Clinical Psychology Commons^™

Capitalizing On Stress: Improving Affect And Self-Efficacy Through An Arousal Reappraisal Intervention, Angel Long

College of Graduate Studies: Theses & Dissertations

Stress is a non-specific reaction to the body (Jamieson et al., 2018), defined as a feeling of tension when one’s personal resources are taxed or exceeded (Folkman & Lazarus, 1985). Coping mechanisms for stress often focus on reducing associated features (Connor-Smith & Flachsbart, 2007). However, stress can produce challenge states, mindsets where individuals perceive personal resources as greater than situational demands (Jamieson et al., 2013). Challenge states are more likely to elicit positive behavior (Jamieson et al., 2018) and improved cognitive performance (Jamieson et al., 2010). One prospective mechanism to foster challenge states is arousal reappraisal, a cognitive mechanism …

Entitlement, Psychological Vulnerability, And Criminality: An Expansion On Grubbs And Exline's (2016) Model, Allison Dart

Antioch University Dissertations & Theses

The current study examines the predictive relationships among Entitlement, criminal thinking, and psychological vulnerability. Eighty male incarcerated individuals participated in this research and four measures were administered to each participant: the Adverse Childhood Experiences Questionnaire (ACEs), the Texas Christian University Criminal Thinking Scale (TCU-CTS), the Woodcock Johnson-IV Cognitive Brief Intellectual Abilities scale (WJ-IV COG BIA), and the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF). Results yielded the following findings: Behavioral/Externalizing Dysfunction was the best predictor of Entitlement. Behavioral/Externalizing Dysfunction and Thought Dysfunction were the best predictors of each of the other aspects of criminogenic thinking. Emotional/Internalizing Dysfunction did not reliably …

The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn

Antioch University Dissertations & Theses

Evidence suggests that clinical psychology trainees may be vulnerable to stress, vicarious traumatization, secondary traumatic stress, compassion fatigue, and burnout. Research also indicates that engaging in self-care may help to protect clinical psychology trainees against those experiences and enhance their well-being. However, best available research suggests self-care education is not consistently incorporated into clinical psychology training or prioritized by program directors. This study provided a systematic review of existing literature on self-care for clinical psychology trainees, utilizing reflexive thematic analysis to identify the essential skills, knowledge, and attitudes of self-care which should be taught to trainees, and how to operationalize …

Examining The Utility Of Hope Interventions To Mitigate The Effect Of Discrimination On Distress In African Americans, Sunia H. Choudhury

College of Graduate Studies: Theses & Dissertations

Hope is a positive psychology resource that utilizes one’s perceptions of strengths to create clear goals, produce multiple pathways to reach goals, overcome barriers, and generate the energy needed to pursue goals by increasing positive affect and satisfaction, while reducing negative problem orientations (Magyar-Moe, 2014). Hope interventions also significantly reduce psychological distress (Rustøen, Cooper, & Miaskowski, 2011). Discrimination is a significant barrier to quality of life for African Americans (Bilkins, Allen, Davey, & Davey, 2016). Discriminatory experiences increase levels of distress (Brown, et al., 2000). However, it is unknown if hope interventions can protect African Americans against distress caused by …

Early Maturing Out Of Problematic Alcohol Use, Sarah J. Peterson

Theses and Dissertations--Psychology

Most research suggests that alcohol use peaks in the college years then declines into the mid-thirties (Jochman & Fromme, 2010). However, there is evidence that some individuals mature out earlier: downward trends for some individuals begin in college, with as many as one third of students decreasing their drinking (Baer et al., 2001). It is crucial to identify factors that differentiate those who decrease their drinking early from those who persist in high levels of consumption; doing so would clarify risk for college-related alcohol problems and perhaps subsequent alcohol use disorder, and aid in earlier targeted prevention and intervention. This …

Mild Cognitive Impairment In Presurgical Deep Brain Stimulation For Parkinson's Disease, Elizabeth Roslyn Wallace

Theses and Dissertations--Psychology

Although clinically characterized by motor impairments, Parkinson's disease (PD) often affects cognition early in the disease course. Cognitive changes common in PD include visuospatial abnormalities and prominent executive function (EF) deficits, with 30% of individuals eventually developing Parkinson’s disease dementia (PDD). Mild cognitive impairment (MCI) has been identified as a transitional state between normal cognition and PDD. A large cohort of individuals with PD at the Kentucky Neuroscience Institute have undergone pre-surgical evaluations for deep brain stimulation, although cognitive performance in this cohort has never been probed. Baseline cognitive performance of this cohort from 2017-2020 was examined to characterize the …

