Clinical Psychology Commons^™

A 21 Year Meta Analysis Of The Effectiveness Of Trauma-Sensitive Schools Initiatives, Megan Ann Blanton

Graduate Theses and Dissertations (2019 - present)

Childhood exposure to adversity is prevalent, with most individuals in the United States having experienced at least one adverse event in childhood (Child and Adolescent Health Measurement Initiative, 2019; Merrick et al., 2018). Low dosages of childhood adversity experienced within the context of a safe and caring home environment can promote the development of healthy coping skills that prepare children for future adversity. However, childhood adversity that is intense, chronic, or complex can result in a toxic stress response that leads to the development of mental illness, physical health concerns, cognitive deficits, academic performance deficits, and in severe cases, premature …

A Policy Evaluation For California’S Care Act And The Application Of The Social Determinants Of Health, Adelina Mercedes Lang

Capstone Experience: Master of Public Health

In 2022, California passed a legislative bill, SB 1338: the Community Assistance, Recovery, and Empowerment (CARE) Act, which created a new statewide procedure for treating mentally ill homeless adults diagnosed with psychotic disorders through a court-ordered CARE plan. SB 1338 intends to alleviate the mental health and homeless crisis. This capstone project provides an early assessment of SB 1338 using a modified formative policy evaluation methodology, including a scoping literature review and applying a policy assessment using the CDC's Policy Evaluation Framework. A stakeholder survey was also applied to gather stakeholders' perspectives on SB 1338. The literature review supported the …

Examining Emotion Regulation Strategies As Predictors Of Posttraumatic And Depressive Symptomatology In Maltreated Youth, Kinsey Ellis

UNLV Theses, Dissertations, Professional Papers, and Capstones

Youth with a history of maltreatment victimization are at heightened risk for developing symptoms of posttraumatic stress and depression. Recent work has identified emotion dysregulation as a potential transdiagnostic mechanism linking maltreatment victimization to youth psychopathology, but few studies have examined the influence of specific emotion regulation strategies. Habitual utilization of expressive suppression and cognitive reappraisal have each demonstrated associations with trauma-related psychopathology in adults. The present study examined both strategies as predictors of posttraumatic and depressive symptomatology in youth with a history of maltreatment, as well as mediators in the relationship between the two conditions.

The sample included 133 …

Linguistic Impact On The Use Of The Reliable Digit Span For Performance Validity In A Sample Of English-Spanish Bilingual Adults, Amy Polinsky

Student Theses

Performance validity tests (PVTs) are used alongside neuropsychological assessments to help detect suspect effort. One of the most widely used PVTs, the Reliable Digit Span (RDS), and its latest version, the RDS-revised (RDS-R), have been widely accepted as valid and reliable within the general population. However, as the United States becomes increasingly globalized, questions arise regarding the validity of language-based tests such as the RDS and RDS-R amongst English-Spanish bilingual populations. This study used a within-subject design with 28 bilingual undergraduate students, testing them on the Digit Span (the test that RDS results are based on) in both English and …

Awareness With Paralysis And Symptoms Of Post-Traumatic Stress Disorder Among Mechanically Ventilated Emergency Department Survivors (Ed-Awareness-2 Trial): Study Protocol For A Pragmatic, Multicenter, Stepped Wedge Cluster Randomized Trial., Brian M Fuller, Brian E Driver, Michael B. Roberts, Christa A Schorr, Kathryn Thompson, Brett Faine, Julianne Yeary, Nicholas M Mohr, Ryan D Pappal, Robert J Stephens, Yan Yan, Nicholas J Johnson, Brian W Roberts

PCOM Scholarly Works

BACKGROUND: Awareness with paralysis (AWP) is memory recall during neuromuscular blockade (NMB) and can cause significant psychological harm. Decades of effort and rigorous trials have been conducted to prevent AWP in the operating room, where prevalence is 0.1-0.2%. By contrast, AWP in mechanically ventilated emergency department (ED) patients is common, with estimated prevalence of 3.3-7.4% among survivors given NMB. Longer-acting NMB use is a critical risk for AWP, and we have shown an association between ED rocuronium use and increased AWP prevalence. As NMB are given to more than 90% of ED patients during tracheal intubation, this trial provides a …

Attitudes Of Graduate Students Towards Integrating Religion And Spirituality In Therapy, Miranda Lynn Crawford

Walden Dissertations and Doctoral Studies

No abstract provided.

