Clinical Psychology Commons^™

Hiding In Plain Sight, Gayle M. Perreault

Antioch University Dissertations & Theses

Some autistic individuals reach adulthood without receiving a diagnosis, and the processes contributing to delayed recognition are not yet fully understood. This study explored how contextual conditions across development related to the emergence and use of camouflaging behaviors in late-diagnosed autistic adults from groups historically underrepresented in autism research. Using an inductive collective case study design, narrative interviews were conducted with seven autistic adults diagnosed after age 15. The analysis examined how participants described learning, maintaining, and interpreting camouflaging behaviors across childhood through early adulthood within social, environmental, and institutional contexts, with attention to how participants experienced environmental expectations and …

Well-Being Despite Adversity: A Portfolio Approach To Understanding Resilience Among Autistic Adults, Krista Rose

Electronic Theses & Dissertations (2024 - present)

Autistic individuals, across the lifespan, face increased exposure to stressful, adverse, and potentially traumatic experiences. These experiences pose a negative impact on well-being and quality of life. Prevailing risk-based models are anchored in deficit-focused conceptualizations and provide limited insight into autistic individuals’ experiences afteradversity, highlighting the important shift towards strength-based models within resilience. Although resilience is a crucial topic to promote positive outcomes and well-being among autistic individuals, existing research is limited, lacks an integrated framework, and has not yet been investigated in the context of stressful, adverse, or potentially traumatic experiences, despite the deleterious effect these experiences pose …

Shifting Views, Shaping Outcomes: Exploring Relations Between Educators’ Neurodiversity-Affirming Perceptions And Their Autistic Students’ School Experiences, Josh Yen-Ho Chou

Graduate Masters Theses

School environments frequently serve as a source of socialization but also stigma and socioemotional distress for autistic students. Against this backdrop, teachers can be crucial sources of neurodiversity-affirming views and support. Teachers’ perceptions of students can also shape the quality of their relationships with students and students’ emotional and behavioral adjustment in school. This study focused on understanding how general education teachers perceive autistic students and how these perceptions shape their students’ school experiences. This study sought to investigate the degree to which teachers endorsed three dimensions of neurodiversity-affirming perceptions of their autistic students: (a) strength/deficit-based, (b) holistic/reductionist, and (c) …

A Qualitative Exploration Of Sibling Relationships Impacted By Autism: “We’Ll Be Brothers Forever”, Julia M. Linger

Dissertations, 2020-current

The current study used a desire-based research framework to explore the lived experiences of siblinghood in families in which one child is autistic and one child is neurotypical. Their experiences were investigated through semi-structured interviews with eight children (four sibling pairs) between the ages of 11 and 18. Interpretative phenomenological analysis (IPA) was used to analyze and interpret the data. Seven shared experiential themes were constructed that helped describe the experiences of siblinghood for the participants: 1) Siblinghood includes both enjoyment and annoyance, 2) Shared activities and quality time facilitate sibling connectedness, 3) Siblings celebrate differences and use their different …

Mental Health Disparities In Hospital Admissions For Youth With And Without Autism, Ben Pfingston, Lindsey Sneed

Journal of Social, Behavioral, and Health Sciences

The purpose of this study was to compare mental health diagnoses in a sample of youth with autism spectrum disorder (ASD) and youth without ASD (non-ASD) admitted to inpatient hospitals across the United States. We hypothesized that autistic youth would have a greater proportion of co-occurring psychiatric diagnoses compared to their typically developing peers. To do this, we conducted a cross-sectional analysis of the Healthcare Cost and Utilization Project (HCUP) 2019 Kids’ Inpatient Database (KID). We compared the proportions of co-occurring psychiatric diagnoses between autistic and typically developing youth. Compared to 21% of non-ASD admissions, 36% of the ASD admissions …

Autism And Down Syndrome: An Examination Of The Baby And Infant Screen For Autism Traits In Toddlers With Down Syndrome, Celeste Tevis

LSU Doctoral Dissertations

Current research suggests that children with Down Syndrome (DS) are at an increased risk for autism spectrum disorder (ASD) compared to the general population. Detecting ASD early in children with DS is crucial to providing access to additional treatment services and supports that may be necessary. Despite a critical need to identify ASD as early as possible, diagnoses of ASD are often delayed in individuals with DS. It can be especially difficult for clinicians to differentiate between symptoms attributed to intellectual developmental disorder (IDD), a primary feature of DS, and possible ASD symptoms. Only two research studies have evaluated the …