Development And Cross-Validation Of Personality Assessment Inventory Decision Rules For The Identification Of Psychogenic Nonepileptic Seizures, Chelsea Marie Bosch

Theses and Dissertations--Psychology

The published literature on the Personality Assessment Inventory (PAI) for psychogenic nonepileptic seizure (PNES) diagnosis includes a variety of interpretation methods to distinguish PNES from epileptic seizures (ES) and offers mixed findings. The purpose of this study was to use a cross-validation approach to create and derive new decision rules for the PAI to best differentiate PNES from ES. Data from 773 patients (PNES n = 328, ES n = 445) who underwent long-term video EEG (vEEG) monitoring and completed a PAI were examined. Individuals with invalid PAI profiles were removed, and patients were randomly assigned to the “development” group …

Assessing The Temporal Relationship Between Changes In Neuroticism And Symptom Improvement In The Unified Protocol, Nicole Stumpp

Theses and Dissertations--Psychology

Neuroticism is defined as the tendency to experience frequent and intense negative emotions accompanied by the belief that one could not cope adequately in response to stress. Neuroticism is associated with the development and maintenance of a range of emotional disorders (e.g., anxiety disorders, depression) and targeting this trait in treatment (rather than symptoms) may represent a more efficient approach to care. However, researchers have rarely measured neuroticism and symptoms frequently enough to establish temporal precedence between these dimensions. The present study is a secondary analysis that examined the temporal relationship between neuroticism and anxiety and depressive symptoms during a …

Self-Monitoring And The Dsm-5 Section Iii Alternative Model Of Personality Disorder, Gillian Mccabe

Theses and Dissertations--Psychology

The Alternative Model of Personality Disorder (AMPD) was introduced in Section III (“Emerging Measures and Models”) of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to address many of the challenges inherent to the categorical system of personality disorder diagnosis. According to the AMPD, personality disorders can be identified by the extent to which impairment in personality functioning (i.e., Criterion A) and pathological personality traits (Criterion B) are present. Researchers have divided over the distinction between Criterion A and Criterion B, with one side favoring the current AMPD conceptualization of personality traits and functioning as independent constructs and the …

Experiential-Based Feedback During Alcohol Intoxication And Its Effect On Drinkers’ Risk Awareness, Alexandra R. Kelly

Theses and Dissertations--Psychology

The prevalence of alcohol-impaired driving injuries and fatalities has not decreased for over a decade despite strategies to reduce and prevent driving under the influence of alcohol (DUI). In 2019, 10,142 people died in alcohol-impaired driving crashes in the United States, which totaled to 28% of all traffic fatalities for the year. DUI interventions have been found to have moderate effects on reducing DUI recidivism. Prevention research has identified a lack of risk awareness in DUI offenders and this could be a target to motivate behavioral change. However, the training to increase levels of risk awareness needs to occur in …

Effects Of An Online Insomnia Intervention On Sleep And Alcohol Consumption, Justin Verlinden

Theses and Dissertations--Psychology

Alcohol use disorder (AUD) and insomnia are highly comorbid, due in part to the use of alcohol as a sleep aid among individuals with insomnia. Initial studies have shown that cognitive behavioral therapy for insomnia (CBT-I), the first-line treatment for insomnia, is moderately successful at improving both sleep and drinking outcomes in heavy drinkers with insomnia. However, CBT-I is expensive and not widely available. Online CBT-I could be a more accessible alternative. One online CBT-I program, Sleep Healthy Using the Internet (SHUTi), is especially promising due to its high efficacy in treating insomnia and its individualized and interactive platform. Here …

Latent Classes Of Symptom Trajectory In A Brief Treatment For Borderline Personality Disorder, Doug Terrill

Theses and Dissertations--Psychology

It is likely that patients with BPD progress through treatment in different ways. Characterizing symptom trajectories during treatment can facilitate the identification of distinct treatment responses, which may be shared by subgroups of patients. Researchers have consistently identified multiple distinct symptom trajectories among individuals with common psychopathological conditions, but no research to date has attempted to do so among patients with BPD. This study used latent growth mixture modeling to identify and characterize distinct classes of symptom trajectories among patients receiving an 18-week cognitive-behavioral treatment for BPD. Two distinct BPD symptom trajectories were identified in this sample, which were primarily …