Underlying Mechanisms Of Generalized Anxiety Disorder In An Experimental Fear-Conditioning Paradigm, Melissa Hartnell

Theses and Graduate Projects

The purpose of this study was to examine the potential underlying mechanisms of generalized anxiety disorder (GAD) including fear generalization, maladaptive avoidance, and intolerance of uncertainty (IU) in a sample of adults with GAD, as compared to healthy controls in the context of a lab-based fear conditioning paradigm. The current study utilized data from the University of Minnesota ANGST Laboratory’s Danger Zone – Research Domain Criteria (DZ-RDoC) neuroimaging study. Participants consisted of 40 individuals ranging from ages 18-60, with 19 meeting criteria for GAD (M age = 30.57, SD = 11.70) and 21 healthy controls (M age = …

U.S. Military Veterans Transition To Two Midwest Universities: Post-Traumatic Stress Disorder, Moral Injury, And Academic Outcomes, Malychanh T. Bartlett

Dissertations

Abstract

Objective: To examine the association between posttraumatic stress disorder (PTSD) and moral injury (MI) and the extrinsic factors of the degree of negative patterns of healthy behaviors and negative experiences in an academic setting, the moderating effects of social support on PTSD and MI symptomatology, and the perception of academic success and positive perception of academic experience. Additionally, to examine the mediating effect of intrinsic factors (perceived academic experience) on academic outcomes objectively and subjectively.

Background: Student veterans as non-traditional students face challenges transitioning to the academic environment. Some have underlying mental and psychological complications of PTSD and MI, …

The Effectiveness Of Computerized Neurofeedback As An Accompanying Or Alternative Therapeutic Intervention For Pharmacological Treatment In Improving Attention And Other Symptoms For Children With Attention Deficit Hyperactivity Disorder (Adhd), Eqbal Z. Darandari Phd, Nouf F. Alsultan

International Journal for Research in Education

This study aimed to investigate the effectiveness of a treatment program using computerized neuro-feedback in improving attention for children with attention deficit hyperactivity disorder (ADHD). To achieve the aim of the study, the computerized neurofeedback program was applied to (56) children diagnosed with (ADHD), aged between (7-11) years. They were distributed into four groups: the first group was subjected to combined intervention (neurofeedback & pharmacological treatment), the second group was subjected to (neurofeedback only), while the third group was exposed to the intervention using (pharmacological treatment only), and the fourth group was (not exposed to any intervention). Test of Variables …

Oh No, We're Moving, Devina Parker

Psychology Division Scholarship

This wonderful book helps children identify and express their feelings, face the challenges that come with moving to a new place, and ease difficult emotions such as worry and fear. Devina's compassionate storytelling and insightful guidance provide invaluable support to young readers and their families during times of transition.

Examining The Evidence Base For Burnout, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout has elicited growing interest among occupational health specialists in recent decades. Since 2019, the World Health Organization has characterized burnout as a syndrome resulting from chronic, unmanageable workplace stress. According to the ICD-11, three symptoms define the entity: feelings of exhaustion, increased mental distance from one’s job, and a sense of ineffectiveness at work, all of which correspond to the structure of the Maslach Burnout Inventory. The ICD-11 includes burnout among the factors that influence health status. This paper calls into question that conceptualization based on a number of lines of evidence. The evidence includes the following: burnout was …

Examining The Relationship Between Help-Seeking Behaviors, Mental Health Perceptions, And Preferred Modality Of Therapy Services Among University Students In Arab Countries: A Comparitive Study, Roxanne Wolmarans

Theses

As mental health concerns continue to grow in the modern world, many are faced with barriers to seeking help due to attitudes, beliefs and self-stigma. This is especially true within Arab cultures. The main objective for this study was to examine how these attitudes, beliefs and self-stigma may impact a person’s help seeking behavior’s when compared to a preferred modality of treatment, namely online and face-to-face therapy. A cross-sectional study using online surveys consisting of the Self-Stigma of Seeking Help Survey (SSOSH), the Attitudes Toward Seeking Professional Psychological Help Scale - Short Form (ATSPPH - SF), the Online Counselling Attitude …

