Clinical Psychology Commons^™

Psychogastroenterology: An Introduction For Behavioral Health And Healthcare Professionals, Jerrod Brown Ph.D., M.A., M.S., M.S., M.S., M.S., M.S., Jeremiah B. Schimp Phd, Ma, Lpcc, Leanne Skehan Dcn, Msacn, Mph, Mba, Cns, Ches, Shelley Mydra Dmft, Lmft, Jonathan Ward Dc, Phd(C), Ms, Dibcn, Tiffany Flaten Cns, Ldn

Nutritional Neurocriminology Today

Although often difficult to discuss with clients, gastrointestinal (GI) issues affect an estimated 60 to 70 million Americans (American Gastroenterological Association, 2022). Yet only about 25% of those experiencing these conditions receive treatment. This is troubling because GI issues frequently co-occur with clinically significant consequences for physical health, psychological well-being, daily functioning, and overall quality of life. Designed for behavioral health and healthcare professionals, this brief article introduces the field of psychogastroenterology, with emphasis on symptoms, stigma, diagnosis, and treatment. Key topics include the gut-brain axis, common digestive health conditions, and the mental health implications associated with gastrointestinal disorders.

Exploring The Link Between Substance Use Severity And Self-Stigma: The Moderating Role Of Enacted Stigma, Alaya Shelton

McNair Culminating Research Projects

Self-stigma has been shown to negatively impact treatment engagement, recovery, and reintegration outcomes among individuals with substance use and criminal histories (Moore et al., 2023). Further, prior research has shown that markers of an individual’s substance use treatment history (e.g., number of prior treatment episodes and perceived substance use severity; Hammarlund et al., 2018; Luoma et al., 2012; Silveira et al., 2016) and negative experiences with medical professionals (Hoover et al., 2022; Muncan et al. 2020) are closely linked to self-stigma. While these factors independently contribute to one’s level of self-stigma, to our knowledge, no prior work has examined how …

Predictors And Outcomes Of Reading Intervention Success In Autistic Children: Memory And Brain Connectivity, Meagan Elizabeth Beckerson

ETDs from 2020-2029

Reading comprehension is a complex skill that relies on linguistic and cognitive abilities, including executive control processes. Creating a cohesive representation of text involves maintaining visual and verbal information in short term memory (STM) and using executive control skills to integrate information, apply it to questions, and draw inferences. Many autistic children demonstrate strong individual word reading (decoding) but poor comprehension, resulting in a discrepant reading profile. The role of STM and executive control—along with the underlying neural systems that support these processes—in reading comprehension and response to intervention has not been examined in autistic children with this profile. The …

An Exploratory Study: The Presence Of Imposter Syndrome In New Graduate Allied Health Professionals And Its Relationship To Location Of Practice, Samantha J. Barber, Carol A. Flavell Dr, Moira Smith Dr

Internet Journal of Allied Health Sciences and Practice

Purpose: Imposter syndrome (IS) explores the feelings of fraudulence within personal and professional settings. Commonly IS results in impaired self-confidence, and self-perceptions of one’s own abilities, their mental health, and places them at a higher risk of burnout. Imposterism is linked to transitionary periods, such as being newly graduated, and while IS addressed amongst the medical community [doctors and nurses], there is a gap in literature relating to IS amongst allied health professionals (AHPs). Additionally, there is no known literature in which IS presence or severity is explored in relation to an individual’s geographic location. The aim of this study …

Law Enforcement Officers' Perception Of Human Trafficking And The Efficacy Of The Training They Receive, Christian Jones

Walden Dissertations and Doctoral Studies

No abstract provided.

Addressing Mental Health Issues And The Effectiveness Of Cognitive Behavioral Therapy And Mindfulness-Based Interventions Among Athletes, Shelby Jones-Stachnik

Dissertations

This literature review identifies mental health concerns among competitive athletes and evaluates psychological interventions to address these challenges. Specifically, the review explores the mental health concerns experienced by athletes engaged in high-level sport. It examines whether cognitive behavioral therapy and mindfulness-based interventions are effective approaches for improving psychological outcomes in this population. A systematic review of peer-reviewed research was conducted, and findings were synthesized to evaluate the effectiveness of cognitive behavioral therapy and mindfulness-based interventions. The review included randomized controlled trials, quasi-experimental studies, and meta-analyses examining psychological interventions in athletic populations. Findings across the literature indicate that both cognitive behavioral …

