Clinical Psychology Commons^™

An Examination Of The Relation Between Memory Self-Efficacy And Working Memory Within The Cognitive Reserve Framework, Genna Marie Mashinchi Ma

Graduate Student Theses, Dissertations, & Professional Papers

Dementia has been found to negatively affect multiple aspects of cognitive functioning. Despite an increasing prevalence of cognitive decline, many aging adults do not experience reduced cognitive functioning. The reason as to why some experience cognitive decline and others do not is still unclear. One leading theory thought to explain this phenomenon is the cognitive reserve theory (CR), which proposes that certain lifestyle factors (e.g., educational attainment, occupational attainment, and leisure activity participation) prolong one’s cognitive functioning and reduce the risk of cognitive decline. Memory self-efficacy (MSE), defined as one’s beliefs in their memory ability, was found to be positively …

Social Support In Black Individuals: The Moderating Effects On The Relationship Between Resilience And Well-Being, Imani Elise Crosby

College of Graduate Studies: Theses & Dissertations

Black individuals possess numerous strengths and positive contributions that build strong communities and cultivate psychological well-being (Biglan et al., 2012). However, much of the current literature focuses on hardships Black individuals face, skewing the larger discourse of their lived experience. This exclusive focus on adversity often neglects pathways by which Black people thrive and flourish. It is important to consider how Black experiences relate to a sense of well-being. Resilience, or the ability to “bounce back” from adverse experiences is linked well-being outcomes (APA, 2012). However, it is unknown whether the promotive effects of resilience directly contribute to well-being outcomes …

The Relationship Of Workplace Support, Job Control, And Burnout In Nurses, Shannon A. Mccleery

Antioch University Dissertations & Theses

Nurses are the most likely group of healthcare workers to develop burnout. Previous research identified supervisory support, job control, and decision-making ability in the workplace as protective factors against burnout. There was a gap in the literature regarding the relationship between burnout in nurses and their experience of support, control, and decision-making during the COVID-19 pandemic. Reducing and preventing burnout in nurses is important due to the nursing shortage and concerns of attrition rates. This quantitative study examined the relationship of emotional support, instrumental support, job control, and decision-making opportunities in the workplace to burnout in hospital-based nurses. Measures used …

Gender Differences In Preschool Conduct Disorder Symptoms Across One-Year, Madeline K. Petersen

Theses and Dissertations--Psychology

Conduct disorder is a childhood disruptive behavior disorder that exhibits striking gender differences in prevalence, comorbidities, and associated outcomes. These gender differences, particularly symptomology, remain understudied in conduct disorder despite the growing prevalence in females. This paper seeks to examine gender differences in parent rated conduct disorder symptoms in preschoolers overrecruited for disruptive behavior problems at three different timepoints across one-year. It is hypothesized that males will exhibit higher levels of physical aggression symptoms at the initial timepoint with declining rates across a one-year period compared to females, while females will exhibit lower levels of conduct problems at the first …

A Multidimensional Look Into Covid-19’S Reverberating Psychological Consequences, Talia Schulder

Dissertations and Theses

Introduction: The COVID-19 pandemic has exacerbated preexisting inequities in depression and anxiety symptoms, particularly for marginalized populations. Post-disaster mental health has often been investigated in both public health and clinical psychological literature, and the present dissertation integrates both disciplinary frameworks to understand the reverberating psychological consequences of the pandemic. Methods: Data were collected Winter 2022-2023, and the present analyses used descriptive statistics, correlations, and structural equation models to measure associations between variables of interest. Two separate SEMs were conducted with variables often used in public health literature. Specifically, these models assessed the indirect relationship between COVID-19-related financial and social stress …

Differences In Mental Health Attitudes, Symptoms, And Help-Seeking Behaviors Between College Student-Athletes And Non-Athletes, Cristian Miralles

Honors College Theses

This study examined differences in mental health stigma, attitudes, and help-seeking behaviors between student-athletes and non-athletes. 8 student-athletes and 231 non-athletes from a rural college in southeastern USA took an online survey, and independent samples t-tests were conducted to examine group differences. There were no statistically significant differences in any measure between student-athletes and nonathletes. However, exploratory sex analyses found females had lower stigma and used services more frequently compared to males. Participants then explained any mental health resources they utilize, with most using ‘Personal Relationships’ when needed. ‘No need’, or participants who's mental health concerns were not significant enough …