Maladaptive Daydreaming And Social Anxiety: Prevalence And The Mediating Role Of Emotional Regulation, Riffa Fathima Abuthahir

Theses

Previous studies have generated mixed evidence regarding the magnitude of the prevalence of Maladaptive Daydreaming (MD). In addition, although previous studies have identified an association between Maladaptive Daydreaming (MD) and Social Anxiety (SA), literature is sparse in exploring the underlying factors such as emotional regulation difficulties that might mediate this relationship. The current study attempted to investigate the prevalence of MD and self-perceived levels of Social Anxiety (SA) among undergraduate students in the United Arab Emirates (UAE). It also attempted to explore whether difficulties in regulating emotions mediate the relationship between MD and self-perceived levels SA. A cross-sectional design with …

Chaotically-Disengaged Family Functioning And Depressive Symptoms In Muslim University Students: The Mediating Effect Of Psychological Flexibility And Self-Compassion, Sabina Ioana Varga

Theses

Depression is one of the most prevalent mental health issues among university students. Growing evidence suggests an association between impaired family functioning and increased depressive symptoms. However, there is a gap in the literature with regards to the factors that mediate this relationship. Psychological flexibility and self-compassion are two factors that have been previously linked to both family functioning and depressive symptoms. The present study aims to investigate the mediation role of psychological flexibility and self-compassion on the association between chaotically-disengaged family functioning and depressive symptoms in Muslim university students. Whilst previous studies have been conducted in this topic area …

Exploring The Relationship And Impact Of Islamic Religious Coping On The Meaning Made Following The Loss Of A Loved One, Yara Ihab Am Ali

Theses

Coping after a loss of a loved one can play out differently for different individuals. The existing literature examines coping with loss and bereavement, but it is often with specific types of loss, and usually with western populations or religions. This paper examines the impact of Islamic religious coping onto the meaning made (integration of stressful event) following the loss of a loved one to death, in a diverse ethnic background sample population of various Muslims who have experienced loss in the past 5 years. The study focuses specifically on positive religious coping, and whether it would have a positive …

Development Of Optimal Cut Scores For Within-Normal-Limits Mmpi-2-Rf Profiles Of Sex Offenders, Ilona Iikhtman

Theses and Dissertations

Alleged and convicted sex offenders are generally required to undergo forensic evaluations that frequently include a psychological assessment to answer a wide range of psycho-legal questions. A critical component of the psychological assessment of sex offenders is the evaluation of personality and psychopathology. The Minnesota Multiphasic Personality Inventory (MMPI) and its subsequent editions have been the most widely used personality assessment measures in forensic evaluations, including sex offender evaluations, and in research conducted with sex offenders. The previous literature demonstrates that a subgroup of sex offenders often produce test scores reflective of the general population, which is referred to as …

A Comparison Of Defensiveness In Mmpi-2-Rf Profiles Of Male Sex Offenders And Child Custody Litigants, Kyla M. Jones

Theses and Dissertations

Clinical evaluations have had a long-standing role in criminal and civil legal proceedings due to the intersection between various legal criteria and aspects of psychological functioning. The Minnesota Multiphasic Personality Inventory (MMPI; Hathaway & McKinley, 1943) and its subsequent versions have been among the most commonly utilized and empirically supported measures of personality and psychopathology in assessing forensic populations. One application for which MMPI instruments have been particularly useful is in the evaluation of sex offenders. This is in part due to the tests’ built-in validity scales, as MMPI underreporting scales are found to be effective in assessing sex offenders’ …

Sun Protection Behaviors And Skin Cancer Risk Among Children Of Color, Williana Magloire

Theses and Dissertations

Sun protection is beneficial for children of color as it decreases the risk for sunburns, hyperpigmentation, and most importantly, skin cancer. Invasive melanoma is commonly seen in children of color due to inadequate sun protection. Parental and caregiver modeling of sun protection behaviors may decrease the likelihood of skin cancer among children of color. The American Academy of Pediatrics (AAP, 2011) has suggested that pediatricians adopt the role of informing parents about the benefits of using sun protection products for their young children. They recommended that providers discuss sun protection behaviors with both the parent/child beginning at the age of …

The Relationship Between Parental Trauma History And Perceptions Regarding Their Child’S Healthcare And Utilization Of Healthcare Services, Krishna Patel