Comparison Of Schedules, Stress, Sleep Problems, Fatigue, Mental Health And Well-Being Of Low Cost And Network Carrier Pilots, Marion Venus

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This research investigates and compares working-conditions, duty rosters, stress, sleep problems, fatigue levels, mental health, and well-being of pilots working for network (NWCs), and low-cost carriers (LCCs). This study extends previous research by investigating working conditions, pilots’ actual rosters, fatigue and mental health of two groups of pilots flying for LCC or NWC.

Method

A comprehensive cross-sectional online survey was completed by N=338 pilots (185 NWC, 153 LCC pilots). All pilots reported their roster data of the last 2 months during peak flight season, psychosocial and work-related stress (e.g., high job insecurity, less total flight-experience, lower income, more time …

A Risk-Averse Mechanism For Suicidality Assessment On Social Media, Ramit Sawhney, Atula Tejaswi Neerkaje, Manas Gaur

Publications

Recent studies have shown that social media has increasingly become a platform for users to express suicidal thoughts outside traditional clinical settings. With advances in Natural Language Processing strategies, it is now possible to design automated systems to assess suicide risk. However, such systems may generate uncertain predictions, leading to severe consequences. We hence reformulate suicide risk assessment as a selective prioritized prediction problem over the Columbia Suicide Severity Risk Scale (C-SSRS). We propose SASI, a risk-averse and self-aware transformer-based hierarchical attention classifier, augmented to refrain from making uncertain predictions. We show that SASI is able to refrain from 83% …

Growth Of Condition-Related Knowledge Among Youth With Spina Bifida: Associations With Neurocognitive Functioning And Self-Management Skills, Olivia Emery Clark

Master's Theses

Spina bifida (SB) is a congenital birth defect that may involve physical, medical, and neuropsychological complications due to central nervous system malformation (Copp et al., 2015). Ambulation problems, bladder and bowel dysfunction, and hydrocephalus require daily medical management tasks, including catheterization, bowel program management, and skin checks to avoid secondary complications. While self-management skills are typically gained during adolescence, executive dysfunction in SB may complicate gains (Dennis et al., 2006; Greenley, 2010). Indeed, evidence in other chronic conditions suggests that adolescent executive dysfunction is linked to poorer medical self-management. Condition-related knowledge has been identified as an important basis of medical …

Examining The Bidirectional Relations Between Psychological Functioning And Academic Outcomes Among College Students, Maya Hareli

Master's Theses

Emerging adulthood is a developmental period associated with a variety of transitions and changes, including rising rates of mental health concerns (Arnett, 2004, 2006; Center for Collegiate Mental Health, 2020). The literature has established that both psychological and academic functioning are critical components of students’ lives, as mental health has been shown to interfere with students’ grades, graduation rates, and postgraduate employment (Hartley, 2010; Mojtabai et al., 2015), while poor achievement is associated with mental health challenges in college and beyond (Bruffaerts et al., 2018; Respondek et al., 2017). Additionally, women and men have been shown to experience these areas …

Positive Affect Facilitates Reduction In Depression Symptoms During A Mobile Mindfulness-Based Intervention, Andrew Rauch

Master's Theses

Depression negatively impacts the lives of many, and the rates are continuing to rapidly increase. Identifying patterns of modifiable affective psychological mechanisms that contribute to reducing depression symptoms is critical to improve the effectiveness of wellbeing interventions for individuals with depressive disorders. Depression has been characterized by valanced patterns of low positive affect and high negative affect, yet the extent to which these relative patterns of affectivity change in response to intervention remains less clear. The present study evaluated affective patterns in college students (n = 127) with elevated depression symptoms who participated in a randomized controlled trial (RCT) of …

Modeling The Impact Of Peer Mentorship To Support First-Year Student Well-Being, Sarah Broner

Master's Theses

The transition to college is characterized by instability in a variety of life domains, with some students experiencing sharp declines in well-being across the first year of college (Conley et al., 2014). Well-established in the literature is the link between this life transition and increased rates of mental illness, including depression, anxiety, stress, and relationship problems (Auerbach et al., 2018). The adjustment to higher education can be particularly difficult for underserved students (Carter et al., 2013; Kalsner & Pistole, 2003), who may not have access to the same types of knowledge, resources, and privileges as their White counterparts on campus. …

