Clinical Psychology Commons^™

Avoidance Of Mental Health Utilization And Reporting Of Symptoms Among U.S. Air Force Active-Duty Service Members In Civilian-Equivalent Career Fields, Nadja Bright, Patricia Hopkins-Smith, Jesma Revering, Marcia Bennett, Jim Theisen

Theses and Graduate Projects

The high suicide rate among U.S. active-duty military personnel and veterans is a significant public health concern. Despite the high prevalence rate of Posttraumatic Stress Disorder (PTSD) and Major Depressive Disorder (MDD) among this population, service members are less likely to seek mental health services compared to the civilian population. Factors such as fear of career harm, stigma, and barriers to care contribute to this avoidance. This study aimed to investigate if service members in civilian-equivalent (non-combat) jobs are less likely to disclose psychological symptoms compared to those in combat-related career fields and to assess the impact of perceived importance …

Exploring The Benefits Of A Virtual Reality Positive Psychological Intervention For Older Adults In Senior Living Communities, Christopher Reed

LSU Doctoral Dissertations

The majority of psychological research has followed a disease model focusing on how we reduce factors associated with psychopathology. In the last few decades there has been a push to explore positive psychological traits as an avenue for intervention by fostering traits we already possess. Most of these interventions have targeted mental health across the life span with fewer examining their efficacy on cognitive change with even fewer utilizing immersive technologies like virtual reality. By 2050 over 20% of the world’s population will be over the age of 60 and with this aging population rates of neurocognitive disorders will increase. …

A Qualitative Meta-Analysis Of The Experiences Of Clients In Psychotherapy For Posttraumatic Stress Disorder: An Empirically Based Process-Oriented Staged Model, Nicholas A. Pierorazio

Graduate Masters Theses

Posttraumatic stress disorder (PTSD) is prevalent and can be highly complex. Guidance for the treatment of PTSD has typically been based on quantitative meta-analyses of randomized controlled trial findings and has focused on the comparative efficacy of specific treatments, rather than how to deliver treatment. There is a need for clinical guidance that highlights moment-to-moment, in-session psychotherapy processes for psychotherapists working with clients with PTSD. In the current study, I conducted a qualitative meta-analysis, focusing on the qualitative literature investigating clients’ perspectives in order to develop an understanding of the preferences, values, and experiences of clients in individual psychotherapy for …

Relations Among Racism-Related Stress, Anxiety, Spirituality And Mindfulness In Black Sexual Minority Men, Kainaat Anwar

Theses and Dissertations

Abstract Kainaat Anwar RELATIONS AMONG RACISM-RELATED STRESS, ANXIETY, SPIRITUALITY AND MINDFULNESS IN BLACK SEXUAL MINORITY MEN 2021-2022 Jonathan Mathias Lassiter, Ph.D. Master of Arts in Clinical Psychology Black sexual minority men’s experiences of racism and anxiety have not been documented extensively in the literature. There is also a paucity of research exploring protective factors that can mitigate the effects of racial stress on anxiety in BSMM. Therefore, this study looked at the potential moderating effects of spirituality and mindfulness on the relationship between racism-related stress and anxiety in BSMM. Participants completed measures regarding socio-demographics, racism-related stress, anxiety symptoms, mindfulness and …

Exploring Virtual Group Acceptance And Commitment Therapy Format On Participation Of Parents Of Children With Autism, Abigail Owen

Theses and Dissertations

Parents of children with autism spectrum disorder (ASD) and co-occurring challenging behavior (e.g., aggression, self-injury, property destruction) experience higher rates of anxiety, depression, and poor overall well-being. Acceptance and commitment therapy (ACT), which encourages psychological flexibility, is an effective intervention for addressing well-being in this population when presented in various formats. Despite its potential to increase accessibility and improve social connectedness for parents, time commitment may impact parents’ willingness to participate in virtual ACT group interventions. The current study examined parents’ participation in and perceived acceptability of 6 hrs of virtual ACT groups in three different formats: a 6-hr workshop, …

The Impact Of Specific Foster Care Placement Factors On Attachment-Related Anxiety And Avoidance In The Adult Intimate Relationships Of Foster Care Alumni, Latasha Macklin

Walden Dissertations and Doctoral Studies

Children who have a history of maltreatment, like those placed in foster care, are at a significantly higher risk for developing an insecure attachment style, which may be correlated with various problems in adulthood, including adverse relationship outcomes, poor job satisfaction, low self-esteem, mood, and personality disorders. Prior research suggests a correlation between the attachment style of a foster child and specific foster care factors, including the type of placement, reason for placement, number of placements, age of the child at placement, and gender of the child. However, no research exists to examine how these factors might significantly impact the …

Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo

Walden Dissertations and Doctoral Studies

Intimate relationships with individuals who have committed sex offenses significantly stigmatize and traumatize partners. Partners also face barriers to effective treatment, negatively impacting both themselves and their children affected by these offenses. The purpose of this generic qualitative study was to gain an understanding of partners’ experiences with support groups in coping with trauma symptoms and stigma, thus addressing a gap in the literature. Grounded in theoretical concepts of trauma, mutual aid, and stigma, how social support dynamics facilitate healing by investigating coping strategies and support group stages to understand participants’ healing journeys were examined. Data were collected from 10 …

Legal Advocates As Lifelines: Initial Psychometric Evaluation Of Victim Rights Within A Community-Based Agency, Jaylee York

Clinical Psychology Dissertations

Navigating the legal process after sexual violence is often distressing and poses a risk of secondary victimization (Campbell, 2013). Victim Bill of Rights legislation throughout the U.S. aims to establish legal protections for victims. Organizations such as the King County Sexual Assault Resource Center (KCSARC) offer independent legal advocacy. This dissertation sought to engage in socially responsive research with KCSARC to better understand the needs of both the organization and the survivors they serve.

This study developed and psychometrically evaluated two new measures: Victim Rights to Process (VRP), assessing whether a victim feels their rights to the legal process have …

Booked Or Buried In Texas: Risk Factors For Prebooking Suicide And Homicide Deaths Of Individuals With Sex Offenses, Nicole Moreira

Clinical Psychology Dissertations

Preventable deaths during law enforcement encounters, particularly those violent in nature, such as suicide and homicide deaths, are of considerable public concern. Prebooking, the law enforcement custody stage that includes arrest, serving warrants, wellness checks, traffic stops is often the most dangerous and fatal stage of custody. Despite being the most potentially dangerous and unpredictable of any custody stage, prebooking remains grossly understudied in comparison to jail and prison research, underscoring the need for focused research. To address this gap, the present study examines risk factors for suicide and homicide deaths among individuals with sex-related offenses during prebooking custody. Individuals …

How Art Therapy And Emdr Help Asylum Seekers And Refugees Move Towards Healing Trauma: A Literature Review, Anna Mogilevsky

Expressive Therapies Capstone Theses

In the past ten years, there has been a significant rise in the number of asylum seekers and refugee populations worldwide (UNHCR, 2022). Displaced individuals are extremely vulnerable to mental illness because of the compounded trauma experienced in their countries of origin with the stress of immigration, asylum seeking, culture shock, and language barriers. PTSD is affecting 500 million individuals globally, and refugees are especially susceptible to having these symptoms (Farrell, 2020). Art therapy and EMDR are identified as the most promising modalities for treating such trauma.

This literature review examines the various ways EMDR and art therapy have been …

Looking Forward To It: Investigating The Role Of Anhedonia In Episodic Future Thinking, Sarah Corner, Alicia E. Meuret

Psychology Theses and Dissertations

Episodic future thinking, or our ability to simulate personal future events, is implicated in a range of important functioning from problem solving to emotion regulation. However, individuals with clinical diagnoses like depression and schizophrenia struggle to produce future thinking that is vivid and detailed. While these deficits mirror well-document autobiographical memory deficits, they remain poorly understood. The current study aimed to examine the role of anhedonia in episodic future thinking vividness using a within-subjects dimensional approach. A mixed sample of sixty-five undergraduate students and community adults completed two future thinking tasks and one autobiographical memory across two study visits, during …

Literature Review: Drama Therapy As A School-Based Intervention For Military-Connected Adolescents, Katherine E. Dooley

Expressive Therapies Theses

The following literature review will review current research surrounding military-connected adolescents mental health and the viability of utilizing drama therapy as a school-based intervention to improve their mental health. Military-connected adolescents are an invisible minority who experience a unique set of stressors. This population experiences frequent relocation, parental deployment, and the impact living this way can have on the entire family. The current research shows that military-connected adolescents are more likely than their civilian peers to experience mental health challenges, including depression and anxiety. School-based therapeutic interventions have been shown to help decrease symptoms. School-based interventions allow for the therapist …

Examining Working And Episodic Memory In Young Adults With Anhedonia, Sofia Uribe

