Clinical Psychology Commons^™

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …

Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield

College of Graduate Studies: Theses & Dissertations

Previous research has examined the complex mental and social health deficits of those who were trafficked that clinicians have to treat therapeutically (Litam, 2017; Pascual-Leone et al., 2017). Other research has explored how continuing education workshops often change the knowledge, competence, and attitudes of attendees to use more effective and evidenced techniques and skills (Neimeyer et al., 2009; Raghavan et al., 2008). However, there is a lack of understanding about how a complex topic, specifically treatment considerations of those who were trafficked, changes the knowledge and competence of continuing education workshop attendees. The purpose of the current study is to …

Examining Stigma In Rural Mental Health Care Settings: A Mixed Methods Approach, Lainie Krumenacker

Murray State Theses and Dissertations

More than half of Americans will be diagnosed with a mental illness in their lifetime (CDC, 2021), yet stigma towards mental health affects both patients and providers. Although programs exist to address stigma, improve cultural competency among providers, and educate families on the importance of support, facilities are often limited on programs they provide due to allocation of resources and funds. Without a shift in treatment and programing, stigma will continue to impact patient care and outcome.

This study explored stigma among mental health providers in rural communities, while exploring potential differences in treatment among patients due to race. Mental …

Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill

Electronic Theses and Dissertations

Obstetric violence includes acts of abuse, coercion, or disrespect that occur during the labor process. The present study explores how obstetric violence impacts a person’s postpartum psychosocial adjustment. This study used a subset of data (N = 339) from a larger online study, which attempted to explore multiple facets of a person’s postpartum health. The psychological constructs examined are postpartum depression and postpartum anxiety. Additional constructs assessed were protective and risk factors: self-compassion and medical mistrust. Self-compassion and medical mistrust were examined by using moderation models. Additional analyses were completed using simple regression models to explore whether obstetric violence predicts …

Validation And Clinical Utility Of The Patient Health Questionnaire-9 And Center For Epidemiologic Studies Depression Scale As Depression Screening Tools In Collegiate Student-Athletes, Lindsey Keenan, Yvette Ingram, Branden Green, Rachel Daltry, Sebastian Harenberg

Sports Medicine Faculty Publications

Context: The National Athletic Trainers' Association recommends including mental health screening measures as part of the preparticipation examination for all student-athletes (SAs). Despite this recommendation, most mental health screening tools have not been validated in the SA population. Objective: To validate and examine the clinical utility of 2 depression screening tools in the collegiate SA population. Design: Cross-sectional mixed-methods study. Setting: Two Northeastern United States university athletics programs. Patients or Other Participants: A total of 881 (men = 426, 48.4%; women = 455, 51.6%; mean age = 19.7 6 1.4 years) National Collegiate Athletic Association Division II collegiate SAs completed …

User Engagement With Apps For Depression, Danielle Rae Schweitzer

Theses and Dissertations

Depression is a debilitating and prevalent psychiatric condition, however, few individuals with depression seek mental health treatment. Mental health apps (MHapps) represent one treatment delivery option that may reduce gaps in mental health care. Current evidence suggests that MHapps are efficacious for reducing depressive symptoms, yet little is known about how MHapps are effective. Thus, the aims of the present study were 1) to examine whether two MHapps were effective for reducing depressive symptoms and 2) to determine whether variables such as user engagement, guidance, outcome expectancies, preferences, and coping skill development were associated with effectiveness. A community sample (N=20) …

Adversity, Resilience, Mental Health, And Well-Being In First-Year Student-Athletes: A Mixed Methods Intervention Study, Parker Leap

Dissertations, 2020-current

Research indicates that student-athletes face unique stressors as they transition to college. Resilience programming has been shown to have mental health benefits with the general college student population; however, few studies have examined efficacy of resilience programming with college-student athletes during their transition to college. The purpose of this study was to examine the effects of a novel, culturally-resonant, NCAA grant-funded resilience course on scores of resilience, student athlete mental health, and sport well-being. This study also sought to assess the feasibility of this course and explore participants’ subjective experiences. A mixed methods intervention research design was utilized and included …

The Impact Of Acculturative Stress On Internalizing Problems Among Racially And Ethnically Minoritized Adolescents And Young Adults In The U.S. : A Systematic Review And Meta-Analysis, Petty Tineo

