of training. Considering that social support is one primary factor that contributes to resilience, it is important to understand the process …

Examination Of The Relationship Between Loneliness And Binge Eating Symptoms, Kimberly Stevens

UNLV Theses, Dissertations, Professional Papers, and Capstones

Loneliness is implicated in several mental health conditions and may also be linked to eating pathology, like binge eating symptoms (e.g., loss-of-control eating). However, the pathways by which loneliness might be associated with binge eating symptoms are less well understood. Preliminary evidence suggests perceived stress may be a key explanatory pathway. Specifically, perceived stress mediates the impact of loneliness on other mental health outcomes and is associated with increased risk of binge eating symptoms. This study investigated relationships between loneliness, perceived stress, and binge eating symptoms and tested whether heightened levels of binge eating was accounted for by increases in …

The Effects Of Neuroticism And Treatment Delivery Modality On Therapeutic Outcomes In A Community Mental Health Training Clinic, Michelle Elizabeth Sibol

Theses and Dissertations

The onset of the novel Coronavirus Disease 2019 (COVID-19) two and a half years prior to this writing resulted in shifts in everyday life, as individuals worldwide were required to shelter-in-place and abide by social distancing guidelines to slow the spread of the disease. This resulted in a marked increase in the utilization of virtual platforms (“teletherapy”) by mental health care providers, including training clinics, to continue providing therapy services to the community at large. Although the pandemic restrictions have lifted, adaptations made during shelter-in-place mandates remain, including provision of services via teletherapy platforms. The pandemic shed light on the …

The Relationship Between Hallucinations And Visuospatial Impairment Among Individuals With Dementia, Ruta Sohoni

Theses and Dissertations

Objective: This study examines the neuropsychological functioning, specifically using the Hooper Visual Organization Test (VOT), to understand the impact of hallucinations on the level of impairment in the visuospatial domain.

Method: Archival data obtained over three years from a total of 73 patients from the Health First Memory Disorder Clinic was used in this study. Participants were included in the study if they endorsed experiencing hallucinations, were given the VOT during their brief neuropsychological evaluation, and were diagnosed with dementia or unspecified neurocognitive disorder. The patient’s electronic medical record was used to retrospectively gather additional details regarding their hallucinations and …

Fear And Trembling While Working In A Pandemic: An Exploratory Meta-Analysis Of Workers’ Covid-19 Distress, William P. Jimenez, Ian M. Katz, Elissa A. Liguori

Psychology Faculty Publications

The global COVID-19 pandemic has disrupted the lives of workers and taken its toll on health and well-being. In line with recent calls for more inductive and abductive occupational health science research, we exploratorily meta-analyzed workers’ COVID-19 distress, defined as psychological and psychosomatic strain contextualized to experiencing the virus and pandemic broadly. We identified many existing COVID-19 distress measures (e.g., Fear of COVID-19 Scale by Ahorsu et al., 2020; Coronavirus Anxiety Scale by Lee, 2020a) and correlates, including demographic variables (viz., gender, marital status, whether worker has children), positive well-being (e.g., quality of life, perceived social support, resilience), negative well-being …

The Impact Of Attention-Deficit Hyperactivity Disorder (Adhd) On Learning In Children, Jessica J. Shaw

The Confluence

Children with Attention-Deficit Hyperactivity Disorder (ADHD) commonly struggle in academic institutions as they face symptoms of hyperactivity, impulsivity, and other traits that prohibit them from succeeding in academics. Children with ADHD may also exhibit behavioral issues such as hostility and aggression towards their peers that may diminish interpersonal relationships with peers and parents. Such issues can cause learning difficulties in children with ADHD as it is difficult to stay still, focus, and listen to teachers in academic settings. Interviews conducted by a clinician are the first step towards an ADHD diagnosis. An ADHD diagnosis is important because the disorder can …

Examining The Moderating Effects Of Adult Social Support On The Relationship Between Adverse Experiences And Psychosocial Adjustment, Zachary Wilde

Master's Theses

Exposure to adverse experiences during childhood place adolescents at a disproportionately high risk of developing physical and mental health problems later in life (Anthony et al., 2019; Basto-Pereira et al., 2016; Brown & Shillington, 2016; Felitti et al., 1998). Further, at-risk adolescents, conceptualized as children and adolescents who lack resources for upward mobility, are more likely to be exposed to adverse experiences and thus are at greater risk for these negative outcomes when compared to adolescents who are not considered at-risk (Fernandes-Alcantara, 2018). To obtain better specificity of what outcomes adverse childhood experiences (ACEs) predict in a sample of vulnerable …