Minding The Body: A Mixed Methods Analysis Of Somatic Experiences During Therapeutic Psychedelic Use, Daniel Grossman

ETDs from 2020-2029

Somatic phenomena, including shaking, spontaneous movement, vocalization, and purging, are commonly reported during psychedelic-assisted therapy (PAT). However, despite their perceived importance to some users, their role in the therapeutic process has remained largely unexamined. This mixed-methods study provides the first systematic investigation of these experiences during therapeutic psychedelic use, with particular attention to observable bodily responses (OBRs) and release-like somatic experiences (RLSEs), defined as a subset characterized by sensations of physical discharge. An online retrospective survey (N = 286) assessed the prevalence of OBRs and RLSEs, and their relationships with body awareness, bodily dissociation, emotional breakthrough, and perceived therapeutic benefit. …

Long-Covid And Cognition, Mychael Bruce

Dissertations

COVID-19 is an evolving virus that can harm the body’s respiratory and cardiovascular systems. Directly related to COVID-19 are individuals who do not recover from their initial infection, making them long haulers. Long-COVID is transitioning from a range of isolated phenomena to higher prevalence rates in patients who contracted COVID-19. Many individuals report issues with cognitive function, referred to as ‘brain fog’, that affect memory, attention, and even language skills. This literature review addresses the available research on Long-COVID and how persistent infection correlates with cognitive difficulties. It aims to explain the neurobiology of Long-COVID and how Long-COVID interacts within …

Understanding And Enhancing Suicide Prevention Strategies In The Military: The Roles Of Culture, Leadership, And Command Climate, Kelly Johanna Pires

Dissertations

Military service members are shaped and molded to fit a military culture that emphasizes mission readiness and continuous preparedness. Countless hours are spent training for various situations that can arise. Many trainings are geared toward worst-case scenarios that can cause an increase in stressors and traumatic events. They are expected to demonstrate resilience and overcome adversity to remain mission-ready. This expectation to be mission-ready creates the space for mental health difficulties as well as stigma and avoidance of help-seeking behaviors. In many cases, the desire to stay mission-ready creates a barrier for conversations around mental health. The military emphasizes qualities …

Evaluation Of Neuroplastic Changes In Psychological Intervention And Contemporary Treatments Of Depression, Taylor Severance

Dissertations

Major depressive disorder is one of the most prevalent mental health disorders worldwide. There is a vast range of treatment options for depression, with varying levels of effectiveness. Recent treatments for depression have expanded, increasing alternative treatments, and it is unknown which treatments have the largest impact on depression. This research was designed to examine the treatments of depression, with a focus on psychotherapy and contemporary treatments such as ketamine, psilocybin, and transcranial magnetic stimulation. A literature review was conducted to assess treatment outcomes and neuroplastic changes in these interventions, as well as combinations of the interventions. Data were evaluated …

Exercise Therapy For Mood Disorders In Retiring/Former Athletes, Christian Antos

Dissertations

This dissertation examined the potential integration of exercise therapy and psychotherapy as a treatment approach for mood-related difficulties experienced by former elite athletes during the transition out of competitive sport. Retirement from athletics is often associated with significant biopsychosocial challenges, including disruptions in identity, healthy routines, social support, and emotional well-being. Existing literature suggests that exercise may serve as an effective adjunctive intervention for improving mood and overall psychological functioning, though limited research has explored its application among retiring athletes within psychotherapeutic contexts. This literature review synthesized current research related to athletic retirement, neurobiological mechanisms associated with physical activity, and …

Rarely Asked: The Systemic Failure To Support The Mental Health Of Caregivers Of Medically Complex Children, Morgan Motsinger

University Honors Theses

Approximately one in four households in the United States cares for a child with special healthcare needs, yet the mental health of the caregivers providing that care is rarely addressed by the medical, faith, community, and social systems around them. This thesis examines the systemic gaps in mental health support for caregivers of children with life-limiting or medically complex diagnoses through a review of existing literature and an original mixed-method survey of 58 caregivers. Findings indicate that 50% of caregivers received no mental health support from their child's medical team at any point. Every respondent reported at least one clinically …

The Emerging Roles Of Ai In Self-Directed Stress Management: Systematic Review, Mary Kamillah Grace Reyes, Shauna Sha Min Teo, Andree Hartanto