Alcohol And Other Addictive Behaviors Among Bariatric Surgery Patients, Rachel M. Arnold

Theses and Dissertations

Research has repeatedly highlighted a high rate of comorbidity of addictive behaviors in both clinical and non-clinical samples. While polydrug use has received significant attention in recent years, less is known about rates of comorbidity with behavioral addictions such as eating, work, exercise, or sex. Individuals with a history of bariatric surgery may provide a unique opportunity to examine the potential co-occurrence of addictive behaviors. High rates of food addiction symptoms and changes in alcohol use patterns post-surgically have highlighted a potential gap in our understanding of bariatric patients and their needs post-surgically. Using a composite measure of addictive behaviors, …

Using Individual Determinants To Predict Behavioral Health Service Use In Integrated Pediatric Primary Care, Alfonso L. Floyd Jr.

Theses and Dissertations

Mental health problems (e.g., attention, externalizing, internalizing) are commonly observed in youth and are often associated with significant impairment and an increased need for mental health services. Conceptual frameworks, such as Andersen’s Behavioral Model of Health Service Utilization, have proposed that several individual determinants (e.g., predisposing, enabling, and need factors) may influence service use for mental health problems among youth. Despite the glaring need for mental health treatment among youth with mental health problems, studies indicate that many affected youths do not receive mental health care. Integrated pediatric primary care (IPPC) settings provide an ideal setting for youth and families …

Predicting Medication Adherence Patterns During The Maintenance Phase Of Treatment For Pediatric Leukemia And Lymphoma: A Model Of Individual- And Family-Level Factors, Stephanie M. Romo

Theses and Dissertations

Adherence during the maintenance phase of pediatric cancer treatment is critical to prevent relapse and ensure long-term, event-free survival. Yet, little research has been done to examine individual- and family-level factors that may relate to adherence during the maintenance phase of treatment, particularly among Latinx patients. This is surprising given findings demonstrating that children who miss more than 5% of their prescribed oral chemotherapy medicine, most commonly 6-mercaptopurine (6MP), are 2.5-2.7 times more likely to relapse than children who take 95% or more of their prescribed 6MP. Pediatric cancer patients face unique adherence challenges given the importance of family involvement …

Sleep Self-Efficacy, Loneliness, And Physical Activity: Assessing The Pathways Between Sleep Quality And Mental Health Using Structural Equation Modeling, Amber M. Fox

Theses and Dissertations

Although there is robust empirical support that poor sleep contributes to declines in mental health, explanations of this relationship remain unclear. The purpose of the present study was to examine the pattern of associations between sleep quality, sleep self-efficacy, loneliness, physical activity, and mental health among U.S. adults across the lifespan, and whether they differed by gender or age group. A structural equation model with invariance analysis was developed and examined data from 2,300 adults (M_age = 44.1, SD = 16.78) participating in the online study Investigating Sleep Longitudinally Across Normal Development (ISLAND). Sleep quality was measured by …

Youth Leadership Through Adventure: Alums' Perspectives On The Experience Of Leadership, Raynalde Schagen

Antioch University Dissertations & Theses

In this study, I examined the perspectives that emerging adult alums of a program called Youth Leadership Through Adventure (YLTA) have of their adolescent experiences of being a leader. Eight YLTA alums engaged in semi-structured interviews focusing on the research questions: What are the lived experiences of leadership in emerging adult alums of YLTA? What factors of their adolescent involvement were most influential in their emerging adult lives? As a youth development program, YLTA is supported by Adapt and the North Country Health Consortium (NCHC), two nonprofit organizations devoted to improving health conditions and habits of individuals residing in the …

Psychological Impact On Probation Officers Supervising Individuals With Mental Illness, Janelle Hickey

Antioch University Dissertations & Theses

Every year, millions of adults in the United States are ordered to participate in supervised community probation and parole (Bureau of Justice Statistics, 2021). Probation and parole supervisees with serious and persistent mental illness (SPMI) are overrepresented in the criminal justice system and, therefore, probation and parole officers (PPOs) can expect to work with supervisees with mental illness. While there is extensive research on the impact of working with individuals with SPMI on community support professionals, there is little research focusing specifically on PPOs (Whitehead, 1985). The limited research that exists suggests PPOs who supervise individuals with SPMI endorse symptoms …