Theses and Dissertations

Abstract

TITLE: The Relationship Between Parental Trauma History and Perceptions Regarding Their Child’s Healthcare and Utilization of Healthcare Services

Adverse child events (ACEs) have been associated with a number of physical and mental health problems and have also been linked to increased health care utilization. While parents who have an ACE history may tend to seek healthcare services for themselves, limited studies have examined the impact of their trauma history on seeking healthcare services for their child. Healthcare utilization may also depend on the parents’ level of health anxiety, as well as their anxiety about their child’s health status. This …

Perceived Stress And Religious Coping Among Pakistani-Origin Emerging Muslim Adults Living In Pakistan And The United States: A Cross-Cultural View, Amna Khan, Kiran Bashir Ahmed

Journal of Mind and Medical Sciences

This study explored the relationship between Perceived Stress and Religious Coping levels among Muslim emerging adults of Pakistani origin living in Pakistan and Muslim emerging adults of Pakistani origin living in the United States (US). Participants (Pakistani Origin Muslims Living in Pakistan, n= 103; and Pakistani Origin Muslims Living in the US, n=50) were between 18-25 years old. The Perceived Stress Scale (PSS-10) and Brief R-Cope scale were administered using an online format. Results indicated that negative religious coping strategies were associated with higher perceived stress in both groups while positive religious coping strategies showed a weaker association with lower …

Zimbardo’S Time Perspective And Binge Drinking Patterns In Alcohol Consumption Among Black African International University Students In China, Alice Nguni, Houchao Lyu, Ravi Paul, Xiaobao Li

Psychological Research on Urban Society

Addictive alcohol use among university students in China is a growing public health concern. This study examines Binge drinking and time perspective among Black African students from Southwest University in China. While the Time Perspective focuses on the past, present, or future that may predict alcohol abuse, its relationship with Binge drinking among Black Africans in China remains unexplored. Among 370 participants, data was gathered using the Time Perspective Inventory and Alcohol Use Disorders Identification Test. Regression analysis indicated a positive association between the present (fatalistic, hedonistic), future, and past-positive TP and binge drinking, while the Future time frame showed …

Suicidal Ideation And Community Connectedness In Lgbtq+ Adults: Can Emotion Regulation And Mindfulness Skills Help?, Samantha V. Jacobson

Clinical Psychology Dissertations

Suicidal ideation disproportionally affects the LGBTQ+ community. Community connectedness and mindfulness can be protective against suicidal ideation, whereas emotion regulation difficulty is associated with increased suicidal ideation. Community connectedness, emotion regulation difficulty and mindfulness have demonstrated relationships to each other in the LGBTQ+ community and while they are each independently associated with suicidal ideation, their combined impact on suicidal ideation has not yet been examined. The present study examines moderating effects of emotion regulation difficulty and mindfulness on the relationship between community connectedness and suicidal ideation in LGBTQ+ adults. 141 LGBTQ+ adults completed self-report measures of suicidal ideation, community connectedness, …

Problem Recognition In Culturally Diverse Parent Mental Health Help Seeking, Grace Chen

LSU Doctoral Dissertations

There is evidence of a disparity between mental health prevalence rates in children and service utilization. Thus, many children are not receiving support for their mental health needs despite prevalent symptoms and high levels of psychopathology. This disparity is even greater for children from culturally diverse families who face unique stressors in comparison to their White peers. Given the known positive and preventative effects of early intervention, this places culturally diverse children at disproportionate risk for adverse mental health outcomes. Parents are gatekeepers responsible for responding to their child’s mental health needs. Thus, it is necessary to study the unique …

Survivor Experiences Of Male Childhood Sexual Abuse: A Literature Review, Elizabeth Burch B.S., Joseph T. Kenneally Psy.D., Stephanie Zepeda Phd

Psychology from the Margins

The World Health Organization (WHO) recognizes childhood sexual abuse (CSA) as a global health issue. CSA is a human violation that affects both female and male children and has a stronger detrimental impact on mental health than other traumatic childhood experiences. Despite a growing awareness of male survivors of CSA, male survivors are a marginalized group as most CSA research focuses on females. In addition, masculine norms can keep male adults from disclosing further, which can delay support and increase mental health issues. This meta- analysis reviews the current literature on this group of marginalized people and concludes with a …