Research Collection School of Social Sciences

Background: Stress is widespread and carries substantial mental health, social, and economic burdens. Yet, access to clinician-led stress management remains constrained by service capacity, cost, and stigma. In response, artificial intelligence (AI)–enabled tools have rapidly proliferated as scalable, self-directed options. However, evidence on how these systems support stress management outside formal clinical settings remains fragmented. Objective: This systematic review aimed to synthesize empirical evidence on how AI-enabled technologies are used for self-directed stress management. We mapped the emerging functions of these tools, the psychological frameworks informing their design, the populations and settings studied, and the outcomes reported. Methods: We conducted …

Anti-Mattering And Negative Core Beliefs In The Association Between Internalized Racism And Social Anxiety, Alicia K. López

Graduate Masters Theses

Internalized racism is associated with adverse mental health conditions, including anxiety. However, research examining the relation between internalized racism and social anxiety remains limited. The primary purpose of this current study was to explore the relation between internalized racism and social anxiety and whether cognitive processes, such as negative core beliefs about the self or interpersonal factors, such as anti-mattering help explain this relation.  Specifically, this study examined anti-mattering as a potential mediator linking internalized racism and social anxiety and whether negative core beliefs about the self, mediate the relation between internalized racism and anti-mattering. Lastly, the study examined a …

Identity And Distress: The Role Of Misracialization And Membership Esteem In Multiracial Mental Health, Jordan Cherry

Graduate Masters Theses

The population of Multiracial individuals in the US is growing (Jones et al., 2021). Multiracial people face a higher likelihood of adverse consequences, including reconciling the significance of holding multiple racial identities in a society that predominantly categorizes race in single categorical terms (Gabriel et al., 2023). The inaccurate perception of Multiracial individuals by others, or misracialization, is a result of this dynamic. Research indicates that inaccurate racial representation relates to worse mental health outcomes for Multiracial individuals (Campbell & Troyer, 2007; Does et al., 2023; Franco, Toomey, et al., 2021; Lusk et al., 2010). Further, one’s racialized experiences have …

Racism, Coping, And In-Race Heterosexism Among Asian American Sexually Expansive People: A Moderated Moderation Analysis, Miah Theresse A. Sabas

Graduate Masters Theses

Asian American sexually expansive people (AA SEP) are at elevated risk of psychological distress at the intersection of racism and heterosexism (Takeda et al., 2021). Less is known about how AA SEP cope with intersectional oppression, including experiences of in-race heterosexism. With a sample of 105 AA SEP, correlations indicated a positive link between psychological distress (PD; DASS-21, Lovibond & Lovibond, 1995) and racism-related stress (RRS; Brief PEDQ-CV, Brondolo et al., 2005), but not in-race heterosexism (Perceived Racism in Lesbian, Gay, and Bisexual Communities Scale, Sarno et al., 2015). Moderation analyses indicated only active coping buffered the relation between RRS …

Temwayaj: An Exploration Of Intergenerational Trauma And Resilience Through The Wisdom Of Haitian Elders, Niara J. Carrenard

Graduate Masters Theses

Haitian people have a unique history of trauma shaped by colonial violence, the brutal legacy of slavery, and political instability all of which intersect to create a complex and multifaceted experience of trauma across generations. This study explores how intergenerational and historical trauma are understood, carried and expressed across generations in the Haitian community. Drawing from grounded theory, this research examines the layered effects of colonial violence and chronic instability on Haitian people. While trauma is typically described as an individual phenomenon, this project is examining trauma as a relational process that manifests amongst different generations. Through in-depth qualitative interviews, …

Trends Of Pediatric Psychotropic Polypharmacy In Massachusetts Before And During The Covid-19 Pandemic, Gianna D'Ambrozio

Graduate Doctoral Dissertations

Youth in the U.S. and internationally are increasingly being diagnosed with depression and related psychiatric conditions (Murthy, 2021) many of whom are being subjected to non-evidence-based, or what has been termed irrational, psychotropic polypharmacy (Barnett & Concepcion Zayas, 2019). Psychotropic polypharmacy can be defined as “the use of 2 or more psychiatric medications in the same patient,” (Zito et al., 2021) though definitions can vary. Using data from the Center for Health Information Analysis’ Massachusetts All-Payer Claims Database, this study examined the sociodemographic factors associated with high rates of polypharmacy, a hypothesized increase in pediatric psychotropic polypharmacy rates in Massachusetts …

Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard

Doctoral Dissertations

Background – Obstetric fistula is a childbirth injury caused by prolonged labor that leads to stillbirth and incontinence, spurring social exclusion and isolation. These layers of trauma put women with fistula at great risk for psychological suffering, which has profound negative socioeconomic impacts on them, their families, and communities. This study captured treatment as usual at Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula care.