Theses, Dissertations and Culminating Projects

Due to demographic changes of the U.S. population in the past few decades, more attention has been placed on understanding the sociocultural factors that have an impact on racially and ethnically minoritized (REM) groups and mental health outcomes. One of the factors that has been gaining increased attention in the past few years is acculturative stress. Acculturative stress is associated with various mental health outcomes, such as depression, anxiety, psychological distress, and suicide ideation (SI). However, the magnitude of this association remains unclear. A systematic review and meta-analysis were conducted to provide a comprehensive review of the impact of acculturative …

Enhancing Depression Screening And Treatment For Latinxs Residing In The U.S., Linda Esperanza Guzman

Graduate Theses and Dissertations

Introduction: In the U.S., Latinxs with Spanish as their preferred language encounter two prominent structural barriers impacting access to treatment for major depressive disorder (MDD). The first is that MDD symptoms commonly go undetected in Latinxs with Spanish compared to English as their preferred language. This might be perhaps because commonly used MDD screeners lack somatic symptom survey items culturally specific in how MDD may present among Latinxs with Spanish as their preferred language. The second structural barrier is that treatment access and completion rates are lower in Spanish-speaking than English-speaking Latinxs, perhaps due to treatments lacking the structure and …

The Influence Of Minority Stress, Coping, And A Pandemic On The Relationship Between Sexual Orientation And Mental Health: A Mixed Methods Study, James Michael Macchia

Psychology Theses & Dissertations

For decades, scientific literature has shown that sexual minority individuals across populations are disproportionately affected by negative mental health outcomes when compared to their heterosexual counterparts. These disparities are largely attributable to minority stress. Coping is a significant factor that can impact the content and severity of mental health outcomes and coping behaviors have been shown to vary based on sexual orientation. Mental health outcomes may also differ between sexual minority subgroups due to additional factors such as double discrimination and bisexual invisibility/erasure. Moreover, factors such as internalized homophobia and community connectedness have demonstrated strong associations with sexual minority mental …

Mental Health Applications As A Resource For Reducing Access Disparities? A Case Example From A Disaster Mental Health App, Laura Perez-Villagomez

Honors Program: Senior Projects (Public)

Past research indicates Latinx individuals underutilize mental health services when it comes to addressing their mental health concerns, but often fail to mention the barriers to underutilization. Systemic barriers to seeking care largely fall under two larger umbrellas: cost and availability. A focus on whether disparities observed in traditional mental health services persisted for a trauma-focused app that recruited participants from the 2017 Hurricane outbreak provides us a unique outlook on a comparative analysis of utilization and engagement between the applications, Bounce Back Now (BBN) and Enhanced Usual Care. BBN is made up of four major components including tracking, …

Utilizing New Technologies To Measure Therapy Effectiveness For Mental And Physical Health, Jonathan Ossie

Dissertations

Mental health is quickly becoming a major policy concern, with recent data reporting increasing and disproportionately worse mental health outcomes, including anxiety, depression, increased substance abuse, and elevated suicidal ideation. One specific population that is especially high risk for these issues is the military community because military conflict, deployment stressors, and combat exposure contribute to the risk of mental health problems.

Although several pharmacological approaches have been employed to combat this epidemic, their efficacy is mixed at best, which has led to novel nonpharmacological approaches. One such approach is Operation Surf, a nonprofit that provides nature-based programs advocating the restorative …

Dealing With Your Dragons: Counseling Through Dungeons And Dragons, Devon Howell

Educational Specialist, 2020-current

The purpose of this literature review is to explore the idea of using the game of Dungeons and Dragons as a form of group counseling in a therapeutic setting. A search of relevant literature was conducted to discover potential therapeutic utility and cultural aspects of this prospective methodology. It was hypothesized that while the topic might not be well researched, it will yield potential possibilities for therapeutic use. The research presents possibilities for different theoretical underpinnings; in particular, it offers a unique range of benefits to both the client (improvements to social skills, sense of community, and overall mental health), …

Meet Them Where They Are: Investigating The Feasibility And Acceptability Of Artificial Intelligence-Avatar-Delivered Community-Based Psychological First Aid Programming In A University Setting, Sarah Ryann M. Fortner, Joshua Semko, Stefan E. Schulenberg

