Clinical Psychology Commons^™

Bending But Not Breaking: An Investigation Of The Relationship Between Psychological Flexibility And Suicidality In Individuals With Chronic Pain, Adalyn Mcmurray

Murray State Theses and Dissertations

Chronic pain is a burdensome condition that has been found to be associated with increased suicide risk, yet the mechanisms underlying this relationship remain unclear (Domenichiello & Ramsden, 2019). The present study aimed to examine the role of pain interference and psychological inflexibility in predicting past two-week suicidal thoughts among individuals with chronic pain, with psychological inflexibility explored as a potential moderator. This study also sought to replicate and extend McCracken et al. (2018) and enhance the understanding of suicidality in chronic pain populations by using the Multidimensional Psychological Flexibility Inventory (Rolffs et al., 2018b), a more psychometrically sound measure …

The Role Of Adverse Childhood Experiences On Aggression And Substance Use In Young Adulthood, Sadie Goralski

Murray State Theses and Dissertations

Adverse childhood experiences (ACEs) are widespread within the United States. More than half of the population has experienced at least one adverse event during their youth. Such experiences range from parental divorce to sexual assault. Past research has shown that adverse experiences during the formative years play a major role in the development of multiple physical and mental health issues. The current study aimed to explore the interplay among ACEs and two of these covariates: aggression and substance use. Moreover, the proposed study further investigated the development of substance use in emotionally dysregulated individuals with past adverse experiences. In doing …

Describing And Understanding The Use Of Coaches For Eating Disorder Recovery: A Mixed Methods Study, Taylor E. Penwell

Graduate Student Theses, Dissertations, & Professional Papers

Individuals with eating disorders (EDs) experience high rates of relapse and delays in accessing treatment. Considering these factors, individuals with EDs may seek out non-traditional support, such as coaching services (e.g., an unlicensed individual providing support). However, there is currently no research on individuals with EDs’ experiences with using coaching services for ED recovery. The current study aimed to a) describe who is utilizing coaching support, b) describe coaching services received, c) evaluate the motivations for seeking coach support, and d) evaluate the perceived impact of coach support on an individual’s ED recovery. Participants included 86 adults with a self-reported …

Investigating The Role Of Motivation In Open-Label Placebo Responses, Joshua Worthington

Cal Poly Humboldt theses and projects

Placebo effects occur when an individual receives an inactive treatment that should be unable to provide therapeutic benefits but still demonstrates meaningful improvements in health. Open-label placebos extend this phenomenon by providing full disclosure to individuals that they are receiving a placebo, as opposed to traditional placebo treatments that utilize deception. The role of expectancy as a mechanism of change in placebo has received some mixed results in open-label placebo studies. To the author’s knowledge, motivation for change has not been examined in open-label placebo. The current study examined the role of motivation as a mechanism of placebo responses. To …

The Relationship Between Adverse Childhood Experiences, Parenting Behavior, And Parenting Self-Efficacy In African American Families With Low-Income, Maleek Holmes

Master's Theses and Doctoral Dissertations

Early trauma is linked to adverse adult outcomes, including parenting deficits. While prior research has emphasized specific trauma types and severe parenting deficits, less is known about how cumulative trauma shapes normative parenting behaviors. Parenting self-efficacy (PSE) has been proposed as a potential mechanism linking early adversity to later parenting practices, though under-researched. This study examined the relationships between adverse childhood experiences (ACEs), PSE, and positive parenting behaviors in a sample of 56 caregivers of preschool-aged children enrolled in Head Start. PSE was significantly associated with greater use of limit-setting, positive behavior support, and proactive parenting strategies, reinforcing its role …

Exploring The Link Between Relationship Status And Emotion Regulation Strategy Use, Abigail A. Echols

Honors Undergraduate Theses

Romantic relationships affect many areas of life and are important sources of interpersonal emotion regulation, yet little research has investigated whether relationship status influences emotion regulation strategy use and emotion dysregulation. Considering that the types of emotion regulation strategies individuals use significantly affect their well-being, understanding the link between relationship status and emotion regulation strategy use is important. This study compared single, partnered, and recently separated individuals’ emotion dysregulation and use of eleven intrapersonal and eleven interpersonal emotion regulation strategies in general (i.e., trait) and in a specific situation (i.e., state) through retrospective self-report scales and an autobiographical writing task. …