Method – Improving holistic fistula treatment requires engaging the clinicians who care for women with fistula. This study aimed to investigate the training, beliefs, and treatment approaches of nurses and …

The Efficacy Of Dialectical Behavior Therapy For Anorexia Nervosa In Adolescent Females: A Literature Review, Tyler L. Brink

The Scholarship Without Borders Journal

Anorexia nervosa (AN) in adolescent females is associated with high mortality, significant relapse rates, and cognitive and emotional disturbances, suggesting that existing treatments may not sufficiently address core maintaining mechanisms. This literature review synthesizes current research examining the efficacy of Dialectical Behavior Therapy (DBT) and Radically Open Dialectical Behavior Therapy (RO-DBT) for adolescent females with AN, with emphasis on neurobiological vulnerability, emotional dysregulation, and maladaptive overcontrol. Neuroimaging research indicates reductions in cortical thickness and gray matter in regions associated with self-referential processing and emotional regulation, while emerging evidence suggests structural plasticity following mindfulness-based interventions. Behavioral studies demonstrate that emotional dysregulation …

Investigating The Moderating Roles Of Adolescent Peer Relationship Difficulties And Prosocial Behavior On The Relationship Between Triangulation And Adolescent Emotional Symptoms During Parental Divorce, Taylor Kalei Demotta

Clinical Psychology Dissertations

The divorce process is a stressful, transitional period that is widely experienced by families in the United States. This process incites a variety of stressors and deleterious family dynamics that impact children and adolescents. The divorce literature has identified parental conflict as a significant contributor to youth outcomes following divorce. Therefore, researchers have aimed to investigate the specific dynamics occurring during interparental discord that may influence youth. Triangulation, or the involvement of children in parental disagreements, has been found to mediate the relationship between parental conflict and adolescents’ internalizing symptoms. Adolescents may be particularly vulnerable to triangulation due to increases …

The Impact Of Translated Phq-9 And Gad-7 Scales On Treatment Recommendations In An Adult Vietnamese Population: A 3-Month Primary Care Evaluation, Vivienne Bui

Doctor of Nursing Practice Final Manuscripts

Depression and anxiety are prevalent yet underdiagnosed in limited-English-proficient (LEP) populations due to language barriers, cultural stigma, and provider bias. Vietnamese-speaking patients are particularly vulnerable to under-recognition in primary care. This quality improvement project evaluated whether implementing Vietnamese-translated Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) tools would improve mental health diagnosis and referral rates. Guided by the Johns Hopkins Evidence-Based Practice Model, a pre–post design was conducted at a San Diego clinic from March 26 to June 26, 2025. Vietnamese-speaking adults (≥18 years) completed translated PHQ-9 and GAD-7 forms during intake. Providers used scores in conjunction with clinical …

Becoming A Body-Centered Psychotherapist: Developing A Reflective Method For Navigating Dual Professional Identity In Dance/Movement Therapy Training, Emma Rose Barbosa

Expressive Therapies Theses

The field of mental health counseling frequently prioritizes verbal modalities, often leaving dance/movement therapists (DMTs) in training to navigate clinical environments that diverge from their primary movement-first modality. Without adequate preparation for this tension, emerging DMTs risk losing access to their primary treatment modality at a critical stage of professional development. The literature review highlights the mind-body connection as a theoretical foundation for somatic integration in clinical practice, examines the development of the internal witness through authentic movement practice, and explores selected current perspectives on DMT within individual counseling contexts. To investigate further themes, a heuristic study was conducted during …

Associations Between Mmpi-3 And Cape Scores: Measuring Psychosis Symptoms In A Non-Clinical Population, Tigis A. Applin, Ashlynne N. Wright, Andrew Kremyar, Megan R. Whitman, Yossef S. Ben-Porath Ph.D.

