Clinical Psychology Commons^™

Neuroticism And Rumination As Mechanisms By Which Adverse Childhood Experiences Increase Vulnerability To Depression In College Students, Christopher Popielarz

West Chester University Master’s Theses

There is a high prevalence of depression among college students, and the consequences of untreated depression negatively impact those students’ academic and life outcomes. The following study analyzes the relationship between adverse childhood experiences (ACEs) and the development of depression in college years as potentially mediated by neuroticism and rumination factors. The purpose of this research is to fill a gap in the current literature to determine whether neuroticism and rumination act together as mechanisms in conferring depression in college students following ACEs. Data from four questionnaires administered to undergraduate students at West Chester University (n = 127, 55.5% female, …

A Qualitative Analysis Of Community-Dwelling Older Adults’ Perspectives Of Elderspeak, Katelynn Shimanski

All Graduate Theses, Dissertations, and Other Capstone Projects

Compared to other forms of discrimination, ageism, and specific forms of ageism such as elderspeak are understudied. Despite the fact that the majority of older adults are community-dwelling, much of the existing literature on elderspeak focuses on caregiver perceptions on elderspeak occurring in assisted living facilities and nursing homes. The present study analyzed community dwelling older adult’s perceptions of elderspeak using their personal examples of experiences of elderspeak. Results indicated that the majority of participants had negative perceptions of elderspeak that would likely not be influenced by changes in contextual factors such as setting, relationship to the speaker, and gender …

The Effects Of Cultural Responsiveness And Therapy Duration On Black Americans’ Therapy Preference, Katilyn M. Ashley Treem

College of Graduate Studies: Theses & Dissertations

Marginalized groups are less likely to seek out mental health services than non-marginalized groups. There are various reasons why marginalized groups, such as Black Americans, are less likely to seek out mental health services, one of which is the cultural barriers between a clinician and client. Research suggests that Black Americans feel that clinicians struggle to overcome these cultural barriers. Therefore, it is important for clinicians to actively receive training on how to serve clients with diverse backgrounds. Cultural responsiveness, an extension from cultural competence, is the active application of the knowledge and skills obtained in training. Examining people’s therapy …

Examining The Moderating Effect Of Self-Compassion Between Rumination And Alcohol Use, Victoria Forgea Allen

College of Graduate Studies: Theses & Dissertations

Abundant research suggests alcohol use among college students as a public health concern (SAMHSA, 2014). Previous studies support rumination, a manner of responding to emotional distress which involves repetitively and passively focusing on the distress, is linked to problematic alcohol use among college students (Oswalt et al., 2020). On the other hand, not all college students who experience rumination engage in problematic alcohol use which suggests the presence of a moderating variable. Due to its emotion regulating abilities and positive associations to well-being, self-compassion may be on factor that affects the relationship between rumination and alcohol use (Diedrich et al., …

Development Of A Novel Measure To Assess For Alcohol Misuse In Older Adults: The Alcohol Misuse Scale For Older Adults (Amsoa), Nathan Jensen

College of Graduate Studies: Theses & Dissertations

Alcohol is the most regularly used intoxicating substance in most geographic locations. Alcohol use in the United States specifically is well over global averages. While alcohol misuse is generally considered to be understood as a problem for younger adults, it is often unrecognized and understudied older adult populations. Currently, there is an absence of a comprehensive tool measuring for developmentally salient behaviors, symptoms, and features of alcohol misuse in older adulthood, which blocks researchers’ ability to measure alcohol misuse well. The purpose of this study is to develop a psychometrically valid and reliable assessment of alcohol misuse for older adult …

Psychotherapist Awareness And Competence Managing Social Media Concerns, Jing Wen Ong

College of Graduate Studies: Theses & Dissertations

Social media use increased substantially in recent years, spurring the growth of research focused on its association with mental health. Previous research examined the relationship between positive and negative aspects of mental health and social media use. Other studies explored the relevance of social media to professional practice of psychologists including the use of social media to reach populations with limited access to mental health services and ethical dilemmas arising from social media use; however, there is limited understanding of the pertinence of social media to concerns that clients discuss in therapy and therapist competence in handling these discussions. The …

Examining Stigma In Rural Mental Health Care Settings: A Mixed Methods Approach, Lainie Krumenacker

Murray State Theses and Dissertations

More than half of Americans will be diagnosed with a mental illness in their lifetime (CDC, 2021), yet stigma towards mental health affects both patients and providers. Although programs exist to address stigma, improve cultural competency among providers, and educate families on the importance of support, facilities are often limited on programs they provide due to allocation of resources and funds. Without a shift in treatment and programing, stigma will continue to impact patient care and outcome.