Exploring The Relationships Among Adhd, Generalized Anxiety Disorder, And Emotion Regulation, Anna S. Hall

College of Graduate Studies: Theses & Dissertations

This study investigated the relationships among Attention-Deficit Hyperactivity Disorder (ADHD) symptoms and common comorbid struggles for clients, including Generalized Anxiety Disorder (GAD) symptoms, and executive functions, especially emotion regulation. ADHD and GAD are prevalent mental health conditions, are commonly comorbid with each other, and are both correlated with relative deficits in executive functions. Executive functions comprise higher-order cognitive processes like planning, inhibition, initiation, and monitoring, as well as emotion regulation. Prior research established connections among ADHD symptoms, GAD symptoms, and emotion regulation but did not examine which specific facets of emotion regulation were most relevant. The current study aimed to …

Characterizing Resting Cerebral Blood Flow In Obsessive-Compulsive Disorder With Arterial Spin Labeling, Hannah R. Wild

Theses and Dissertations--Psychology

Obsessive-compulsive disorder (OCD) is a condition characterized by intrusive thoughts (obsessions) and ritualistic behaviors (compulsions) profoundly impacting daily functioning and quality of life. Neuroimaging studies using various techniques have revealed inconsistent resting cerebral blood flow (rCBF) patterns in OCD patients, particularly within the cortico-striatal-thalamo-cortical (CSTC) circuit and sensorimotor network. Arterial Spin Labeling (ASL) MRI offers a promising, noninvasive method for directly measuring rCBF. This study, using data from the Yale HCP Trio study, analyzed unmedicated OCD patients and healthy controls, who underwent two consecutive resting pulsed-ASL scans. OCD patients with lower obsessional severity exhibited higher perfusion in the pre- and …

Relationship Of Criterion A Level Of Personality Functioning With Borderline Personality Disorder Over The Course Of Brief Treatment, Michelle M. Smith

Theses and Dissertations--Psychology

The Alternative Model of Personality Disorders (AMPD) housed within DSM-5 Section III posits that impairments in personality functioning, operationalized by the Level of Personality Functioning Scale (LPFS) “constitute the core of personality psychopathology” (APA, 2013, p. 762). If this is the case, there should be strong associations between LPFS and DSM personality disorders, including borderline personality disorder (BPD). BPD Compass is a comprehensive CBT-based treatment for BPD which aims to reduce BPD symptoms over the course of 18 weekly sessions. This study examined if a) LPFS would be associated with changes in BPD symptoms, b) whether LPFS has incremental validity …

The Experience And Regulation Of Posttraumatic Shame Among Women With Interpersonal Trauma Histories, Jordyn M. Tipsword

Theses and Dissertations--Psychology

Posttraumatic shame – an emotion stemming from harsh attitudes about the self after trauma – is central to PTSD for many women following physical or sexual assault or abuse (interpersonal trauma [IPT]). However, knowledge of the frequency, intensity, and stability of shame in the daily lives of women post-IPT is lacking. Additionally, while some work has explored shame-specific emotion regulation (ER), or processes aimed at changing emotional responses, it remains unclear which ER strategies are effective in reducing shame, and the role of PTSD severity in shame regulation also remains unexplored. This project explored daily experiences and regulation of posttraumatic …

Development Of The Trait Response To Emotion Dimensional Measure For Use In Minoritized Populations, Anita Adams

Theses and Dissertations--Psychology

Trait responses to emotion (TREs) are personality traits that develop from how one consistently responds to and copes with emotions. TRE development is influenced by demographic factors, such as age, gender, and early life adversity, and TREs can influence how one copes with a variety of stressors. TRE theory and measurement is relatively new, and although TREs have been validated in majority race samples, TRE theory and measurement have not been validated in minority race samples, particularly in African American populations. This dissertation is taking the first preliminary steps for the development of a cross-cultural trait response to emotion dimensional …

Hormonal Effects On Adhd Symptoms In Adolescents Across The Menstrual Cycle, Ashley G. Eng

Theses and Dissertations--Psychology

Background: Females with attention-deficit/hyperactivity disorder (ADHD) become particularly impaired during adolescence, experiencing increased rates of depression and anxiety, as well as important public and personal health outcomes like increased suicide attempts, risky sexual behavior, and substance use. However, female-specific risk factors for ADHD have been vastly understudied despite this increased impairment and comorbidity. One particularly understudied risk factor is the dramatically rising and fluctuating levels of ovarian hormones during late puberty that begin cycling monthly. In adult women, rapid decreases in estrogen levels increase risk for ADHD symptoms across the menstrual cycle, particularly for those with high trait impulsivity. Preliminary …