Principles For Managing Burnout Among Catholic Church Professionals, Thomas G. Plante

Psychology

While a large body of research literature has explored the assessment, treatment, and prevention of worker burnout, much less research has focused on the unique issues associated with burnout in religious organizations, especially within the Roman Catholic Church. Catholic Church employees, whether clerics or laypersons, are embedded within a 2,000-year-old global hierarchical structure and organization that is unique in that it includes clerics with vows of chastity, obedience, and often poverty as well as ongoing crises related to clerical sexual abuse scandals, significant financial stressors, and a faith tradition that often overvalues sacrifice and suffering. The purpose of this brief …

The Influence Of Language On Thematic Apperception Test Assessment Of Defenses In International Spanish-Speaking College Students, Ilenia Perez-Palen

Theses and Dissertations

Cultural influences, including the use of language, have been shown to affect personality development and are also likely to impact personality assessment results. The influence of language is particularly relevant in story-telling measures such as the Thematic Apperception Test (TAT; Morgan & Murray, 1935). The purpose of this study was to analyze TAT narratives delivered in English and Spanish to assess the application of defense mechanisms based on the Defense Mechanism Manual (DMM; Cramer, 1991) among Hispanic international students. No study to date has provided insight into Hispanic individuals’ use of language with the TAT, specifically on scores for the …

Moderating Factors In The Relationship Between Bully Victimization And Psychosomatic Symptoms, Tonya Paulson

Theses and Graduate Projects

The purpose of this study was to investigate the relationship between bully victimization and psychosomatic symptoms, and to examine the protective influence of perceived parent and peer support across developmental age groups. Bully victimization frequency, somatic symptom severity, perceived parent support, and perceived peer support were assessed using archival data from 7,304 youth who participated in the 2009-2010 Health Behavior in School-Aged Children (HBSC) U.S. survey, excluding perpetrators of bullying. Bully victimization and somatic symptoms were significantly positively correlated. Older adolescents consistently reported more severe somatic symptoms, but age did not moderate the relationship between bullying and somatic symptoms. Higher …

P-13 El Laberinto Del Fauno: A Child’S Imagination And Coping With The Trauma Of War, Psychology And Spanish, Hannah Cruse

Celebration of Research and Creative Scholarship

Abstract of “El laberinto del fauno: A Child’s Imagination and Coping with the Trauma of War”

Guillermo del Toro’s film El laberinto del fauno, known as Pan’s Labyrinth to English speaking audiences, opens up a fantastical world that is just a touch away from reality, but everyone believes this to be the imagination of one child, Ofelia. She tries to complete tasks and learns the truth of the land of post Civil War Spain that she currently resides in while she yearns for another. A child's imagination can be transported by a simple story; there seems to be a special …

Understanding Self-Compassion Within Narrative Identity: The Struggles Of Japanese Students With Measuring Up, Anton Sevilla-Liu

The Qualitative Report

The psychology of self-compassion is growing in importance for understanding well-being and helping people in therapeutic and educational settings. However, present research may be limited by a narrow focus on nomothetic self-reports like the Self-Compassion Scale. This article supplements that qualitatively, looking at self-compassion in life stories. It is guided by the questions, “How do students experience the struggle between self-compassion and its deficit? And how is this experience manifest in their narrative identity?” This study examined three Japanese university students who submitted their narrative self-reflections, including stories of the high point, low point, turning point, and recurring pattern in …

Personality And Psychopathology Correlates Of Institutional Misconduct Among Juvenile Offenders, Paula Floyd

Dissertations

Juvenile delinquency is a national concern, as delinquent behavior is associated with a host of poor psychosocial outcomes during later adolescence and adulthood. To address delinquency, it is important to understand psychological adjustment among adolescents who have already made contact with the juvenile justice system. One way to explore adjustment within this population involves examining personality and psychopathology correlates of institutional misconduct (i.e., behavioral infractions while incarcerated). While there is a robust body of literature regarding personality and psychopathology correlates of misconduct in adult inmate samples, there has been far less work devoted to these relationships among justice-involved youth. Furthermore, …

Psychophysiological Effects Of Increasing Awareness Of Nondual Consciousness In Young Adults With Depression And Anxiety, Milena Braticevic

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

Young adults increasingly suffer from anxiety and depression during the time of transition into adulthood. This research study examined the effects of increasing awareness of nondual consciousness in young adults who were experiencing various levels of anxiety and depression. The methodology was mixed-method and included four 1-hour group-based sessions over 4 weeks. Increasing awareness of nondual consciousness through educational, experiential, and behavioural components resulted in reduction in the average depression score from 19.4 (borderline clinical depression) to 10 (normal), and reduction in the average anxiety score from 12.7 (moderate anxiety) to 6.9 (mild). Participants reported increased mental, emotional, physical, and …