This study explored stigma among mental health providers in rural communities, while exploring potential differences in treatment among patients due to race. Mental …

Thought Control Mediates The Relation Between Adverse Childhood Experiences And Body Dysmorphic Disorder Symptoms In Undergraduates, Alex Elnashar

West Chester University Master’s Theses

Purpose: Body dysmorphia (BDD) has been shown to possibly result from multiple environmental factors. However, the exact mechanism by which these environmental factors play a role has yet to be examined. The purpose of the current study is to examine the relationship between adverse childhood experiences (ACEs) and body dysmorphia symptoms through maladaptive thought control as a mediator.

Method: The current study collected data from 127 undergraduate students aged 18-25. A survey was given with questionnaires assessing demographics such as age, sex, and gender, as well as the frequency of ACEs, BDD symptoms, and obsessional beliefs. Pearson’s correlation analysis was …

Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield

College of Graduate Studies: Theses & Dissertations

Previous research has examined the complex mental and social health deficits of those who were trafficked that clinicians have to treat therapeutically (Litam, 2017; Pascual-Leone et al., 2017). Other research has explored how continuing education workshops often change the knowledge, competence, and attitudes of attendees to use more effective and evidenced techniques and skills (Neimeyer et al., 2009; Raghavan et al., 2008). However, there is a lack of understanding about how a complex topic, specifically treatment considerations of those who were trafficked, changes the knowledge and competence of continuing education workshop attendees. The purpose of the current study is to …

Dungeons And Dragons™ (D&D) As A Brief Intervention For College Students, Alexander W. Peralta

College of Graduate Studies: Theses & Dissertations

This quasi-experimental study investigated the effect of a table-top roleplaying game (ttrpg), specifically Dungeons and Dragons™ (D&D), on increasing feelings of social connection, decreasing perceived stress, increasing self-esteem and improving adjustment to college among first semester, first year students. participants signed up to either the D&D group or the comparison group. D&D participants (n = 18) attended five one-hour weekly D&D sessions, meanwhile the comparison group (n = 10) went through their first semester of college with no intervention, but completed the study measures at the same points in time as the D&D participants. All participants completed measures of social …

Analysis Of Research On The Effects Of Auditory Stimulation On Anxiety And Stress In Clinical And General Populations, Rebecca Lee

CMC Senior Theses

The use of auditory stimulation may be a useful method in treating clinical anxiety disorders, as well as aiding in coping with daily stress among general populations. The understanding of how certain forms of auditory stimulation can increase anxiety and stress is also critical so clinicians and the general population can approach decreasing anxiety and stress in the most effective way possible. The following paper will provide a literature review on studies published after the year 2000, analyzing the various impacts of different types of auditory stimulation, including impacts of music-therapy, music and noise at different frequencies, binaural beat stimulation, …

Impact Of Interparental Conflict And Maternal Attachment On College Students’ Social Anxiety And Emotional Regulation, Kendra Ostermeier

Masters Theses

The potential impact that interparental conflict experienced during adolescence can have subsequently on college students was examined. The literature has demonstrated a positive relationship between interparental conflict and emotional dysregulation (Schwarz et al., 2012) and social anxiety (Adare et al., 2021). Maternal attachment was examined as a mediator of this relationship, as El-Sherkiah and Elmore-Staton (2004) identified it as a mediator between martial conflict and negative child outcomes. Specifically, this study examined the relationship between interparental conflict with social anxiety and emotional dysregulation. Additionally, this study examined maternal attachment as a mediator of those relationships. Interparental conflict was correlated positively …

Transitions In Patterns Of Substance Use During Early Adolescence: Bidirectional Associations With Externalizing Behaviors, Courtney B. Dunn