A Mixed-Methods Study Exploring Free Nicotine Replacement Therapy As A Strategy To Promote Tobacco Treatment Equity At Cancer Center Cessation Initiative Sites, Marguerite A. Webster

Theses and Dissertations--Psychology

Nicotine replacement therapy (NRT) is a safe, efficacious smoking cessation treatment for cancer patients; however, equitable access is limited due to insurance gaps. Offering free NRT to patients with cancer has potential to increase tobacco treatment engagement and promote equity. This mixed-methods study aims to describe how some Cancer Center Cessation Initiative (C3I) sites implemented free NRT within their tobacco treatment programs (TTPs) to inform future development of equitable TTPs. Participating sites’ (N=9) TTP and patient population characteristics were assessed via survey and analyzed with descriptive statistics. Semi-structured interviews were conducted with 16 individuals and analyzed using directed …

Fluctuations In Alcohol Impairment Of Working Memory Across The Menstrual Cycle, William Mcgarrigle

Theses and Dissertations--Psychology

Behavioral endocrinology studies in women suggest that higher circulating levels of the ovarian sex hormone estradiol (E2) may be linked to better working memory performance, especially under conditions of cognitive impairment (e.g., age-related cognitive decline). Phases of the menstrual cycle characterized by different levels of E2 may therefore influence the degree to which women are vulnerable to alcohol impairment of working memory. The current thesis used a within-subjects design to test the hypothesis that women are less sensitive to acute alcohol-induced impairment of working memory when E2 is elevated during the menstrual cycle. A sample of 75 premenopausal women completed …

Power Of Perception: The Role Of Perceived Caregiver Mindset Beliefs On Undergraduate Student Academic Engagement, Katherine R. Tanaka

Theses and Dissertations--Psychology

Promoting academic engagement is vital for college student success. Researchers have explored factors like growth mindset, the belief that intelligence can improve with effort, as a driver of academic engagement. Beyond personal mindset, students’ perceptions of key social influences, such as caregivers, also play a role. This study examined how undergraduate students’ own mindsets and perceptions of their caregivers’ mindsets relate to four components of academic engagement: behavioral and emotional engagement, and behavioral and emotional disaffection. Data from undergraduates (N = 1417) were analyzed using surveys, descriptive statistics, hierarchical regression, and exploratory moderation. Students generally reported both a personal …

Menstrual Cycle Phase And Hormonal Effects On Emotional Eating In Females With Attention-Deficit/Hyperactivity Disorder, Urveesha Nirjar

Theses and Dissertations--Psychology

Previous research has shown that cyclical fluctuations in ovarian hormones can predict changes in ADHD symptoms as well as eating behaviors, particularly emotional eating across the menstrual cycle. Previous studies have so far only examined the effects of estrogen (E2), progesterone (P4) and cycle phase in predicting individual symptoms or disorders such as ADHD or eating disorders or related behaviors separately. The aim of this study is to examine how emotional eating is influenced by naturally occurring hormonal and cycle changes in a sample overrecruited for ADHD. Seventy-eight individuals (assigned female at birth) with menstrual cycles overrecruited for ADHD provided …

Pain Anxiety And Pain Interference As Mediating Factors In The Relation Of Childhood Trauma And Fear Of Cancer Recurrence, Jennifer Kuo

Dissertations and Theses

Fear of cancer recurrence (FCR), which is broadly defined as “the fear that cancer could return or progress in the same place or in another part of the body” (Vickberg, 2003), is often identified as an unmet need among cancer survivors, with rates ranging from 20-79% (Simard et al., 2013). Pain, another symptom commonly endorsed in cancer survivorship, is positively associated with fear of cancer recurrence (Janz et al., 2011; van den Beuken-van Everdingen et al., 2008). The Cancer Threat Interpretation Model suggests that cognitive biases exist in interpreting threat appraisal and pain coping by increasing the saliency of pain …

Online Perceived Social Support And Its Association With Psychopathology In Rural And Urban Youth, Ellen Alexandra Knowles

