Clinical Psychology Commons^™

Clinicians’ Perceptions Of Adverse Childhood Experiences, Resiliency, And Treatment Engagement With Criminal Offenders, Aaron Pena

Walden Dissertations and Doctoral Studies

This study investigated the pervasive impact of adverse childhood experiences (ACEs) on clinicians, particularly those who provide services to criminal offenders. ACEs contribute to a range of mental and physical health issues that can extend into adulthood, affecting not only individuals who experienced these adversities, but also clinicians who treat them. Despite the growing body of research on the consequences of ACEs, there remained a significant gap in terms of understanding how clinicians’ own histories influence their professional resilience and treatment efficacy. Garmezy’s resiliency theory, the framework for the study, emphasizes the role of positive contextual, social, and individual factors …

Factors In The Relationship Between Rural Cancer Patients And Mental Health, Jordan B. King

Theses and Graduate Projects

Cancer patients frequently experience psychological distress, yet many do not access mental health services, particularly those residing in rural areas. The present study examines what factors contribute to utilization of mental health services and attitudes toward seeking mental health services in rural cancer patients who are actively receiving cancer treatments. Participants (N = 102) completed a paper and pencil survey. A logistic regression was used to examine the relationship between five predictor variables (anxiety, depression, social support, geographic location, and number of barriers) on the outcome variable (utilization of services). The model was statistically significant, X²(4) = …

Therapeutic Outcomes Of Racially Matched Families And Clinicians In Parent-Child Interaction Therapy With Toddlers, Emily B. Frey, Julia L. Kiefer, Lauren B. Quetsch, Rebecca S. Bradley, Emma I. Girard

Inquiry: The University of Arkansas Undergraduate Research Journal

Abstract

Parent-Child Interaction Therapy (PCIT) is an evidence-based therapy for children aged 2.5-7 with disruptive behavioral problems. In recent years, the PCIT protocol has been adapted for use as a preventative model with toddlers (PCIT-T) aged 12-24 months. Given the recency of the PCIT-T adaptation, research has not yet examined the similarity of PCIT-T attrition rates compared to PCIT, though it is speculated rates are similar (between 30-69%; Ufford et al., 2022). Previous research suggests that racial dissimilarity between a treatment provider and the family may influence treatment dropout. Therefore, the current study explored the effect of racial matching between …

9th Gsep Research Symposium - 2025

GSEP Research Symposium

The Ninth Annual GSEP Research Symposium, themed "Building Bridges to Elevate Humanity: Innovations and Insights in Education and Psychology", was hosted by the Pepperdine University Graduate School of Education and Psychology (GSEP) on June 19–20, 2025, at the historic Château d’Hauteville in Switzerland and virtually via Zoom.

This hybrid symposium convened a vibrant global community of students, alumni, faculty, and scholars to share research that addresses real-world challenges, advances scholarly inquiry, and builds pathways for inclusive collaboration and leadership. Spanning a wide array of topics—from artificial intelligence and mental health to trauma-informed practices, educational equity, social justice, and cross-cultural leadership—the …

Anterior Cingulate Cortex Connectivity And The Role In Neuroticism: A Diffusion-Weighted-Imaging-Based Investigation Of Limbic And Prefrontal Circuits., Jake Cox Ii

College of Arts & Sciences Senior Theses

Neuroticism is a trait which has been shown to significantly predict psychopathology. Investigating its neurobiological underpinnings may uncover a brain-based relationship that allows clinicians to conceptualize a shared predispositional factor across multiple psychopathologies, implicating treatment protocols. Inter-connectivity network and structural variation has been shown to be implicated in neuroticism, more specifically the frontoparietal network, default mode network, salience networks, and limbic networks. These networks tackle executive, salience, and emotional information, respectively. The anterior cingulate cortex (ACC) is a brain region nested between and functionally related to various networks stated above that are implicated in neuroticism. As such, it was hypothesized …

The Moderating Effects Of Community Involvement On The Association Between Witnessed Community Violence And Mental Health Outcomes Among Black Adolescents, Curtisha Tamara Shacklewood

Theses and Dissertations

Black youth and adolescents are at a disproportionately high risk for experiencing community violence exposure (CVE) and the potential influence it may have on psychological functioning. Research posits that Black youth who experience community violence are at a significantly higher risk of experiencing elevated internalizing symptoms (e.g., depression) and externalizing symptoms (e.g., delinquency). Previous research has utilized the ecological model to investigate interpersonal protective factors that potentially buffer the effects of CVE, including parental support and family characteristics. However, there is little research that explores community-level factors, such as community activities (e.g., youth activities and parental perception of collective efficacy) …