Theses and Dissertations

Early adolescents who engage in polysubstance use, defined as the use of three or more different substances, are at particularly high risk of future substance use disorders and adverse psychosocial outcomes. However, little is known about the development of substance use patterns during early adolescence, particularly among youth living in urban settings. Although theory and research suggest that youth with greater externalizing behaviors (e.g., aggression, delinquent behavior) may be more likely to escalate to polysubstance use at an early age, few studies have examined bidirectional relations between externalizing symptoms and polysubstance use. The goal of this study was to (a) …

Legal Pressure To Attend Substance Abuse Treatment, Angelicia Courteau

AUCTUS: The Journal of Undergraduate Research and Creative Scholarship

This paper was written to bring awareness of how the legal system does not take into consideration those who suffer from substance use disorder, as well as ACEs. Brian Luke Burijon’s battle with addiction while incarcerated was used as an example of how the legal system’s one-size-fits-all approach is flawed. Mr. Burijon opted for a treatment he did not feel was ideal for him because the alternative was to remain incarcerated for a long period. Mr. Burijon was unable to tolerate the treatment at the facility and left early, which resulted in his overdose death.

Autism Clinicians' Bias In Detecting Female-Typical Rrbi In Young Children, Megan Young

Scripps Senior Theses

With four times as many boys than girls diagnosed with autism, psychologists must investigate whether this is due to an intrinsic difference or gender bias. This proposed study aims to evaluate autism clinicians’ bias in detecting restrictive and repetitive behaviors and interests (RRBI) in young children by presenting autism specialists with a vignette depicting one of four children, depicting either the male or female autism phenotype, and a masculine or feminine name. Gender of child and phenotypic presentation is expected to have a significant effect on detection and identification such that feminine names presenting with the Female Autism Phenotype (FAP) …

Communicating Through Dance: Examining Dance & Behavioral Therapy To Treat Selective Mutism, Clara Spitz

Scripps Senior Theses

Very little research has been done to examine the efficacy of treatments for adolescents with selective mutism (SM). Although cognitive behavioral therapy (CBT) has been distinguished as one of the optimal treatment styles for SM, a significant portion of research in this area has focused on children. Additionally, it often incorporates play therapy, which may not necessarily apply as effectively to older populations. Dance therapy has emerged as a promising and innovative treatment for various anxiety and communication issues. Although specific studies on its application to SM are limited, existing research suggests its potential effectiveness in addressing this condition as …

Autism-Related Support Services On Mental Health And University Connectedness, Adeline E. P. Rogers

Scripps Senior Theses

College is notoriously challenging, with many student concerns associated with adapting to the new expectations for lifestyle, workload, and socializing that come with transitioning to college and/or university (Gelbar et al., 2015). For college students with autism spectrum disorder (ASD), the impact of these changes can be far more challenging, as their needs can be different from their neurotypical peers. This study implemented an online survey to gather data on autistic students’ feelings of depression, anxiety, stress, university connectedness, experiences with university autism support programs, and basic demographics. Unfortunately, the results found from this study were contaminated by a large …

Exploring The Therapeutic Relationship In Mental Health Therapy With Queer And Disabled Adults, Rachel Womack

Theses and Dissertations--Social Work

Queerness and disability have been shown to be intimately connected, with members of the LGBTQIA+ community significantly more likely to identify as disabled compared to the general population. Though there are roughly 3-5 million queer and disabled individuals living in the United States, this remains a multiply marginalized and understudied population. Owing partially to stigma, minority stress, and discrimination, these individuals face an increased risk of a variety of mental health problems including depression, anxiety, self-harm, PTSD, and suicidality. Additionally, several barriers to mental health treatment exist, including inaccessible services, lack of provider knowledge, and outright discrimination from providers. Though …

A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Serhii Lytvyn, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

This study examined the psychometric and structural properties of the Polish and Ukrainian versions of the Occupational Depression Inventory (ODI). We relied on two samples of Polish employees (NSample1 = 526, 47% female; NSample2 = 164, 64% female) and one sample of Ukrainian employees (NSample3 = 372, 73% female). In all samples, the ODI exhibited essential unidimensionality and high total-score reliability (e.g., McDonald’s omegas > 0.90). The homogeneity of the scale was strong (e.g., 0.59 ≤ scale-level Hs ≤ 0.68). The ODI’s total scores thus accurately ranked individuals on a latent occupational depression continuum. We found evidence of complete measurement invariance …