Honors Theses

The purpose of the current study was to evaluate the acceptability and feasibility of implementing an Artificial Intelligence (AI) avatar to deliver Community-Based Psychological First Aid training (CBPFA) to undergraduate students in a university setting. College students report high stress levels, and chronic stress is associated with negative physical, mental, and academic outcomes. CBPFA may be an effective way for colleges and universities to provide students with psychosocial support; however, traditional models utilize in-person training, which may not be accessible on a large scale. The present study developed a web-based AI-avatar-delivered CBPFA training to provide an alternative training modality. The …

College Student Depression Throughout Covid-19: Fall 2019-Spring 2022, Matthew Powless, Zachary Pilot, Valentin Bouvier, Elisabeth Brown, Mikaila Ealum, Lakota Iron Rope

Midwest Social Sciences Journal

The current study examined the trends in depression and emotion regulation for students (n = 899) at one university in the Midwest United States from prior to the COVID-19 pandemic (Fall 2019) through the Spring 2022 semester. An analysis of covariance (ANCOVA) was conducted, controlling for difficulties in emotion regulation and gender identity. The ANCOVA indicated that depression was significantly lower in Fall 2019 than in the remaining five semesters under investigation. Results of these analyses appear to indicate that depression rose significantly in students after the onset of the pandemic and implementation of social restrictions. This negative effect …

Addressing The Complexity Of Mental Health Care For Youth Experiencing Houselessness, Sarah Hamilton

Psychology Honors Projects

Children and youth experiencing houselessness have a unique set of mental health needs due to the traumatic experience of houselessness during childhood and the other adverse childhood experiences that often coincide with houselessness (van der Kolk, 2003; Wong et al., 2016). They face immense barriers in access to mental health care due to logistical factors as a result of their housing status and socio-structural factors (Krippel et al., 2020; Gallardo et al., 2020; Bradley et al., 2018). However, existing studies reveal a lack of evidence-based interventions for children and youth experiencing houselessness and a lack of insight from mental health …

Minority Stress Through Time: Sexual Minority Stress & Suicidality Across Generations, Jenessa Canen

Masters Theses & Specialist Projects

Research suggests that sexual minority populations are at a much higher risk for suicide than their heterosexual peers. The primary explanation for this disparity is minority stress theory. The theory of minority stress proposes that in addition to everyday stressors experienced by most people, sexual minorities experience additional unique stressors related to their sexual minority identity. Since minority stress theory was proposed in 2003, much has changed about how the United States understands and views sexual minorities. Theoretically, this should impact the way minority stress is being experienced, which may be seen by examining minority stress across sexual minorities of …

Breaking Into Bon Air Juvenile Correctional Center: A Lesson In (Non) Quantitative Research, Mackenzie Seward

Honors Theses

Gaps in the literature on juvenile justice and mental health within a juvenile correctional center prompted a study that focused on self-esteem, emotions, and empathy in residents living in a juvenile correctional center related to their participation in a storytelling course. First-year students from a local university visited the correctional center as part of a community-based learning component. They met with residents to swap stories about their lives. Several limitations and obstacles complicated the data collection process, forcing the researchers to pivot their study from quantitative analyses to qualitative observations. The experience of conducting a study within a juvenile correctional …

Gender As An Environmental Stressor In Individuals Genetically Predisposed To Mood Disorders: A Preliminary Analysis, Kara West

Audre Lorde Prize

Given the recent ‘epidemic’ of mental health disorders, we urgently need to better understand who is suffering and how. One aspect of this that research has come closer to identifying is where symptoms and diagnoses are missed in certain individuals, especially based on gender. However, if certain genders are actually more likely to deal with certain disorders we need to understand why and where that comes from. There is a general consensus in the medical field that some individuals are simply genetically predisposed to various disorders based on sex, but there is limited evidence that sex actually determines genetic predisposition. …

Exploring Generational Trauma, Delanie Patterson, Brooke Mann, Will Stutterheim

SACAD: Scholarly Activities

Generational trauma is still a relatively new field of study that has gained immense popularity with various researchers and the rest of society. There are several contributing factors to generational trauma being explored and examined so researchers can reduce the effects on both parents and offspring. Centers for Disease Control and Prevention [CDC] (2021) describes Adverse Childhood Experiences (ACEs) as trauma or a significant stressor that occurs during childhood, and trauma in itself significantly impacts families and individual functioning. It is essential to continue the research on generational trauma to help families create a healthier living environment and a better …

Does Perceived Emotional Invalidation Moderate The Relation Between Occupational Stress And Mental Health Outcomes In Law Enforcement Officers?, Sahar Jaafar M.S.; M.A.