Psychology Theses and Dissertations

Depression is associated with impairments in memory processes. Evidence suggests there is poor recognition of positive information and quicker disengagement with positive information from working memory in depression compared to healthy controls. The working memory differences are hypothesized to be downstream effects of taxed working memory from rumination processes that impair reward learning. Furthermore, episodic memory impairments for positive information are hypothesized to be downstream effects of dopamine dysregulation from anhedonia in memory formation processes. The current study utilized the Diffusion Drift Model to examine whether anhedonia severity predicted differences in evidence accumulation using an index called drift rates in …

“It’S… Complicated:” A Literature Review On The Possibilities Of Using Drama Therapy To Improve Relational Functioning Of Emerging Adults With Complex Trauma, Sarah M. Drapeau

Expressive Therapies Theses

Interpersonal relationships play a crucial and complicated role in the mental well-being and development of emerging adults. Complex trauma has a significant negative effect on relational functioning, which plays an important role in post-traumatic growth, especially for emerging adults. This thesis reviewed current literature to outline the interaction between complex trauma and interpersonal relationships through the developmental lens of emerging adulthood. Empirical studies highlighted emotional (dys)regulation, attachment processes, and self-concept as mediating factors of this interaction. The literature reviewed offered current treatment approaches for this population, with connections that were relevant to drama therapy approaches. The literature showed that drama …

A Method For Developing Multicultural Musical Fluency: Reclaiming A Relationship With Traditional Ashkenazi Music, Rachael Penn

Expressive Therapies Theses

Counseling and music therapy scholars recommend that students and clinicians engage in self-inquiry to explore their cultural values to build multicultural competence. I created an arts-based method for deep reflection using theory and techniques in the literature regarding culture-centered music therapy, including ethnographic inquiry, the cultural unconscious, intersubjective theory, active imagination, embodiment, and artistic reflection. I engaged with music from my own cultural background, which included Ashkenazi klezmer music and Yiddish folksong, to reflect on my cultural values and to build a living relationship with the music. Thematic analysis revealed eight themes, including the function of the music, personal memories …

"La Vida Es Un Carnaval": An Exploration Of Cuban Identity And Nostalgia Through Dance/Movement Therapy - A Community Engagement Project, Maria Fernanda Mendez Mendoza

Expressive Therapies Theses

“La Vida Es Un Carnaval” is a community engagement project and thesis that explores how identity and nostalgic resilience show up through dance/movement therapy with Cuban immigrants living in the United States, specifically Massachusetts. This project brought together six Cuban-born participants, ages 26 to 67, each with their own unique migration stories; from the Rafter Balsero Crisis of 1994, to the “Wet-Foot/Dry-Foot” policy, and family reunification. Through a mix of in-person and online sessions, participants explored their experiences using intermodal activities including dance/movement therapy techniques, conversation, journaling, artwork, and music. Themes of cultural pride, “Cubanía” – Cuban-ness, culture shock, and …

Moral Incongruence And Internet Gaming Disorder, Regina Tahk

Psychology ETDs

Internet Gaming Disorder (IGD) lacks clear diagnostic thresholds, with self-reported addiction often serving as the primary indicator of problematic gaming. However, little research has explored factors influencing these self-perceptions. This study examined whether moral incongruence—defined as the interaction between gaming frequency and moral disapproval of gaming—predicts self-reported gaming addiction. Using secondary data from a U.S. census-matched YouGov sample (n = 2,813), moderation analyses found that moral incongruence significantly strengthened the association between gaming frequency and self-reported addiction when using the validated Ten-Item Internet Gaming Disorder Test (IGDT-10), but not when using the unvalidated NIDA-ASSIST gaming item. Robustness checks using censored …

Alexithymia: A Review Of Existing Literature And A Prospective Route For Future Training, Jessica C. Friedman

Dissertations, Theses, and Projects

Alexithymia, a trans-diagnostic construct characterized by a disability to identify and articulate emotions, has received increasing attention within the medical and psychiatric communities due to its profound, negative impact on treatment outcomes. This paper provides insight into its complex and pervasive nature, its conceptualization and assessment, underlying neurobiological mechanisms and acquisition, extensive comorbidities, treatment implications, clinical manifestations, clinical considerations, and analysis of the existing body of research. While previous research assumed Alexithymia to be largely untreatable, recent publications have indicated its ability to be affected by emotional-awareness skill building and relationally based interventions, though no specific treatments for Alexithymia currently …

Performance Optimization-Focused Family Behavior Therapy To Address Verbal And Physical Aggression In An Adolescent Diagnosed With Bipolar I Disorder: A Case Report, Sierra Ann Ramirez Jarvis