Unique Types Of Angel And Ghost Memories In Low-Income, Diverse Pregnant Women, Rebecca Spear

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This study examined the associations between three types of angel memories, defined as recollections of loving moments with childhood caregivers, and pregnant women’s reported childhood adversity and current PTSD symptoms. Angel memories were coded from the Angels in the Nursery Interview (Van Horn et al., 2008) into three subtypes: protection in the context of harm, rupture in the protective shield, and sensory memories. Participants were 175 ethnically-diverse pregnant women (M age = 28.07, SD = 5.68, range = 18-40 years; 61.1% non-White) who completed the Angels Interview, the Adverse Childhood Experiences scale (ACEs; CDC, 2021) for childhood adversity, and …

Can Brazilian Jiu Jitsu Be A Viable Treatment Option For Law Enforcement Officers With Ptsd?, Megan Rinderer

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Law enforcement officers (LEO) are more likely to experience symptoms of PTSD when compared to the general population yet are less likely to seek mental health treatment (Jetelina et al., 2020). Given that LEO face unique occupational stressors and repeated exposure to traumatic events, treatment for PTSD among law enforcement populations poses unique challenges for clinicians. The combination of these variables precludes officers from seeking and receiving mental health services. Research regarding the efficacy of Brazilian Jiu Jitsu (BJJ) as a psychotherapeutic intervention is limited. To date, no studies have examined the use of BJJ to mitigate symptoms of PTSD …

An Analysis Of Military Service Academies Sexual Harassment And Sexual Assault Through Reports, Research, And Media Coverage, Lisa “Tana” Youn Kyung Sharp

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Military Sexual Trauma (MST) at the United States Military Services Academies (MSA) remains at a concerning rate despite the MSAs’ proactive educational steps towards addressing this issue. One of the most influential factors is the very culture of the MSAs. This paper analyzes publicly-accessible governmental research and reports, peer reviewed articles, a legal publication, and media coverage. The analysis shows that there remain significant barriers to change which continue to play a role in the high frequency of MST. These barriers are low rates of accountability, difficulty in access to cadets/midshipmen by outside researchers, and the overall MSA cultural trends …

Bipolar Disorder & Substance Use Treatment In Adults: A Tool For Recovery, Kaitlin Vieweg Parker

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Bipolar Disorder is an affective disorder characterized by moderate to extreme lability in emotional states where individuals experience symptoms of mania, hypomania, mixed mood and/or depression. Individuals may be diagnosed with bipolar I disorder, which is hallmarked by extreme mood lability between mood states of mania and depression. Alternatively, bipolar II disorder is distinguished by fluctuating hypomanic and depressive episodes (DSM-V, 2014). Cyclothymia is defined by shifting mood states that are less severe than bipolar I or II. According to the National Alliance on Mental Illness (NAMI, 2017), 2.8% of adults in the United States are diagnosed with a type …

It Takes A Village: Tribalism As A Premise To Understand Societal Responsibility And Impact Of Mass Violence, Paige D. Schultz

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

What is a mass shooter? This is difficult to answer as there is no single definition. The definition of a mass shooter depends on contextual factors including victim count, setting, and motivation (Gramlich, 2019). The Federal Bureau of Investigation (FBI) defines active shooters as “one or more individuals actively engaged in killing or attempting to kill people in a populated area” (Federal Bureau of Investigation, 2021, page 1). While other definitions are used to identify a mass shooter, given the breadth of study in this area by the FBI, this paper will use the FBI definition.

“It’S Right Below The Surface”: Clinicians’ Experiences Of Shame In Therapy Work With Adult Clients With Body Shame, Body Image Concerns, Or Eating Disorder(S), Tess Carroll Keeley

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Shame–understood as a feeling in which one believes that they are inadequate, or wrong to their core–is a painful emotional experience that seems to be at the crux of many mental health concerns. Despite the pervasiveness of shame as an emotional experience, little research has demonstrated if shame is a clinical theme in therapy, and if so, how it is identified and treated. The purpose of this qualitative study was to explore if, and how, shame manifests during therapy sessions with clients who are experiencing eating disorders and/or body image concerns. A secondary purpose was to discover how clinicians’ training …