Dissertations and Theses

Social support is a fundamental aspect of development throughout adolescence. It has been found to buffer against the negative impacts of stress and provide general benefits to one’s well-being. Youth today are exposed to a range of opportunities for socialization with peers, both in-person and online, including interacting with others through texting, social media, video games, and other digital means. These online interactions have begun to be investigated as accessible methods through which adolescents can connect with others and maintain healthy relationships. Furthermore, digital social networks may be most critical for youth from isolated communities, including those from rural areas. …

Historical Trauma Informed Approach To Treatment: A Proposed Suicide Prevention Program For Native American Youth, Christine E. Faris

Antioch University Dissertations & Theses

Suicide is a significant public health concern across the world. It is the second leading cause of death for children and young adults ages 10-34 (CDC, 2016). In 2021, suicide rates were highest among American Indian/Alaska Native (AI/AN) persons, and AI/AN youths had the highest rates of suicide compared to their same-aged peers from other racial and ethnic groups (Stone, Mack, & Qualters, 2021). Historical trauma, or unresolved trauma caused by colonization that gets passed down from generation to generation, has been used as a framework for understanding the high rates of social problems and suicide that plague AI/AN communities. …

The Pursuit Of Happiness: Freedom And Well-Being In Positive Psychology, Kevin J. Mckenzie

Antioch University Dissertations & Theses

This project explores the relationship between freedom and well‑being. Through reviewing the literature of positive psychology and existential psychology, clearer pictures of well‑being and freedom emerge, allowing for statistical analysis. By adopting Seligman’s well‑being theory as a model that incorporates hedonic and eudaimonic elements of well‑being and self‑determination theory’s conceptualization of autonomy as a proxy for freedom in existential psychology, this study explores the relationship between these constructs and their theorized factors through correlational analysis. A potential measurement model for an overall well‑being measure incorporating freedom as a factor is proposed and tested using confirmatory factor analyses. The effects of …

Emdr Gaming Recovery And Insight Protocol (E-Grip): An Approach For Treating Video Game Addiction, Manjit Bath

Antioch University Dissertations & Theses

The prevalence of video game addiction has escalated with the advancement of digital technologies, posing significant psychological and social challenges. This dissertation introduces the eye movement desensitization and reprocessing (EMDR) Gaming Recovery and Insight Protocol (E-GRIP), a novel therapeutic approach designed to address the complexities of video game addiction. Grounded in the principles of EMDR therapy and incorporating insights into video game culture, E-GRIP aims to treat individuals struggling with problematic gaming behaviors by integrating their gaming experiences and preferences into the therapeutic process. The E-GRIP methodology extends the conventional EMDR framework by including an in-depth exploration of the client’s …

Therapeutic Interventions For Adolescents With Non-Epileptic Seizures, Noah Trantel

Antioch University Dissertations & Theses

Although there have been some studies that explore the lived experiences of adults with non-epileptic seizures, there have been limited studies that examine the lived experiences of adolescents and emerging adults with non-epileptic seizures. This qualitative study explored the experiences of emerging adults who had been diagnosed with non-epileptic seizures during adolescence. The study focused on specific interventions utilized in therapy that they found helpful, highlighted what their experiences were throughout their daily lives, and what treatment recommendations were provided. The research will also help guide parents, clinicians, and individuals with NES towards treatment recommendations. Eight participants completed an in-depth, …

Latine Psychology Specialty Program Development, Leeza Rojas

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

According to the 2020 United States Census, the Latine community is the second largest ethnic represents 18.9% of the total United States population and is expected to grow to 28% by the year 2060 (U.S. Census Bureau, 2018). Despite this, the Latine community continues to be underserved and often underutilize behavioral health services (Blanco et al., 2007). For this reason, it is imperative that psychologists and other behavioral health providers have specialized training to best meet the community’s needs. The current literature fails to explore how Latine psychology concentrations are curated to train and inform future clinicians. This study examined …

Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perinatal substance use (PSU) is a serious and growing public health concern. It is associated with a variety of adverse health outcomes for both mother and child and has been shown to negatively impact the parent-child relationship. Despite the growing prevalence of PSU, there are notable deficits in provider knowledge regarding, and comfortability with, PSU. Moreover, providers report feelings of judgment, resentment, fear, and hesitancy related to their work with women with PSU. Subsequently, women with PSU struggle to find appropriate, compassionate, and effective treatment for their substance misuse. Widespread and accessible training is needed to bolster provider knowledge base, …