Inhibitory Control: A Mediator Between Sensory Responsivity And Externalizing Behaviors In Children On The Autism Spectrum, Kaitlyn M. Drafton

Clinical Psychology Dissertations

Sensory differences are among the most commonly reported symptoms in children on the autism spectrum and have been linked to both externalizing behaviors and executive functioning challenges. However, few studies have explored the potential mechanisms that underlie these relationships. The present study examined whether inhibitory control mediates the relationship between sensory responsivity and externalizing behaviors in young autistic children, each rated via caregiver-report measures. Participants included 107 caregivers of autistic children between the ages of 5-10 years old. It was hypothesized that higher levels of sensory responsivity would predict greater difficulty with inhibition, which in turn would be associated with …

The Clinical Utility Of Measuring Emotion Dysregulation In Autistic Youth, Monica S. Trevino

Dissertations

Autistic youth experience disproportionately high rates and severity of emotion dysregulation, which is linked to behavioral challenges, psychiatric comorbidities, familial stress, and increased emergency service and hospitalization use. Despite its clinical significance, emotion dysregulation in autistic youth remains relatively understudied and misunderstood, partly due to the lack of standardized assessment tools and limited research on its heterogeneity within autistic populations. In the present study, structural equation modeling was used to 1) validate the Emotion Dysregulation Inventory (EDI) and assess measurement invariance in a diverse sample and 2) explore associations among emotion dysregulation, autism symptoms, and related child and family characteristics, …

Filipino American Cultural Beliefs, Perceptions Of Autism, And Help-Seeking Behaviors, Swathi Menon

Psychological Science Undergraduate Honors Theses

Background: Filipinos carry a unique culture that is deeply rooted in ideas of family, community, religion, and honor. When Filipinos immigrated to the United States, these values followed and have organically passed down through generations. Studies have explored how Filipino Americans feel about the healthcare system and how Southeast Asians perceive mental health conditions, such as autism. Current research lacks how Filipino culture has impacted Filipino Americans’ perceptions of autism and their help-seeking behaviors if their child were to receive an autism diagnosis. Methods: Participants were asked questions about their cultural values, presented with a vignette depicting an autistic child …

Exploring Potential Correlation Of Resiliency And Multifamily Support With Psychological Distress Among Hispanic Parents Of Children With Autism Spectrum Disorder, Eliz Marie Centeno Ortiz

Walden Dissertations and Doctoral Studies

Hispanic parents of children with autism spectrum disorder (ASD) were found to have lower psychological distress in comparison with other ethnicities or races despite having additional challenges such as immigration issues, language barriers, or others. However, research on why Hispanic parents of children with ASD tend to have less psychological distress is lacking. This study addressed the extent to which multifamily support and resiliency affect psychological distress among parents of children with ASD, as explained by the family system theory. For this study, 75 Hispanic parents of children with ASD were recruited via Facebook posts. The participants were directed to …

The Effects Of Internalizing Symptoms And Attentional Difficulties On Adolescent Outcomes Of The Peers Intervention, Madeleine Kathleen Guell

Master's Theses (2009 -)

The Program for the Education and Enrichment of Relational Skills (PEERS) is effective at improving the social skills of autistic youth. However, few studies have examined the suitability of PEERS for youth with comorbid mental health concerns. Research suggests that autistic youth are highly likely to have co-occurring disorders such as internalizing and attentional disorders, which are linked with poorer social skills in autistic youth. The current study explores the effects of internalizing symptoms and attentional difficulties on outcomes of the PEERS intervention by examining the relationship between these symptoms and 3 composite outcome variables (i.e., social awareness, social interaction, …

Behavior Or Diagnosis? Comparing Explicit And Implicit Biases Of School-Based Professionals Towards Adhd And Asd, Vincent Rutherford

Pomona Senior Theses

Previous research shows bias against people with ADHD and ASD both in and outside of the classroom and demonstrates that access to a diagnosis impacts educator’s beliefs about a child. ADHD and ASD have a high level of diagnostic co-occurrence, as well as symptom overlap beneath the clinical threshold. The current study uses a vignette-length description of a student, an explicit bias questionnaire, and an Implicit Association Test to assess the relationship between implicit and explicit bias, as well as how educator bias is impacted by the diagnosis they have access to. Results suggest no statistically significant differences between explicit …