UNLV Theses, Dissertations, Professional Papers, and Capstones

Bipolar disorder is a chronic and debilitating condition characterized by fluctuations in mood that significantly interfere with day-to-day functioning. While symptom onset typically occurs in early adulthood, manifestations can occur at an earlier developmental stage. Early intervention has been shown to be effective in decreasing long-term negative outcomes and decreasing symptom severity in serious mental illness (SMI) populations, and as such, early intervention treatment programs may have particular benefits for individuals who are early in the course of bipolar disorder. However, there is little information regarding the effectiveness of these programs. This thesis reports a case of an adolescent client, …

The Lived Experiences Of Gay Trafficked And Traumatized Men Seeking Psychological And Forensic Restoration Services, Katreace Moore

Walden Dissertations and Doctoral Studies

Feminine-centric, heteronormative psychological restoration interventions on gay minority men exposed to trauma and human trafficking are poorly understood. This study includes an analysis of forensics and psychological causal factors retrieved from 6 semi structured interviews with gay minority male psychological services providers. The corroboration of the clinical opinions of the participants and the enrichment of data using database reviews reflected poor treatment outcomes for the gay, minority-men population. The qualitative methodology and thematic analysis framework highlighted oppressive factors of structural intersectionality. This results in heteronormativity gender binaries that misalign with self-identified gender perceptions of gay-minority men exposed to trafficking and …

Postpandemic Perspectives Of Teleassessments In Clinical Psychology, Jacklin B. Cardentey

Walden Dissertations and Doctoral Studies

Teleassessments gained prominence as a viable means of conducting psychological assessments in the wake of the COVID-19 pandemic. This study was an exploration of teleassessment use catalyzed by the pandemic, with a focus on the postpandemic era. The aim was to identify the factors influencing perceptions and strategies used in effective postpandemic teleassessment adoption, including factors that influence licensed psychologists’ perceptions of effective teleassessments and strategies adopted to maintain quality practices since face-to-face restrictions were lifted. The significance of this inquiry extended to various stakeholders, including mental health care practitioners, policymakers, and the public, all of whom have a vested …

The Relationship Between Positive And Negative Experiences With Sport Culture And Psychiatric Symptoms In Collegiate Athletes, Angelos Tsalafos

UNLV Theses, Dissertations, Professional Papers, and Capstones

Although mental health professionals have indicated their interest in understanding the relationship between sport culture and mental health, this relationship has yet to be examined using psychometrically validated scales. In this study, the Semi-Structured Interview for Consideration of Sport Culture in Therapy Scale (SSICSCTS; see Donohue et al., 2006) was administered to 59 Club and National Collegiate Athletics Association (NCAA) athletes. This scale assesses how athletes experience importance (Sport Culture Importance Scale; SCIS) and negative experiences (Sport Cultural Problems Scale; SCPS) in sport culture. Participants were also assessed for psychiatric symptomology using a well-established scale, i.e., the Symptom Checklist 90-Revised …

Examining Validity And Reliability Evidence For The Multicultural Neuropsychological Scale (Muns) Party Subtest Scores, Madyson Hernandez

Masters Theses, 2020-current

Neuropsychological tests were developed primarily for Westernized, Educated, Industrialized, Rich, and Democratic (WEIRD) populations (Henrich, 2020; Fernández & Abe, 2018). According to the American Academy of Clinical Neuropsychology (AACN) Relevance 2050 Initiative project, approximately sixty percent of Americans will be deemed unsuitable for neuropsychological testing because test norms are primarily based on European Americans who speak English (AACN, 2015). To aid in effective cross-cultural neuropsychological assessment, The Multicultural Neuropsychological Scale (MUNS; Fernández et al., 2018) was developed to be easily translatable to various languages. The MUNS is a 40-minute neuropsychological test battery that examines cognitive abilities such as reading fluency, …

Family-Based Health Promotion To The Early Phases Of Pediatric Acute Lymphoblastic Leukemia Treatment: A Qualitative Review, Anna Van Asselt, Renee Gilbert, Hide Okuno, Ann M. Davis, Keith J. August, Carolyn R. Bates, Robert C. Gibler

Research Days

Introduction: Excessive weight gain during early phases of Acute Lymphoblastic Leukemia (ALL) treatment elevates risk for long-term morbidities, late effects, and secondary cancers. Behavioral factors including physical inactivity and poor diet quality play a significant role in weight outcomes. Existing health behavior and obesity interventions do not address challenges that children and families face during cancer treatment. The current study qualitatively investigated caregiver, child, and multi-disciplinary expert perspectives on health behavior engagement and intervention content for the future adaptation of NOURISH-ALL.