Senior Mental Health Clinicians’ Understanding Of Their Self-Efficacy While Providing Services At Community-Based Agencies, Rukiya Symister

Walden Dissertations and Doctoral Studies

Many mental health clinicians strive to provide their clients with rehabilitative and psychotherapy services resulting in a client gaining stable income and housing. However, the role of a senior mental health clinician (SMHC) is not without its challenges of trying to balance their well-being while dealing with increased coworker turnover, demanding caseloads, and limited access to community resources to provide clients with getting their lives back on track, thereby impacting clinicians’ understanding of their self-efficacy. Much of the research on self-efficacy has focused on mental health clients, mental health graduate students, and mental health trainees, often leaving out the lived …

Identifying Mechanistic Pathways To Rigidity Associated With Obsessive-Compulsive Personality Disorder Traits Using A Novel Decision-Making Paradigm, Hannah L. Heintz

Theses and Dissertations

Cognitive and behavioral rigidity is observed across several mental disorders and is a defining characteristic of Obsessive-Compulsive Personality Disorder (OCPD), a highly prevalent and debilitating, yet understudied, disorder. In particular, treatments for OCPD are underdeveloped due to our poor understanding of the mechanisms leading to the disorder’s key feature of rigidity. Two related disorders, anorexia nervosa (AN) and obsessive-compulsive disorder (OCD), have shown distinct mechanistic pathways leading to symptoms of rigidity, indicating that this trait can arise as a result of a number of differentially impaired cognitive processes, each requiring unique interventions. To examine the relationship between symptoms of OCPD …

Religious And Spiritual Struggles Among Satanists, Trevor Flick

All Graduate Theses, Dissertations, and Other Capstone Projects

As Satanism represents a unique religious demographic, the present study sought to determine the prevalence of religious and spiritual struggles among modern Satanists and resulting anxiety or depressive symptoms. A sample of 693 self-identified Satanists were surveyed about their experiences of religious and spiritual struggles, perceptions of their Satanist identity, and anxiety and depressive symptoms. Results indicated that Satanists predominantly struggle with interpersonal and ultimate meaning struggles. Ultimate meaning and moral struggles were predictive of both anxiety and depressive symptoms. Interpersonal struggles also predicted anxiety symptoms. Individual perceptions of Satanist identity did not have a significant influence on the relationship …

The Non-Standardization Of Attention Deficit Hyperactive Disorder: A Call To Action, Gabriel L.S Gomez

Psychology Doctoral Specialization Projects

Attention Deficit Hyperactive Disorder (ADHD) is one of the most diagnosed disorders in adults and children, yet there is no standardized method to assess for ADHD. The similarity of symptoms shared across other disorders (comorbidity) makes the assessment of ADHD a very delicate process. This is not aided by the fact that the assessment of ADHD is not standardized. This allows individuals able to assess for ADHD to give a test or a combination of tests that they find fitting. This in turn brings into question the quality of testing and disagreement in diagnosing across fields. Lastly, ADHD-focused measures typically …

The Suicide Gene: Examining The Environmental And Genetic Impact Of Someone Who Is Suicidal, Casey Allen

Psychology Doctoral Specialization Projects

Abstract

The progress of suicide focused research has been tremendous in recent years. There have been many theories posed that are foundational in understanding suicide. This project will examine the genetic and environmental impact of suicide. Serotonin, family heritability, twin studies, adoption studies, candidate genes, and genetic transmission of psychiatric disorders are key topics in the role genetics plays in suicide. Suicide has impacted many lives across the world. Survivors of suicide face stigma, trauma related symptoms, grief, and a whole host of other experiences. Suicide also poses a threat to the social, physical, spiritual, emotional, and psychological well-being on …

Loneliness Is The Nucleus For Psychopathology: Relationships With Cognitive, Social, And Personality Disorders, Natalie S. Byrd