Social Communication Skills Moderate The Relationship Between Family Quality Of Life And Parenting Stress, Hanna Kent

Electronic Theses & Dissertations (2024 - present)

Parents of newly diagnosed autistic children face elevated levels of parenting stress due to the unique demands associated with raising an autistic child and the challenges of navigating the early intervention systems which often impact their family functioning (Rivard et al., 2023). This study aimed to investigate how autistic traits and demographic variables are associated with parenting stress and family quality of life (FQOL) in caregivers of recently diagnosed autistic children. Data were obtained from 118 caregivers enrolled in a family education program within one year of their child’s autism diagnosis. Measures included the Parenting Stress Index, Short Form, The …

Learning To Be An Autistic Therapist: Personal Steps Towards An Autism-Affirming Psychotherapy, Sasha D. Strong

Ought: The Journal of Autistic Culture

How can Autistic therapists understand and support themselves, and how can this help them support their clients? In this paper, I recount my personal journey of healing and growth as an Autistic psychotherapist, 16 months after self-identification. Here is an overview of conceptual frameworks from #actuallyautistic authors, critical theory, queer theory, and social justice that I have found helpful. I also share some of the therapeutic and wellness approaches that have been important to me, including mindfulness and bodyfulness. Organic knowing has been pivotal for me in discerning between masking and aliveness, and regaining a choice around masking behaviors. This …

Relationship Interventions For Autistic Children And Their Non-Autistic Siblings, Susan Vanessa Mchugh

Dissertations, Theses, and Capstone Projects

Relationships between children with autism and their non-autistic siblings are often characterized by great warmth, empathy, and affection. However, because of core deficits in social-emotional reciprocity, autistic children and their siblings often experience difficulties with communication, play, and associated mental health problems. Interventions aimed at improving relationships in these sibling dyads historically have involved teaching non-autistic children to behave similarly to interventionists for autistic siblings, and support groups for children with broad chronic illnesses. More recent interventions have shifted focus to improvement of play between siblings, and support groups for siblings of children with autism spectrum disorder. Some are naturalistic …

Help Seeking Experiences Of Asian American Parents Of Children With Autism Spectrum Disorder, Mellanie Kristelle Roxas De Guzman

Doctoral Dissertations

Autism Spectrum Disorder (ASD) has become more widely understood and accepted by the general and professional populations. However, self and social stigma related to ASD persist and continue to negatively impact help-seeking behaviors. This qualitative study used semi-structured interviews guided by an ecological systems model, to explore the lived experiences of 11 Asian American (AsAm) parents residing in the greater San Francisco Bay Area with a child with ASD. A thematic analysis framework was utilized. A total of six themes and six subthemes emerged from this study and included: (1) comparisons, (2) stigma, (3) resilience, (4) support for services, (5) …

Research Imitates Life: Researching Within Your Lived Experience, Bethany Donaghy, Delane Linkiewich

Patient Experience Journal

This personal narrative article seeks to bring awareness to and provide an overview of the various aspects that come with being a lived experience researcher including the host of benefits and challenges that come with conducting research within one's own area of lived experience. Throughout this narrative, we (Bethany Donaghy, an autistic person, and Delane Linkiewich a person living with chronic pain) share our perspectives on what it is like to be lived experience researchers. Our narratives discuss how the many identities we hold both improve the impact and relevance of our research while also posing challenges for us like …

Factors Impacting Treatment Decisions In Caregivers Of Autistic Children, Tiffany Harris

Dissertations

Caregivers of autistic children are not only tasked with deciding upon various treatment options for their children’s symptoms but must also navigate the initial crisis that is experienced after receiving a diagnosis of ASD for their children (Blancher, 1984; Ellis, 1989). Leventhal’s Common Sense Model of Self-Regulation (the CSM; Leventhal et al., 1980) is a theoretical framework developed to understand the self-regulatory processes involved in adapting to and managing health threats and posits that cognitive and emotional illness perceptions influence illness outcomes through coping behaviors. This is the first study to examine all major components of the CSM (i.e., cognitive …