Eeg And Media Multitasking: Adhd As A Moderating Factor, Xiaoying Guo

Theses and Dissertations

Media use has become an integral part of everyday life. It has risen dramatically over the past century with the advent of television, computers, and digital platforms, and more recently, it has been characterized by individuals using multiple devices simultaneously (Bushman & Anderson, 2001; Nielsen Media Research, 1998; Rideout & Robb, 2019, 2021). Media multitasking (MMT) has been linked to cognitive control challenges and attentional difficulties. This study examined EEG workload (Fz theta/Pz alpha ratio), survey accuracy, and ADHD traits (ASRS v1.1) in 33 adult participants across baseline and single-versus dual-media conditions. Results indicated that mental workload was significantly higher …

Predictors Of Outpatient Follow-Up Attendance And Subsequent Psychiatric Readmission, Sandra J. Beltran

Theses and Dissertations

Psychiatric readmissions remain a persistent challenge in mental health care, often reflecting gaps in continuity of treatment following discharge. The Agency for Healthcare Research and Quality (2019) indicated that a key component in preventing inpatient readmission is adequate outpatient care following discharge. Moreover, early attendance in outpatient follow-up visits is associated with improved patient outcomes (Boston Medical Center, 2022). Various predictors are associated with engagement in outpatient services, such as age, medication compliance, and socioeconomic variables (Carson et al., 2014; Li et al., 2005; Marino et al., 2016; Stubbs et al., 2024).

The present study sought to determine whether psychiatric …

The Behavior Assessment System For Children Third Edition (Basc-3)’S Classification Accuracy For Attention-Deficit/Hyperactivity Disorder (Adhd) In College Students, Angela Lucas, Luis E. Aguerrevere, Nina Harness

Journal of Human Services: Training, Research, and Practice

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition that frequently persists symptoms into adolescence and adulthood. Diagnosing ADHD in college-aged individuals poses a challenge due to the lack of consistent strategies among clinicians for effectively evaluating adult ADHD. The purpose of this study was to determine the classification accuracy of the Behavior Assessment System for Children (Third Ed.; BASC-3) Inattention/Hyperactivity composite t-score in predicting the diagnosis of ADHD among college students. Results indicated that the BASC-3 Inattention/Hyperactivity composite demonstrated predictive power, high specificity (94%) and moderate-to-high sensitivity (70%), supporting its utility as a predictor of ADHD. Further analysis was conducted …

“Who All Gon Be There”: The Relationship Between Racial Identity, Perceived Social Distance, And Anxiety Among People Of African Descent, Veronica R. Mixon

All ETDs from UAB

Mental health disparities among people of African descent are an important public health issue within the US. During COVID, between 2020 and 2021, anxiety symptoms among African American adults increased, which led to an overall increase in anxiety and depression rates (Vahratian et al., 2021; CDC, 2023). Despite this increase, only 39% of African Americans who experience mental health difficulties, receive treatment. The pandemic made it difficult for people to come together and there were heightened experiences of racial distress due to the events surrounding George Floyd. Prior research has shown that experiences of racism, isolation, and cultural disconnection have …

Mediating Role Of Defense Mechanisms Between Parenting Styles And The Development Of Pathological Narcissism, Jared C. Cordero

Student Theses

The present study examines the relationship between perceived parental styles, grandiose narcissism, vulnerable narcissism, and defense mechanisms with the aim of replicating the Imamgolu & Batigun (2020) research findings. A cross-sectional design was used. Covariates such as sex, age, parental dynamics in youth, and household dynamics in youth. To do this, 150 participants between the ages of 18-65 and residing in the United States were recruited via Prolific. Regarding sex, 66.7% of the participants were female, 32.7% were male, and 0.7% were intersex. Upon recruitment, participants completed a battery consisting of the Pathological Narcissism Inventory, Narcissistic Personality Inventory-16, Perceived Parental …

The Role And Influence Of Media Coverage And Social Media On Suicides: A Scoping Review, Kevin Miko Buac, Janine Trixia Austria, Claro Emmanuel Monsanto, Ma. Jamaica Monique Ponce, Arnold Christopher Soriano, Mystie Suzuki, Marc Eric S. Reyes