Cultural Barriers To Mental Health Support: Exploring Stigma In Childhood Trauma Survivors In Aruba, Ralitsa I.C. Hart

Honors Undergraduate Theses

This study explored whether negative attitudes towards seeking professional psychological help among people in Aruba who reported experiencing childhood trauma were predicted by perceived social stigma and the intensity of the trauma. An online survey measuring childhood trauma, attitudes towards seeking professional psychological help, and perceived stigma was administered to 162 participants using a cross-sectional correlational design. To determine the predictive relationship among these variables, a multiple regression analysis was performed. Results showed that perceived stigma significantly predicted more negative attitudes towards seeking professional psychological help, while the severity of childhood trauma did not. Among the trauma subscales, emotional abuse …

Investigating The Consequences Of Workplace Violence Among Certified Nurse Assistants, Daniela Florez

Honors Undergraduate Theses

Workplace violence is one of the most prevalent issues in healthcare, negatively affecting the physical and emotional well-being of nursing professionals. The present study investigated the role of workplace violence in adverse outcomes for Certified Nursing Assistants. Specifically, the research aimed to examine its association with six key outcomes: (1) turnover intention, (2) burnout, (3) compassion fatigue, (4) secondary traumatic stress, (5) job satisfaction, and (6) work engagement. A cross-sectional approach was used. Data were collected using a demographic questionnaire, the Professional Quality of Life Scale 5, the Compassion Fatigue-Short Scale, the Work Well-being Inventory, the Workplace Violence Scale, the …

Finding Love On The Spectrum: An Analysis Of Social And Romantic Relationships Of Autistic College Students, Kaylee Spinner

Masters Theses

Autism Spectrum Disorder (ASD) is characterized by difficulties in socialization, communication, and developing relationships with others. While many autistic individuals desire to start relationships with others, many do not have a very strong understanding of the use of nonverbal communication or how to develop these connections organically. As autistic individuals have become more open about wanting these resources to form social and romantic relationships, there has been more of a push in the literature to include social skills training for forming social relationships. However, the research on the desire for or development of romantic relationships for autistic individuals is still …

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …

The Relationships Of Anxiety Sensitivity, Intolerance Of Uncertainty, And Alexithymia On University Students’ Experiences Of Depression, Anxiety, And Stress, Vanessa Watterson

Masters Theses

Undergraduates’ mental health has seen a significant decline over the past several decades. Past research has identified significant correlations between specific cognitive vulnerabilities and experiences of psychological distress. The current study reviewed the literature on relationships between three cognitive vulnerabilities (anxiety sensitivity, intolerance of uncertainty, and alexithymia) and individuals’ experiences of depression, anxiety, and stress. Further, this study utilized a hierarchical regression model to examine the predictive abilities of anxiety sensitivity, intolerance of uncertainty, and alexithymia on depression, anxiety, and stress, respectively. The findings indicated that all three cognitive vulnerabilities had significant and unique contributions to depression, anxiety, and stress …

Childhood Maltreatment And Social Anxiety In College Students: Examining The Role Of Distress Tolerance, Alexa N. Matthies

Masters Theses

This study examines the relationship between childhood emotional maltreatment and social anxiety, with a focus on the mediating role of distress tolerance. Emotional maltreatment has been linked to numerous adverse psychological outcomes, yet its specific contribution to social anxiety symptoms requires further exploration. Using a sample of 94 participants aged 18 to 24, this research employs validated instruments, including the Childhood Trauma Questionnaire and Liebowitz Social Anxiety Scale, to assess the prevalence and impacts of emotional abuse and neglect. Findings reveal significant correlations between emotional abuse, neglect, and elevated social anxiety symptoms. Distress tolerance emerged as a key mediator, partially …

Psychometric Evaluation: Extending The Reliability And Validity Of The Teacher Attribution Measure For Early Elementary (Tam-Ee), Kerensa R. Nagle