Gender Differences In College Drinkers: The Role Of Masculine Norms, Jared A. Davis

USF Tampa Graduate Theses and Dissertations

Drinking among college students has remained a prominent problem within the United States, with more than 50% of college students drinking alcohol, 30% considered binge drinkers, and 9% considered heavy drinkers (SAMHSA, 2018). Evidence also shows that males are more likely to partake in risky drinking behaviors (e.g., binge drinking or drinking to intoxication) and are at higher risk to be diagnosed with a alcohol use disorder when compared to women (Iwamoto et al. 2014; Grant et al., 2004). Recent findings suggest that adherence to particular masculine norms as a risk factor for problematic alcohol use among men (Mahalik, 2000; …

Correlates Of Psychological Well-Being In Older Adults With Treatment-Resistant Depression, Selmi Kallmi

Dissertations

The purpose of this study was to examine the factors that are associated with psychological well-being in older adults with late-life depression and determine if social participation moderates and/or mediates these relationships. This dissertation study utilized secondary pre-treatment data collected from the “Optimum: Optimizing Depression Treatment in Older Adults” study (Cristancho et al. (2019). Community dwelling older adults (N = 369) were included if they currently met criteria for MDD, had failed at least two prior trials of MDD medication treatment, and were able to visit the study site to participate in cognitive and physical functioning assessments. Hierarchical multiple regressions …

Moderating Roles Of Racial Identity In The Effects Of Racial Discrimination On Distress, Sarah Gobrial

Psychology Theses and Dissertations

Racial discrimination has been linked to psychological distress among people of color. The degree to which psychological distress is associated with racial discrimination experiences varies across individuals. Racial identity may be one key set of individual difference factors that can influence how discrimination impacts psychological distress, but existing empirical findings remain mixed on the moderating role of racial identity in the links between discrimination and distress. The present study leveraged virtual reality technology to experimentally invoke experiences of discrimination. The study was aimed to (1) determine the causal effects of racial discrimination on psychological distress (i.e., stress and negative affect), …

Helpful Or Harmful: The Impact Of Shame And Guilt On Concealment In Adulthood Following Childhood Trauma, Xiomara Vanessa Senior

Theses and Dissertations

The current study aimed to examine the moderating role of shame and guilt in the associations between types of childhood maltreatment and levels of self-concealment. Childhood maltreatment has been linked to emotions such as shame and guilt that elicit schemas of self-doubt, incompetence, and failure (Cohen et al., (2011). When an individual internalizes these thoughts and emotions, they may act in maladaptive ways such as avoidance, fear, dissociation, and possible concealment within adulthood (Dorahy & Clearwater, 2012, Smetana et al., 2019). De Seve et al. (2020) recently found that shame proved to be a mediator in the relationship between self-concealment …

What's Hope Got To Do With It? The Role Of Hope In Sexual Abuse Treatment, Marian Kay Amundsen

Theses and Dissertations

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an evidence-based treatment approach for children suffering from trauma-related symptoms (; Cohen et al., 2018 Cohen et al., 2022; de Arellano et al., 2014; Slalom et al., 2022). Throughout treatment, the primary focus is to reduce the negative symptoms after experiencing a traumatic life event (Child Welfare Information Gateway, 2012). The role of hope in the aftermath of trauma survivors has been supported as a strength contributing to the well-being of the individual (Munoz et al., 2020). However, research has not yet examined the role of hope as a predictor of completing trauma-focused treatment. …

Stress Arising From The Covid-19 Pandemic: Impacts On Coparenting Quality And Child Internalizing And Externalizing Problems, Michelle R. Ebrahim

Honors Program: Senior Projects (Public)

Since emerging in late 2019, the highly contagious coronavirus disease (COVID-19) has caused worldwide disruptions, with major shutdowns in school, work, and other aspects of life. These stressors uniquely impacted families with young children. The present study investigated the impact of the pandemic on family functioning and risk for child internalizing and externalizing problems during the first year after the pandemic. The study included three waves of data collection from a larger longitudinal study aimed at understanding how couples navigate the prenatal-postpartum transition and the impacts of the family on early child development. We found that family pandemic-related stress was …

Individual Differences And Neural Correlates Of Emotion Reactivity And Regulation: Potential Intervention Targets In Depression, Ian James Kahrilas

Dissertations

Depression, Electroencephalography, Emotion reactivity, Emotion regulation