A Confirmatory Factor Analysis Of The Psi-4-Sf In Parents Of Children With Autism Spectrum Disorder, Paige Weir

LSU Doctoral Dissertations

The factor structure of the Parenting Stress Index - Short Form (PSI-4-SF) was evaluated among parents of children with autism spectrum disorder (ASD). Two hypotheses were tested: (1) the original PSI-4-SF model would yield an unsatisfactory fit, and (2) a three-factor alternative model would improve fit compared to the original and other models. A sample of 205 parent-child dyads was analyzed using confirmatory factor analysis (CFA) with the lavaan package in R Studio. Preliminary analyses included descriptive statistics, normality checks, and assessments of skewness and kurtosis. Results supported the first hypothesis, showing poor fit indices for the original PSI-4-SF model. …

Is Telehealth Equivalent To In-Person Intervention? A Replication And Extension Of Peers For Adolescents, Elyse Jeannine Adler

Dissertations (1934 -)

One commonly requested area of support for autistic youth centers around teaching and maintaining social skills, as social communication differences are a core feature of autism spectrum disorder. During the COVID-19 pandemic, many healthcare services transitioned to telehealth, and some caregivers were concerned about if telehealth services were efficacious. There is a growing body of literature supporting the effectiveness of in-person social skills interventions, however research on telehealth administration of social skills intervention is more limited. This study aimed to evaluate if the telehealth version of PEERS for Adolescents has similar effects for autistic youth as the originally developed in-person …

404 Error – Gender Not Found: Lived Experiences Of Genderqueer Autistics Assigned Female At Birth, Christina-Marie J. Wright

Symposium Of University Research and Creative Expression (SOURCE)

While autism research has historically focused on males, increasing attention is being paid to the expression of autism spectrum disorder in cisgender girls and women. However, a significant percentage of the autistic population assigned female at birth experiences gender outside the male-female binary, and the expression of autistic traits in this population remains largely unexplored. Understanding the expression of autism in diverse populations is important for diagnostic access and support. The purpose of this study was to identify which behaviors and interests commonly ascribed to autistic individuals were demonstrated by autistic genderqueer individuals assigned female at birth. The study also …

Making Deception Fun: Teaching Autistic Individuals How To Playfriendly Tricks, Adel Naj, Megan St. Clair, Kacie Massoudie, Jonathan Tarbox, Lauri Simchoni, Marianne Jackson, Angela Persicke

Psychology Division Scholarship

Perspective taking is a critical repertoire for navigating social relationships and consists of a variety of complex verbalskills, including socially adaptive forms of deception. Detecting and being able to use socially adaptive deception likelyhas many practical uses, including defending oneself against bullying, telling white lies to avoid hurting others’ feelings,keeping secrets and bluffing during games, and playing friendly tricks on others. Previous research has documented thatsome Autistic1 children have challenges identifying deception and playfully deceiving others (Reinecke et al., 1997). Thecurrent study employed a multiple baseline across participants design to evaluate the use of multiple exemplar training, rules,modeling, practice, and …

Determining The More Effective Behavior Analytic Intervention For Children With Autism Who Exhibit Pica Behaviors, Jennifer J. Lanham

Theses and Dissertations

Abstract

Determining the More Effective Behavior Analytic Intervention for Children With Autism Who Exhibit Pica Behaviors. Jennifer J. Lanham, 2024: Applied Dissertation, Nova Southeastern University, Abraham S. Fischler College of Education and School of Criminal Justice. Keywords: autism, pica, eating disorders, intervention, applied behavior analysis

This dissertation was designed to determine which behavior analytic intervention was more effective in the treatment and reduction of mouthing non-nutritive substances in children diagnosed with autism. This study included four participants in an A-B-A reversal design with a component analysis across four intervention phases. The study participants were enrolled in a center-based treatment environment …

Autism Clinicians' Bias In Detecting Female-Typical Rrbi In Young Children, Megan Young

Scripps Senior Theses

With four times as many boys than girls diagnosed with autism, psychologists must investigate whether this is due to an intrinsic difference or gender bias. This proposed study aims to evaluate autism clinicians’ bias in detecting restrictive and repetitive behaviors and interests (RRBI) in young children by presenting autism specialists with a vignette depicting one of four children, depicting either the male or female autism phenotype, and a masculine or feminine name. Gender of child and phenotypic presentation is expected to have a significant effect on detection and identification such that feminine names presenting with the Female Autism Phenotype (FAP) …