Makara Human Behavior Studies in Asia

Suicide is one of the leading causes of death worldwide. Numerous factors contribute to suicide ideation; recent studies highlight that the media’s presentation of suicide plays a significant role in influencing suicide ideation and attempts among their audience. This study aims to evaluate the extent of the literature on traditional media reporting and social media in the context of suicide ideation and attempts, considering social media as a distinct yet relevant domain with its widespread reach and user-driven nature. The PRISMA Extension for Scoping Reviews was employed to retrieve relevant studies and address the following questions: (1) What potential factors …

Religiosity And Attitudes Toward Suicide Among Filipinos, Marc Eric S. Reyes, Therese Angelie C. Daluping, Omar Joseph Sj. Dela Cruz, Sigmund Gabriel A. Estremadura, Jonah Emmanuel D. Gavino, Elaine G. Villanueva, Alvin L. Jacob Iii

Makara Human Behavior Studies in Asia

Religiosity is generally negatively associated with attitudes toward suicide. Religious individuals typically have more negative attitudes toward suicide than individuals with lower levels of religiosity. This is partly due to the belief that suicide goes against many religious teachings that revere life as a sacred gift from God. Hence, using a cross-sectional, predictive design, we aimed to investigate the link between religiosity and suicide attitudes and how much religiosity predicts different suicide attitudes. Using non-probability convenience sampling, 1148 Filipino participants aged 18–65 completed an online test battery: Centrality of Religiosity Scale Interreligious form-20 and Attitudes Toward Suicide Scale. Results revealed …

Multiple Pathways Of Social Impairment For Youth With Symptoms Of Adhd: A Novel Model Of Serial Mediation, Ewald Michael Wefelmeyer

Dissertations (1934 -)

The current study sought to explain the heterogeneity of social impairment among youth with symptoms of ADHD with the goal of potentially improving a clinician's ability to identify and support those children. A novel model of the relationship between the disorder and social impairment was proposed with serial mediators of parental/family functioning and emotion regulation. It was anticipated that a higher level of ADHD symptoms would lead to more impairment among aspects of parental/family functioning, which would predict more emotion dysregulation which would subsequently predict poorer social functioning. Structural Equation Modeling yielded little support for the overall model and no …

Depression-Related Impairment During The Transition To College: Informing Prevention Efforts Using A Prospective Cohort Study, Nicole A. Kelso

Theses and Dissertations

Depression is a major public health concern in higher education. With college mental health counseling centers struggling to meet the high demand for services, there is a critical need to refine and expand prevention efforts. The first semester as a new postsecondary institution may be an important window for prevention efforts as students are adjusting to new academic and social challenges. This dissertation has three primary aims. Study 1 aims to improve identification of students in greatest need of preventive care and allocation of limited prevention resources. Study 2 seeks to refine understanding of etiological processes contributing to depression during …

Sex Differences In Symptom Presentation Among Children And Adolescents Referred For An Autism Spectrum Disorder Evaluation, Jeremy John Cottle

All ETDs from UAB

The current study aimed to examine item-level sex differences in the diagnostic evaluation of ASD traits for children and adolescents referred for an ASD evaluation. By including all those referred for an ASD evaluation, the study aimed to include females who may be mis- or under-diagnosed by current ASD diagnostic procedures. Participants included 458 children and adolescents who were referred for an ASD evaluation at a tertiary care clinic. In this sample, 118 participants (25.8%) were female, 282 (61.6%) were diagnosed with ASD, and the average age was 6.67 years (SD = 3.65). MIMIC models were used to examine differential …

A Short Trip: A Mixed Methods Investigation Of The Perceived Effects Of Vaporized Dmt Vs Vaporized 5-Meo-Dmt, Cynthia Estrella Ortiz

All ETDs from UAB

The rise in psychedelic use has been accompanied by increased interest in alternative routes of administration, including vaporization. However, little is known about the characteristics and outcomes associated with vaporized forms of N,N-dimethyltryptamine (DMT) and 5-methoxy-N,N-dimethyltryptamine (5-MeO-DMT). This mixed-methods study examined the subjective experiences and mental health correlates of individuals who reported using vaporized DMT, vaporized 5-MeO-DMT, or psilocybin mushrooms in the past six months. A total of 209 adults completed an online survey assessing demographic variables, substance use, and psychological functioning, including measures of global health (PROMIS), subjective happiness, magical ideation, spiritual connection, psychosis-like experiences (CAPE-42), and hypomanic symptoms. …

Racial Discrimination And Inflammation In Adolescence: Ethnic/Racial Processes As Moderators, Queenisha Crichlow