Theses and Dissertations

Teacher attributions of student challenging behavior have the potential to influence teacher-student relationships. However, the literature on teachers’ attributions of challenging behavior is sparse and lacks measurement standardization. This limits the replicability and generalizability of research findings. To determine if teacher attributions of student challenging behaviors influence teacher-student relationships, a measure demonstrating a specific score reliability and validity profile is needed. The present study evaluated the item- and scale-level score reliability and validity of a measure of teacher attribution of student challenging behavior, the Teacher Attribution Measure for Early Elementary (TAM-EE; Nemer, 2019), within a sample of teachers (N …

Too Much Information: The Role Everyday Information Plays In The Understanding Of Mental Health, Jeremy M. Morgan

Murray State Theses and Dissertations

Information overload has become increasingly problematic within the world of mental health, as people are able to go online and access overwhelming amounts of mental health-related information within seconds. The aim of the current study was to examine the interaction between excess mental health information and individuals’ understanding of mental health, specifically Autism Spectrum Disorder (ASD), as well as self-diagnosis. Data from 128 participants was examined. The data collected related to participants’ online search and use patterns of ASD information, their understanding of ASD symptoms, as well as their experiences with those symptoms. Results indicated a significant positive correlation between …

The Pathways Of Father-Child Attachment: Examining Conflict Communication, Emotion Regulation, And Psychopathology In Emerging Adults, Kanica Bhutoria

Master's Theses and Doctoral Dissertations

Emerging adulthood is marked by instability, identity exploration, and heightened vulnerability to mental health difficulties. Parental attachment relationships shape emotion regulation and conflict communication during this transition, with implications for psychopathology. Using a cross-sectional survey design, this study examined associations among attachment-related anxiety and avoidance toward mothers and fathers, conflict communication, emotion regulation strategies, and psychopathology in 334 emerging adults. Participants completed measures of parental attachment; conflict communication; behavioral and cognitive emotion regulation strategies; and internalizing, externalizing, substance use, and crime-related symptoms. Attachment-related anxiety toward both parents was associated with elevated internalizing symptoms. Greater conflict communication with fathers was uniquely …

Predicting 18-Month M-Chat-R/F With Pediatractmv3.0 Motor And Social/Communication/Cognition Domains, Ryan Krebs

Master's Theses and Doctoral Dissertations

Background. The developmental cascade framework suggests early delays in one system can impact others. Infants born preterm or with autism spectrum disorder (ASD) often show such delays. Methods. The study included 498 infants enrolled in PediaTracTM a novel caregiver-report measure. The convergent validity of PediaTrac with the Ages and Stages Questionnaire (ASQ-3) was examined, along with its ability to predict ASD risk at 18 months using cross-sectional (9- and 12-month) and longitudinal (0–12-month) latent traits of motor (MOT) and social/communication/cognitive (SCG) abilities. Results. Strong convergent validity was found between PediaTrac and ASQ-3 domains at both time points. MOT at 9-months …

Racial Health Disparities Among Pregnant Women Of Color In New York City: Biological And Systemic Impacts, Kaylin Peña

Pitzer Senior Theses

Racial Health Disparities Among Pregnant Women of Color in New York City: Biological and Systemic Impacts

Abstract

This thesis aims to explore how racial health disparities, underrepresentation in gynecology, and socioeconomic barriers contribute to adverse pregnancy outcomes among women of color in New York City. Through an interdisciplinary approach that combines resources from medical anthropology and human biology, this research will examine the biological implications of chronic stress, specifically HPA axis dysregulation, and its role in maternal health outcomes. With the idea of intersectionality, as conceptualized by Kimberlé Crenshaw, the study analyzes the various effects of systemic inequities and social …

A Preliminary Program Evaluation: Rates Of Intimate Partner Violence In An Urban Child Welfare Prevention Program, Athena Roca

PCOM Psychology Dissertations

Intimate partner violence (IPV) remains a pervasive public health concern with significant consequences for families. Traditional batterer intervention programs (BIPs), which often focus solely on the person causing harm (PCH), have demonstrated limited success in reducing recidivism, particularly when grounded in punitive or authoritarian models. This study evaluated the Child-Welfare IPV Prevention Program (CWIPVPP), a family-centered, trauma-informed intervention that engages the PCH, co-parents, and children to reduce IPV-related behaviors and promote healthier family functioning.