Method: Caregivers (N=11) and youth with ALL (N=6) in the first year of treatment completed semi-structured interviews …

Psychologists’ Competency And Training Regarding Treating Transgender And Non-Conforming Youth With Gender Dysphoria, Amydth Chumacero

Walden Dissertations and Doctoral Studies

There is limited evidence-based research on required competency, training, assessment, and treatment practices for psychologists who treat transgender and non-conforming (TGNC) youth with gender dysphoria. Eleven licensed psychologists with at least 5 years of experience treating TGNC youth were recruited through social media and snowball recruiting to participate in this qualitative Delphi study. Using multicultural competency theory as a guide, these experts were asked to develop a consensus regarding the minimum competencies and training to treat TGNC youth, as well as what they thought the standards should be for assessment and treatment. Data were collected in three rounds of online …

Network Analysis Of Biopsychosocial Factors Associated With Trauma Exposure: Impacts On Inflammation, Taryn R. Fitzgerald

Dissertations

This study adds to current understandings of the relationship between trauma exposure and inflammation through network analysis of the sociodemographic sequelae that may influence this relationship. A reductive approach has been helpful in establishing the relationship between a pro-inflammatory state and trauma exposure, however understanding of the role of additional factors in this relationship is necessary to better understand how inflammation may serve as a transdiagnostic factor relating to mental health and biopsychosocial variables. 999 trauma-exposed individuals from the National Longitudinal Study of Adolescent to Adult Health (Add Health), 1994-2018 study at three timepoints (ages 18—26, 24—32, 33—43) were included. …

The Role Of Somatization In Predicting Health-Related Quality Of Life Among Racial And Ethnic Minorities: Examining The Mediating Effects Of Perceived Injustice And Symptom Catastrophizing, Kimi Han Hashimoto

Clinical Psychology Dissertations

There is a pressing need to address the significant health disparities of underrepresented groups such as racial and ethnic minorities (Mills et al., 2020). As of 2019, individuals identifying as a racial or ethnic minority make up 40% of the U.S population as of 2019, yet they fare significantly worse across many health-related measures (Hill et al., 2022). Given these disparities in healthcare and health outcomes, racial and ethnic minorities represent an important group to investigate somatization and health-related quality of life (HRQOL). Cognitive appraisals, such as perceived injustice and symptom catastrophizing, may mediate this relationship, influencing how somatization translates …

Gender Differences In Factors Influencing Problematic Sexuality: A Comparative Analysis Using The Midsa Assessment, Brandon Andrew Lozano

Walden Dissertations and Doctoral Studies

Problematic sexuality among college students is a complex and understudied issue, particularly regarding gender-based differences in affective instability and sexual compulsivity. While prior research has focused mainly on male populations, limited evidence exists about how these factors manifest among female students or whether gender moderates these relationships. The purpose of this quantitative correlational study is to examine whether gender moderates the relationship between factors affecting sexual compulsivity as measured by the Multidimensional Inventory of Development, Sex, and Aggression (MIDSA). The MIDSA, originally developed for male sexual offenders, has since been administered to both male and female populations. Findings from hierarchical …

Fear Of Pain In Migraine: Psychological Factors In Perceptions Of Headache Triggers, Sarah Basha, Todd Smitherman

Honors Theses

Migraine is a debilitating neurological disorder affecting millions worldwide, with substantial societal and personal burdens. Psychological factors, particularly fear of pain, may influence migraine experience by impacting perceptions of headache triggers. This study investigates the relationship between fear of pain and perceived triggers in individuals with migraine. A sample of 2,959 young adults meeting diagnostic criteria for migraine completed a structured diagnostic interview and self-report measures of fear of pain, headache-related disability, and beliefs about headache triggers (which stimuli triggered headache, most important triggers, and likelihood of developing a headache upon exposure to the most important trigger [trigger potency]). Linear …

Cultural Self-Harm Differences, Erin E. Simmons

Student Scholar Symposium Abstracts and Posters

This study is based on the evident cultural differences in self-harm behaviors and what those behaviors look like specifically for individuals that identify as Black or African American. Previous literature suggests that cultural differences in self-harm exist but very little research centers Black experiences and their connection to self-harm. Self-harm is considered a broad term, and it encompasses a variety of behaviors, some more common than others, but these common behaviors are typically exclusively explored within only a few demographics with a low Black participant pool. This contributes to the assumed lack of self-harm among the Black community but through …