Aurora

Psychosis includes two major types of symptoms: positive (i.e., hallucinations, delusions, paranoia) and negative (i.e., flat affect, poverty of speech, lack of motivation). Psychosis is also frequently comorbid with depressive and other mood disorder symptoms. Differentiating positive, negative, and depression symptoms is important, as practicing clinicians may tailor treatments to specific presenting symptoms. The Minnesota Multiphasic Personality Inventory-3 (MMPI-3) is a broadband measure of personality and psychopathology that includes scales that measure both psychosis and depression related symptoms. Prior studies indicate that scale scores on previous versions of the MMPI-3 can help with the differential diagnosis of depressive and psychosis-related …

Feasibility Of Staff Training In Facilitating Affirmative Moving With Unhoused Lgbtq+ Individuals, Sujin Ma

Expressive Therapies Dissertations

Homelessness-service environments require non-clinical frontline staff to manage frequent crises and provide relational support to sexual and gender minority (SGM) individuals with extensive trauma and minority stress histories. However, staff training often prioritizes didactic knowledge over embodied skills that support emotional regulation, attunement, and identity-affirming engagement. Grounded in trauma-informed care, minority stress theory, and somatic learning, this mixed-methods study examined the feasibility and preliminary patterns of change associated with an embodied staff training designed to prepare non-clinical workers to facilitate Affirmative Moving (AM), a brief movement-based, LGBTQ+-affirming support group model.

The study was conducted between July and September 2025 at …

Functional Domains’ Ability To Predict Outcomes In Comparison To Absenteeism In A National Sample Of School Age Children, Randolph Dupont

UNLV Theses, Dissertations, Professional Papers, and Capstones

School absenteeism poses a critical challenge for educators, clinicians, and policymakers due to its strong associations with impairments across academic, social, mental health, and family domains. Traditional models conceptualize absenteeism systemically, using dimensional definitions (e.g., chronic absenteeism defined by missed days), or analytically, using categorical definitions (e.g., truancy, school refusal). Both approaches are limited in capturing the functional consequences of school attendance problems (SAPs). This study evaluated whether a functional impairment model, which emphasizes how domains of functioning are disrupted by absenteeism, provides a more accurate framework for predicting outcomes than absenteeism frequency alone. Using longitudinal data from the Adolescent …

Barriers And Bridges: Exploring Factors That Shape Mental Health Service Utilization In Rural America, Margaret Wiwuga

Educational Specialist, 2020-current

Despite disproportionately higher suicide mortality rates and comparable prevalence of mental illness across urban and rural communities in the United States, rural populations across the nation experience significantly lower access to and utilization of mental health services, naturally leading to worse comprehensive outcomes. This literature review examines multifaceted factors shaping mental health service use in rural America, taking note of both barrier and enabling factors that impede or enable these unique populations’ willingness and ability to access and use mental health services. Ten articles published prior to September 9, 2025, were selected from the James Madison University Libraries’ Psychology and …

Neurodiversity In Counseling: Counseling Strategies For Supporting Neurodiverse Clients, Emily R. Plowright

Educational Specialist, 2020-current

Neurodiversity recognizes the natural differences in human functioning, including the unique ways that individuals think, learn, and process information. The neurodiversity movement views these differences as valuable, challenging historical beliefs that label them as deficits. Despite growing awareness of neurodiversity, counseling research and practice have largely overlooked the unique needs of neurodiverse clients, resulting in barriers to accessing mental health care. This paper addresses the concept and models of disability to provide context for understanding neurodiversity. Neurodiverse identities, such as attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), specific learning disorders (SLDs), and tic disorder, are explored through their diagnostic criteria …

What’S Behind The Mask: The Diagnostic Divide In The Female Autism Phenotype, Shelley Gies Alston

Educational Specialist, 2020-current

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by differences in social communication and restrictive, repetitive behaviors; however, women are diagnosed at significantly lower rates than men. This study examined whether DSM-5-TR diagnostic practices may contribute to the underdiagnosis and delayed identification of ASD in individuals assigned female at birth (AFAB), with attention to masking behaviors, gendered social expectations, and clinician interpretation of symptoms. Grounded in the Female Autism Phenotype (FAP), a retrospective mixed-methods study surveyed 12 AFAB individuals aged 18–24 who self-identified or were formally diagnosed with ASD. Participants completed a 44-item online survey including Likert-scale and open-ended …

Underlying Mechanisms In The Relationship Between Ptsd And Irritable Bowel Syndrome, Jillian B. Heymann

Dissertations

Current bodies of knowledge support the relationships between posttraumatic stress disorder (PTSD) and irritable bowel syndrome (IBS), pain catastrophizing and PTSD, and pain catastrophizing and IBS. However, much less is known regarding how pain catastrophizing influences the relationship between PTSD and IBS. Additionally, while correlations between some demographic and trauma-related symptomatology have been elucidated in the relationship between PTSD and IBS, their impact as potential moderators on the relationship between PTSD and IBS has yet to be fully examined. Examining a student sample from a large midwestern university, the present study aimed to investigate the potential mediating and moderating roles …