The Importance Of Caregivers, Family, And Context For Child Welfare Involved Youth And A National Child Sample: A Structural Equation Modeling Perspective, Nathan Michael Lutz

Dissertations

This bundled, three-study dissertation examines how the relationships that children have with adult family members impact mental health outcomes, including internalizing symptoms and externalizing behaviors. The first study examines the moderating effect of relationship satisfaction on the relationship between kin involvement and child psychopathology. The second study uses data from the 2017 National Survey of Children's Health (NSCH), examining the mediating effect of the parent-child relationship on the associations across various systems in which children are embedded and mental health diagnoses. The third paper examined the interactions between both family strengths and caregiver involvement with the parent child relationship and …

Examining The Bidirectional Associations Between Parenting And Adolescent Coping In The Context Of Exposure To Community Violence, Jenny Phan

Dissertations

Coping refers to all the strategies and processes that an individual uses to eliminate, reduce or tolerate stress (Lazarus & Folkman, 1984; Rosario et al., 2003). Within the general coping literature, research has observed that use of approach-oriented coping strategies is associated with positive psychosocial outcomes, and avoidant-oriented coping strategies is associated with negative psychosocial outcomes (e.g., Compas et al., 2001; Wadsworth & Compas, 2002). However, most of these studies have focused exclusively or predominantly on middle-class White participants (e.g., Compas et al., 2001; Wadsworth & Compas, 2002) which may limit the generalizability of these findings to other groups. Further, …

Institutional Experiences Of Justice-Involved Adolescents: Profiles, Predictors, And Post-Release Associations, Elizabeth Sargent

Dissertations

Experiences within juvenile justice placements have long been a topic of concern amongst researchers and policy makers, with institutional violence exposure and harsh treatment being two such reasons for concern. The majority of adolescents who enter the justice system already have extensive violence exposure, which can continue while they are detained through victimization and witnessed violence. One’s adjustment to justice settings is influenced by characteristics and experiences prior to placement, and institutional experiences may also have influences on mental health and behavior after release. In the current study, reports from justice-involved adolescents were used to 1) identify profiles of institutional …

Warmth And Support: The Importance Of Parenting Behaviors On Child Symptoms Among Mexican Immigrant Families, Yvita Bustos

Dissertations

This dissertation seeks to expand research regarding warmth and support among low-income, Latino immigrant families, specifically families of Mexican-origin, and how these parenting behaviors impact child internalizing symptoms and externalizing behaviors. The first study titled, “Effects of Familism, Parenting, and Family Cohesion on Child Internalizing Symptoms among Mexican Immigrant Families” explored how familism may promote warmth and support, in addition to family cohesion, and how these factors may impact child internalizing symptoms during middle childhood among Mexican immigrant families. The second study, titled “Stress and Child Internalizing Symptoms: Examining the Moderating Role of Latino Fathers' Warmth and Support using Mixed …

Psychotropics Prescription In Primary Care, Ruthzaine Lopez Bolano

Research Colloquium

Background: The study aimed to measure the prevalence of psychotropic prescriptions in primary care at four UTRGV clinical sites. Based on the results, this paper serves to inform and educate primary care providers of their current practices and treatment options when diagnosing mental health disorders and prescribing psychotropics.

Methods: This study used EMR data from January to March 2021 in four primary care clinics affiliated with the UT Health RGV system. Primary care patients from January to March 2021 and who were diagnosed with mood disorders (including Depression, Anxiety, and Bipolar Disorder) were included in this quality improvement study.

Results: …

Caregiver Emotional Support Following Child Sexual Abuse: Links With Child Adjustment Problems, Melissa Sitton

Psychology Theses and Dissertations

Emotional support is theorized to be beneficial to youth after experiences of sexual abuse. However, meta-analytic and systematic reviews of the literature indicate inconsistent evidence of relations between caregiver emotional support and youth functioning after sexual abuse. The current study addressed several methodological factors that may have contributed to inconsistent findings in this literature (i.e., small samples, poor measurement of emotional support, collection of data from only one source) and examined relations between caregiver emotional support and youth functioning after sexual abuse. Participants were 460 youth (M_age = 13.78, SD = 1.77) who presented at a child advocacy …