Recidivism indicators, including domestic violence incident reports (DIRs) and arrests, were analyzed for 57 fathers referred to the program, with 53 retained for final analyses. A …

A Systematic Review Of The Role Of Emotion Regulation In Predicting Behavioral Inhibition Symptoms Among School-Aged Youth, Anne C. Nields

Open Access Master's Theses

Mental health challenges represent a key construct to focus on in support of childhood and adolescent well-being. Mental health challenges represent the leading cause of disability among children and adolescents. Recent research on critical periods in brain development shows that early childhood and adolescence mark times in which behavioral, neurodevelopmental, and mental health features arise. Anxiety disorders, which involve the excessive presence of fear and anxiety, are among the most common psychiatric disorders affecting youth and adults today. Emotion regulation (ER) and behavioral inhibition are important constructs correlated to anxiety which may be leveraged to predict and intervene on the …

The Intersection Between Adverse Childhood Experiences And Alcohol Use In Rhode Island High Schoolers From Marginalized Backgrounds, Sydney Iacoi

Open Access Master's Theses

Objective: Adverse childhood events (ACEs) are pervasive, affecting more than half the United States’ population. A large body of research has described an association between an increased number of ACEs and negative outcomes, including the development of a substance use disorder later in life. Further, ACEs are disproportionately experienced by individuals from historically marginalized groups. Thus, the interaction between ACEs and substance use may disproportionately impact individuals from historically marginalized groups (i.e., based on ethnicity and sex). The present study’s main aim was to examine the interaction of group differences, specifically based on sex and ethnicity, on the associations …

The Professional Impact Of Personal Therapy For Graduate Level Clinicians: A Pilot Study, Rebecca L. Butler

Antioch University Dissertations & Theses

Graduate students in clinical and counseling psychology programs face an inordinate amount of stress: coursework, learning a new job, emotional challenges inherent to providing therapeutic services, and general life stressors. Some trainees seek personal therapy and usually describe their experience as positive for both personal and professional reasons. Psychologists working as researchers and clinicians generally advocate for therapists to engage in personal therapy. However, research into the impact of personal therapy on professional functioning remains scarce. The extant literature includes numerous critiques of the methodologies used to investigate the impact of personal therapy, such as small sample sizes, unclear methods, …

Examining The Addictive Qualities Of Smartphone Usage, Daniel J. Pasquini

Antioch University Dissertations & Theses

Individuals in today’s society, both nationally and globally, have become exceedingly reliant on their smartphones, i.e., cellular devices with the ability to perform many tasks similar to a traditional computer, for both recreational and productivity purposes. As smartphones become increasingly accessible and affordable for the general population, smartphone usage will continue to grow exponentially. As a result, a comprehensive investigation into the possible addictive properties of smartphone usage is warranted. The purpose of this study is to examine and highlight any possible addictive qualities of excessive smartphone usage. The research methodology that will be implemented within the study will be …

Sex Life Post Childbirth And The Role Of The Partner Relationship: A Qualitative Study, Agata Kopacz

PCOM Psychology Dissertations

Sexual problems are common among postpartum women, and sexual functioning during the postpartum period is affected by biological, psychological, and social factors. There is limited research exploring women’s experiences within their romantic relationships and sex lives during the postpartum period. This qualitative study utilized the phenomenological approach to gain a better understanding of the experiences of postpartum women in their romantic relationships and their sexual functioning after childbirth. A total of eight eligible postpartum women were interviewed individually. Data from the interviews were analyzed utilizing the phenomenological data analysis approach and grouped into emerging themes. Four themes were extracted for …

Sport-Related Concussions In Division Iii Athletes: A 10-Year Prospective Analysis Of Trends And Incidence, Shaylyn R. Thorne

Doctor of Psychology (PsyD)

Sports-related concussions (SRCs) among college athletes remain a growing area of concern due to a myriad of potential short and long-term implications. Understanding concussion trends and incidence in collegiate sports is critical for guiding prevention and management strategies. This study examined concussion injuries among NCAA Division III collegiate athletes at a single institution over a 10-year period. Analyses focused on trends in concussion incidence across sports, genders, and changes associated with institutional and NCAA policy updates. Results indicated that concussion incidence varied across sports and time, with higher rates in contact sports such as football and soccer. Significant differences occurred …