All ETDs from UAB

Discrimination and other psychosocial stressors contribute to chronic disease by dysregulating neuroendocrine and immune systems, which often leads to increased levels of inflammation. Given that inflammation is a key biological pathway associated with the development of chronic diseases, it has been proposed as a potential mechanism linking racial discrimination to poorer health. Most studies linking racial discrimination with inflammation have focused on adults, despite the fact that children and adolescents also experience discrimination. This dissertation explores the association between racial discrimination and inflammation, measured via salivary C-reactive protein (CRP) and proinflammatory cytokines, among Black and Hispanic adolescents. It also examines …

Coping Self-Efficacy, Acculturation, Gender, Socioeconomic Status, And Perceived Discrimination As Predictors Of Depression Among Nigerian Immigrants In The United States, Olatunde O. Osibote

Walden Dissertations and Doctoral Studies

Nigerian immigrants represent one of the fastest-growing immigrant populations in the United States. Relocating to a new country can be a major source of stress, often increasing individuals’ vulnerability to mental health challenges. While considerable research has examined predictors of depression in the general population and among certain immigrant groups, limited attention has been given to these factors in the context of Nigerian immigrants in the U.S. This study aimed to address that gap by applying Berry’s acculturation theory to investigate predictors of depression within this population. A quantitative, cross-sectional, correlational survey design was used to examine whether acculturation, socioeconomic …

Examining The Impact Of Technology-Enhanced Peer Mentorship On First-Year University Students’ Mental Health And Academic Success, Maya Hareli

Dissertations

Poor mental health among first-year college students has been associated with a plethora of unfavorable outcomes including worsening mental health problems later in college as well as declines in academic performance, rates of college retention, and postgraduate employment and income potential. While demand for mental health services on college campuses is high, there are various barriers to accessing these services. Peer mentoring is a resource-efficient solution for curbing college student mental health and academic challenges; however, the effects of past mentoring programs are inconsistent. Additionally, technology-delivered interventions (TDIs) have been shown to yield positive outcomes for young adults along various …

The Impact Of Social Support On Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective And Risk Factors, Mofoluwakemi Omololu Johnson

Walden Dissertations and Doctoral Studies

The Impact of Social Support on Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective and Risk Factors by Mofoluwakemi Omololu Johnson MSW, University of Ibadan, 2007 BSc, University of Ilorin, 2003 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Clinical Psychology Walden University August 2025   Camouflaging strategies used by individuals with autism spectrum disorder (ASD) to mask or compensate for autistic traits are often linked to adverse mental health out-comes. This quantitative correlational study investigated the relationship between perceived social support and camouflaging behaviors in young adults with autism. Grounded …

Youth And Parent Knowledge And Perceptions Of Spina Bifida: Associations With Neurocognitive Factors, Self-Management, And Quality Of Life, Olivia Emery Clark

Dissertations

Spina bifida (SB) is a common congenital birth defect with multiple and varied medical, physical, and psychological impacts. The objective of these studies is to examine youth and parent condition-related knowledge in the context of SB and associations with executive function, quality of life, and medical self-management. Collectively, these studies examine both qualitative and quantitative multi-informant data from youth with SB, their parents, and their teachers. The first study used growth analyses to examine changes in condition-related knowledge over time, predicted by executive dysfunction and inattention, and predictive of medical self-management skills. The second study used qualitative coding methods to …

Navigating Grief In The Digital Age: A Phenomenological Study Of Young Widows Using Instagram For Support And Connection, Mariah Jasmine Sandoval

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored the lived experiences of young widows who use Instagram for grief support following the death of a spouse. Young widows often face disenfranchised grief and limited access to traditional support systems, which can impede emotional processing and identity reconstruction. Grounded in Continuing Bonds Theory, which posits that ongoing connections with the deceased can be adaptive, the study examined how Instagram facilitates or complicates grief by enabling emotional expression, maintaining bonds, and fostering engagement with a community of shared loss. The central research question asked: How do young widows describe their experiences using Instagram for grief …

Stay Woke: Understanding Critical Consciousness Development In Adults And Its Relationship To Psychological Constructs, Christin Alexandra Mujica

Graduate Theses and Dissertations

Racism confers numerous measurable health risks for people of color. Interventions to mitigate the impact of racism on health are necessary and important to reduce disease burden and improve health outcomes for people of color. While communities of color have developed resiliency tactics that have allowed them to survive, even thrive, in the face of racial oppression, the evaluation and promotion of promising tools that counteract racism’s negative impacts are essential (Phillips et al., 2015). Critical consciousness is just such a tool. Research with children suggests it holds promise (Diemer et al., 2016; Heberle et al., 2020; Maker-Castro et al., …