Soaring: A Journal of Undergraduate Research

Loneliness is not just a phenomenon observed in clinical practice but is a core issue in the study of mental disorders more broadly – psychopathology. Loneliness is the key to the study of all mental disorders as many have shown significant relation to loneliness either as a risk factor for developing or maintaining the disorder, or as a co-occurring condition of the disorder. In other words, loneliness is both a cause and a consequence of mental illness. Specifically, this review explores the relationships of loneliness in cognitive disorders (Alzheimer’s disease, schizophrenia, and major depressive disorder), social disorders (social anxiety disorder, …

Posttraumatic Growth Following Pregnancy Loss, Megan Pinette

Antioch University Dissertations & Theses

Posttraumatic growth (PTG) is positive psychological change that can result from the struggle with trauma or other highly stressful events (Calhoun & Tedeschi, 1999; Calhoun et al., 2010). The aim of this study was to capture the rich narratives of individuals who have experienced pregnancy loss and reported PTG. The narratives of ten participants were investigated to better understand what areas of posttraumatic growth they experienced following this often-devastating loss, as well as the processes that led to this growth. Participants of this study reported experiencing growth in the domains of (a) Relating to Others, (b) Personal Strength, (c) New …

My World's On Fire, How 'Bout Yours? An Investigation Of How Privilege Fosters And Maintains Climate Denial, Morgan A. Chester

Antioch University Dissertations & Theses

The present study investigates the phenomenon of climate denial through a new theoretical framework of privilege. The analysis utilizes a feminist orientation that builds on a historical interpretation through the lens of colonialism. Through the dissection of current multidisciplinary understandings of climate denial and new concepts discovered in the review of academic literature and popular media, a compilation of theory, relationship, and connection is made. Systems of power and privilege are examined and connected to the mechanisms and maintenance of climate denial. The resulting analysis illuminates that settler colonialism, supported by connected ideologies of White supremacy, ableism, and patriarchy inform …

Cps Workers’ Perspectives On Mst-Ipv And Other Interventions For Child Maltreatment And Intimate Partner Violence: A Reflexive Thematic Analysis, Malea Lash

Antioch University Dissertations & Theses

Although the co-occurrence rate of intimate partner violence (IPV) and child abuse and neglect (CAN) is about 40% (Appel and Holden, 1998; Herrenkohl et al., 2008), little research currently exists on integrated treatment for these concerns. Furthermore, no known published studies investigate child protective services (CPS) workers’ perspectives on such treatment. The present study explores the perspectives of CPS workers on treatment for co-occurring IPV and CAN, specifically focusing on Multisystemic Therapy for Intimate Partner Violence (MST-IPV). A total of 18 Connecticut CPS workers participated in semi-structured interviews. Seven participants had experience working with MST-IPV treatment providers, while 11 participants …

Antisocial Personality Disorder And Trauma In Females, Marissa Lange

Doctor of Psychology (PsyD)

Antisocial personality disorder (ASPD) is a diagnosis reserved for individuals who feature deceitfulness, impulsivity, aggressiveness, recklessness, and irresponsibility. Evidence suggests that experiencing trauma is an etiological factor in developing antisocial traits in males. The prevalence of ASPD in the U.S. is three to one, male to female. However, research indicates females are substantially underdiagnosed due to exclusionary diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.-Text Revised; DSM-5-TR; American Psychiatric Association, 2013). The Personality Assessment Inventory (PAI) is a personality measure that features a conceptualization of ASPD that differs from the DSM-5-TR and includes more personality-specific …

The Effect Of Completing The Ace Questionnaire On Electrodermal Activity, Nicholas P. Cherry

Doctor of Psychology (PsyD)

The adverse childhood experience (ACE) questionnaire assesses the number of traumatic experiences during childhood and has been shown to predict negative health outcomes associated with more adverse events during childhood (Felitti et al., 1998; Mersky et al., 2013). While studies have examined the immediate impact of recent traumas on the individual’s physiology, few have examined the effect of administering questionnaires about past adverse events. This study utilized electrodermal activity to measure sympathetic nervous system activity while participants completed the ACE questionnaire compared to participants who completed a benign survey. Half of the ACE questionnaire participants were given a verbal prompt …