Autism-Related Support Services On Mental Health And University Connectedness, Adeline E. P. Rogers

Scripps Senior Theses

College is notoriously challenging, with many student concerns associated with adapting to the new expectations for lifestyle, workload, and socializing that come with transitioning to college and/or university (Gelbar et al., 2015). For college students with autism spectrum disorder (ASD), the impact of these changes can be far more challenging, as their needs can be different from their neurotypical peers. This study implemented an online survey to gather data on autistic students’ feelings of depression, anxiety, stress, university connectedness, experiences with university autism support programs, and basic demographics. Unfortunately, the results found from this study were contaminated by a large …

Suicidality In Autistic College Students, Sam Fisher

McNair Scholars Manuscripts

Autistic college students are significantly more likely to experience suicidal thoughts and behaviors (STBs) than the general college student population. Jackson et al. (2018) found that 75% of autistic college students experienced some form of suicidal behavior at some point in their lives. Autistic college students are also more likely to successfully complete suicide on the first attempt. Suicide death is 3-7 times more common among autistic people than the general population (Cervantes et al., 2022). Co-occurring mental health conditions are also extremely prevalent among autistic people and elevate suicide risk. Yet, college campuses are often uninformed or under-informed on …

Exploring The Impact Of Early Adversity On Young Children With Autism, Kelsea M. Batista

Antioch University Dissertations & Theses

This dissertation builds on a small but growing literature exploring the association between early adverse childhood experiences (ACEs) and children diagnosed with autism spectrum disorder (ASD). Research suggests that children with ASD are more likely to experience ACEs throughout their lifetime due to increased vulnerability to victimization and social communication deficits. Still, to date, there is scant research explicitly exploring the impact of ACEs on young children diagnosed with ASD. This study utilized a biopsychosocial framework to further examine whether a relationship exists between ACEs and ASD. The objectives of this study include: (a) to determine whether a relationship exists …

Early Diagnosis Methods For Autism Spectrum Disorder: A Systematic Review, Megan Denise Mccarthy

Doctoral Dissertations

Objective: This systematic review aimed to comprehensively synthesize existing literature on early detection methods for Autism Spectrum Disorder (ASD) in children birth to 3 years, that lead to an effective and reliable early diagnosis in children 2 to 3 years of age.

Methods: A systematic search was conducted across multiple electronic databases, including PubMed, Scopus, and PsycINFO following PRISMA guidelines. Studies reporting on early detection methods for ASD in infants and toddlers within ages 0 to 3 years that lead to early diagnosis of children ages 2 to 3 years were eligible for inclusion. Data extraction and quality assessment were …

Camouflaging And Identity Development Among Autistic Female And Gender Diverse Youth: A Qualitative Exploration, Krista Nicole Drapalik

Legacy Theses & Dissertations (2009 - 2024)

Adolescence is a vulnerable developmental period for autistic female and gender diverse youth. Many autistic youths use camouflaging to combat social challenges, perceived differences, and stigmatization. Although adolescence is an integral time for identity development, integration of these topics remains understudied among autistic female and gender diverse youth. The present study seeks to qualitatively explore first-person, youth-perspectives on the topics of camouflaging and identity formation. Ten autistic female and gender diverse youth aged 11 to 16 years (M = 13.1, SD = 1.52) and their caregivers were enrolled in the present study. Youths completed semi-structured interviews and focus group discussions. …

Smart Technology In Autism Care: Is Rootines Usable, Useful, And Acceptable In Clinical Practice?, Isak Beck, Lonnie Sears

The Cardinal Edge

Smart technologies are rapidly appearing in the healthcare landscape. In this study, we evaluate Rootines, a smartphone app offering remote patient monitoring for kids with developmental and behavioral health concerns. We’re asking families served by the Norton Children’s Autism Center in Louisville, Kentucky to use Rootines together with their child’s clinician for two weeks. Following this, we will use surveys and interviews to probe for the usability (how well the technology can be used), usefulness (how valuable users find the technology), and acceptability (whether the technology can meet user needs) of the Rootines app. Trials in clinical settings are crucial …