Determinants Of Medical Cannabis Use For The Treatment Of Anxiety: A Qualitative Study, Catherine Blasi

PCOM Psychology Dissertations

Anxiety is a disorder characterized by feelings of tension, excessive fear, and physiological changes. Specific classes of anxiety disorders have been recognized, including social anxiety disorder, generalized anxiety disorder, agoraphobia, specific phobia, panic disorder, and separation anxiety disorder. Cannabis is the most commonly used federal substance in the U.S. In recent years, medical cannabis has been increasingly utilized as a treatment option following approval in many U.S. states. At present, no literature addresses explicitly why individuals with anxiety choose to utilize medical cannabis as a treatment option instead of other longstanding treatment options, including psychotherapy and medication. Therefore, the purpose …

Development And Initial Validation Of The Supervisor Responsiveness Scale, Ramon Garcia

Electronic Theses & Dissertations (2024 - present)

Theoretically, responsiveness to the emergent needs of supervisees and clients is the primary means by which clinical supervisors help trainees become effective psychotherapists (Friedlander, 2012). To advance understanding and research on this aspect of supervision, the Supervisory Responsiveness Scale (SRS) was developed and assessed psychometrically.

First, 35 items reflecting trainees’ perceptions of their supervisor’s responsiveness, as defined by Friedlander (2012), were developed and rated for clarity, face and content validity by a panel of 12 experienced supervisors. After the item pool was refined based on these ratings, 216 supervisees representing all training levels rated each item on a 1 ( …

Body Image Development And Eating Disorder Risk In Young Children: What Do Parents Want To Know?, Anna Atchison

Electronic Theses & Dissertations (2024 - present)

Background: Body image concerns and other risk factors for disordered eating can emerge in early childhood, but no interventions specifically target these early risk factors to mitigate future eating disorder risk. This study sought to quantify parents' knowledge of factors influencing eating disorder risk in young children, their concerns about their children’s eating behaviors, and perceived need and preferences for a parent education intervention addressing these topics. Methods: Parents (52 mothers, 55 fathers) of children aged 2-6 completed measures of parental eating disorder symptoms and internalized weight bias and child eating behaviors. Open-ended questions explored parents’ concerns about their children’s …

Outcome-Based Patient-Therapist Matching Implementation: A Study Of Clinician Beliefs And Attitudes, Ashleigh Smith

Electronic Theses & Dissertations (2024 - present)

Background. Implementation science aims to identify methods that support the adoption of evidence-based practices (EBPs), including measurement-based care (MBC) and MBC-informed patient-therapist matching. Examining clinician attitudes can elucidate potential barriers to implementing EBPs, and attitudinal differences may exist across groups of therapists. In the context of a patient-therapist matching implementation project, this multi-method study investigated the relationship between clinician characteristics, attitudes toward EBPs/MBC, and implementation climate. Method. A sample of N = 72 therapists completed measures of demographic and clinical characteristics, attitudes toward EBPs, perceptions of implementation climate, and attitudes toward monitoring and feedback. A subset of N …

Suicidality Among Black Women: Considering Resiliency Within The Historic And Societal Context Of Risk, Samantha J. North

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Suicide is a global health challenge that has been historically understudied among Black women. The interpersonal-psychological theory of suicidality (IPTS) is a primary theory examined in suicidality; however, the three factors within the theory (lack of belongingness, perceived burdensomeness, and capability to die) focus on the individual. The purpose of the current study was to examine these factors in an expanded context of the historical and societal impact of oppression. A mixed methods Qualtrics study was administered to Black women who voluntarily completed the survey anonymously. Quantitatively, the study found significant differences between the impact of the IPTS factors on …

Social-Emotional Outcomes In Emerging Adults With Adhd: The Influence Of Self-Compassion On Peer Rejection, Rejection Sensitivity, And Psychological Distress, Alia Hussain

Theses and Dissertations (Comprehensive)

Emerging adulthood, the developmental period ranging from 18 to 29 years, is a critical stage of development in which individuals grow their social skills, set and achieve life goals, learn to live independently, and further develop brain regions involved in higher-level cognition, shaped by their environment and experiences throughout emerging adulthood. Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder associated with adverse interpersonal outcomes. Approximately 5 to 8% of emerging adults are reported to have an ADHD diagnosis and may be at higher risk than typically developing emerging adults for unfavourable developmental outcomes. This heightened risk may be attributed to their …