The Influence Of The Greatest 8tm Text Message Service On Parental Involvement In Children’S Mental Health, Rebecca Michel

Open Access Dissertations

The present study examined the impact of The Greatest 8Ô text messaging service on parental involvement in promoting children’s mental health and wellness. A quasi-experimental design compared 63 subscribers and 115 non-subscribers of the service. Parents completed an online survey assessing confidence, engagement, beliefs about eight core mental health skills, and perceived child improvement, along with exploratory measures regarding information sources, preferred communication methods, and barriers to accessing resources. It was hypothesized that subscribers would report higher confidence, engagement, and beliefs than non-subscribers, that duration in the program would predict these outcomes, and that engagement would moderate the relationship between …

Adhd As A Lived Experience Amongst Bipoc College Students, Nikash Kale

Honors Theses

This thesis focuses on the perspectives of Black Indigenous and Persons of Color (BIPOC) college students on Attention-deficit/hyperactivity Disorder (ADHD). The study analyzes scoping strategies, perceived symptomatological differences, and the effects of racial, ethnic, and cultural backgrounds among BIPOC college students. Drawing on semi-structured interviews with 14 participants, I examine the full permeation of ADHD among BIPOC college students, its evolution from pre-diagnosis to the present, and how they navigate the disorder and its treatment. A qualitative analysis of ADHD among minorities in college will not only allow clinicians to understand the distinct struggles of BIPOC with ADHD, but it …

An Examination Of Psycho-Behavioral Risk And Resilence Profiles In People With Chronically Painful Knee Osteoarthritis, Daniel Kusko

All ETDs from UAB

The prevalence and impact of chronic pain are far-reaching and costly to our society. Chronic pain conditions are affecting many people in the US and abroad. Osteoarthritis (OA) is commonly referred to as a slow progressing degenerative disease that tends to develop over 10 to 15 years and can result in functional limitations and pain. Chronic knee OA is a common form of OA pain that affects many adults across the globe. Biopsychosocial factors are theorized to play an important role in how people with chronic pain may develop, exacerbate, or cope with pain. The goal of this project was …

Therapy In The Age Of Ai: How Young Adults Seek Help, Support, And Solutions, Faith Maeba, Isabella Quilon, Abigail Adade

Undergraduate Research Posters

Therapy has long been a foundational approach for addressing mental health, but advances in digital technology have led many young adults, especially Generation Z, to increasingly turn to AI tools for support. Rising costs, limited access to providers, and long wait times have further boosted the appeal of AI-based mental-health solutions. Despite this growing interest, the use of AI for emotional and psychological support raises important questions about trust, empathy, safety, and the ethical responsibilities of mental-health providers and developers. We conducted a brief scoping review of research on AI-based mental-health tools and student help-seeking behaviors. Searches were performed on …

Perceived Credibility Of Allegations Of Sexual Assault Across Victim Race And Mental Health History, Liyah C. Morgan

College of Graduate Studies: Theses & Dissertations

Previous research examined the effect of victim gender and rape myth acceptance (RMA) on perceptions of victim credibility; however, little attention has been given to the impact of victim race and mental health history, and even fewer studies have explored the intersection of these two identities. The primary purpose of the current study was to identify factors affecting understanding of perceived credibility of victims of sexual assault, specifically in terms of victim race and mental health history. The study also examined the role of RMA on perceptions of credibility and explored participant attitudes related to color-blind racial attitudes and mental …

At The Table: Queer Identity And Exploration Through Tabletop Role-Playing Games, Seth Carroll

Antioch University Dissertations & Theses

This study explored the phenomenon of a growing queer subculture within the tabletop role-playing game community. Eight participants, all self-identified members of the LGBTQIA+ community with significant experience playing tabletop role-playing games, were interviewed to better understand their lived experience within this subculture, what draws them to playing tabletop role-playing games, and the personal impacts and meaning they draw from engaging in them. Participants identified as White, between the ages of 23 and 30, and represented a variety of queer identities in both sexuality and gender. Data was analyzed using Interpretative Phenomenological Analysis (IPA) in order to derive six group …