Helping Someone Off The Hook: Post-Moral Disengagement As An Interpersonal Emotion Regulation Strategy In A Hypothetical Alcohol-Involved Sexual Assault Vignette, Kayla Ford

Graduate Theses and Dissertations

Post-moral disengagement (PMD) is posited as a form of interpersonal emotion regulation that involves altering the severity of harmful conduct and/or the transgressor’s personal responsibility to facilitate avoidance of negative emotions like guilt, which could maintain problematic behaviors. A pervasive harmful behavior on college campuses is alcohol-involved sexual violence, wherein intoxication is often used as an excuse or justification for assault. Though some aggressors of sexual violence experience guilt afterwards, it is unclear how bystanders might respond to this display of emotion and the potential applicability of PMD. As an initial step to assessing PMD as interpersonal emotion regulation, the …

Rumination And Inhibitory Control In Suicidal Ideation: The Role Of Explicit And Implicit Emotional Processing, Arooj Abid

Graduate Theses and Dissertations

Suicide is the tenth leading cause of death in the United States, and suicidal ideations (SI; thinking, considering, or planning suicide) are a strong predictor of suicide attempts. Prior literature describes inhibitory control as an important facet of regulating negative thoughts, and studies suggest that inhibitory control deficits and engagement in brooding rumination are risk factors of SI. Recent studies have found implicit cognitive markers of suicidality suggesting that level of processing may variably be linked to SI. This study examined the relation between aspects of inhibitory control across explicit and implicit emotional contexts and levels of brooding rumination among …

Association Between Decisional Conflict And Quality Of Life Among Parents With A Child Undergoing Hospital-Based Treatment For A Recent Cancer Diagnosis, Augustine Provencio

Doctoral Dissertations

Having a child with a chronic illness, such as cancer, can cause families significant distress. Parents of these children must make frequent decisions relating to their child’s care. Depending on factors such as health literacy and support from medical staff, parents may have varying levels of decisional conflict (DC) throughout the decision-making process. Compounding stress throughout their child’s illness can often contribute to lower levels of health-related quality of life (HRQoL) while their child is receiving hospital-based treatment. Parents with a non-English language preference (NELP) often have greater challenges navigating healthcare systems due to a lack of resources and limited …

Outcomes Of Bio-Psycho-Social-Spiritual Communitybased Drug Rehabilitation Program For Voluntary Vs. Court-Mandated Clients In The Philippines, Maria Regina M. Hechanova, Trixie Anne Co, Fessa R. Egusquiza

Psychology Department Faculty Publications

This study sought to evaluate the outcomes of a community- based rehabilitation program for voluntary and court-mandated drug users in the Philippines. Participants went through a bio-psycho-social-spiritual group-based program that aimed to develop their recovery skills and life skills. The program also included family modules to enhance their knowledge of drug use, its effects, and the role of family in recovery. A cohort design was used with pre- and posttest surveys administered before and immediately after the program. The sample consisted of 105 voluntary clients and 118 court-mandated clients who underwent screening or drug dependency evaluation and were recommended for …

Understanding Why Individuals Maltreated As Children Do Not Retrospectively Self-Report, Kristin S. Lynch

Dissertations, Theses, and Capstone Projects

Individuals with documented histories of childhood maltreatment who do not retrospectively self-report these childhood experiences demonstrate better emotional and psychological outcomes in adulthood. Understanding why these individuals do not retrospectively self-report is important for the development of effective interventions focused on mitigating the long-term consequences of maltreatment. The current study compared maltreated individuals who did not retrospectively self-report (O-R group) to those who did retrospectively self-report (O+R group) to examine theoretical explanations related to intentional nondisclosure (i.e., social desirability and discomfort during the interview) and memory processes (i.e. infantile amnesia, use of mental health services, avoidant coping …

Interoceptive Forecasting And Recall: The Role Of Anxiety Sensitivity And Disgust Sensitivity, David Lloyd Yap

Dissertations, Theses, and Capstone Projects

Predicting and remembering emotional states (affective forecasting and recall) are adaptive processes that allow individuals to engage with the future and past to guide behavior, yet these processes are prone to bias. Although affective forecasting and recall biases are common across healthy populations, more pessimistically biased affective forecasts and recall have been linked to greater anxiety and depression symptom levels and to emotional disorders. A crucially understudied aspect of affective forecasting and recall is the perception of the somatic (interoceptive) symptoms that accompany emotions. This study investigated forecasting and recall accuracy of somatic symptom levels (i.e., interoceptive forecasting and recall). …