Selected Full Text Dissertations, 2011-

Police officers are exposed to operational stressors while on duty, including child abuse, domestic violence, car crashes, and homicides (Jetelina et al., 2020). Repeated exposure to these stressors is associated with the development of mental illness (Jetelina et al., 2020). Organizational stressors, including lack of support/validation, demand, job pressure, administrative/organizational pressure, and long working hours, may be an even greater source of stress for police officers (Purba & Demou, 2019). Exposure to such organizational stressors can result in psychological distress, burnout, and suicidal ideation (Purba & Demou, 2019). However, there is a dearth of research on invalidation and the role …

“Ella Se Lo Buscó”: Marianismo As A Cultural Vehicle For Self-Invalidation Among Latina Survivors Of Sexual Violence, Juliana Gutierrez Hudson

CMC Senior Theses

Sexual violence (SV) survivors are often confronted with hostile environments that perpetuate victim-blaming attitudes. One common response to SV is self-invalidation; whereby, survivors deny, neglect, minimize or judge themselves and their experiences via feelings of self-blame, shame, taintedness, and anticipatory stigma. Research suggests that patriarchal gender-based values like marianismo are prevalent in Latinx communities and that Latina survivors are at increased risk for self-invalidation and mental illness. Consequently, it is imperative to examine cultural mechanisms that may contribute to these negative outcomes among Latina survivors. This study’s objectives were threefold: (1) examine ethnic differences in self-invalidation between Latina and White …

Evaluation And Management Of Postpartum Depression In South Asian Women, Gujri Chadha

Capstone Showcase

Postpartum depression is a worldwide phenomenon that affects about 10 to 20% of women within the first year of delivery. During the 12 months following delivery, about 85% of mothers experience a mood disturbance2. The importance of evaluating and managing postpartum depression is crucial as untreated postpartum depression can lead to a significant risk of morbidity for the child as well as the mother of the child3. Despite the remarkable prevalence of this diagnosis throughout cultures, the screening process for PPD is routinely missed, and the management is frequently incomplete for various reasons3. This phenomenon is exacerbated in minority populations …

Stress Levels Of Bisexual Individuals In Mixed-Orientation Relationships, Amanda Bartley

All Graduate Theses, Dissertations, and Other Capstone Projects

Binegativity, the negative perceptions, assumptions, and discrimination experienced by bisexual individuals, is associated with adverse health outcomes including higher rates of mood and anxiety disorders. There is a growing body of research on bisexuality, but there remains little research investigating the risk and protective factors, and the mental health outcomes of bisexual individuals in mixed-orientation relationships. The current study aimed to fill the gaps of the extant research, investigating if social support, outness of bisexual identity, satisfaction with communication between partners, and centrality of group membership and ingroup ties to the LBGT community moderate the relationship between experiences of negativity …

Sustaining Breaths For Restorative Rest: A Preliminary Evaluation Of Sleep, Mental Health, And Cognitive Function Following Hypoglossal Nerve Stimulation For Obstructive Sleep Apnea, Elliottnell Perez

Theses and Dissertations

Introduction: Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that produces repetitive obstruction or collapse of the upper airway. Positive airway pressure (PAP) therapy is the gold standard treatment for OSA. Hypoglossal nerve stimulation (HNS) is considered an alternative treatment for patients who are unable to tolerate PAP therapy. The purpose of the study was to examine sleep, mental health, and cognitive health outcomes before and after HNS to determine its viability as an alternative treatment.

Methods: The study utilized a single-group, pretest-posttest design. Objective and subjective sleep was measured using actigraphy, sleep diary, and questionnaires. Objective and subjective …

Affirming Care: Lessons From Minority Stress Model To Bolster Mental Health Outcomes For Lgbtq+ Youth In Primary Care, Kyrie Lampert

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Individuals in positions of power influence youth wellbeing, self-perception, and overall mental health. According to the minority stress model, individuals who hold marginalized identities, such as LGBTQ+ youth, face unique, chronic, and socially based additive stressors. Research shows that these additive stressors contribute to LGBTQ+ youth experiencing disproportionate rates of mental health concerns. Queer youth are more than four times as likely to attempt suicide than their non-queer identifying peers. Additive stressors that LGBTQ+ youth face include prejudiced events, stigma, decisions of concealment or disclosure, and internalized homophobia and transphobia. This paper will review and integrate research, utilizing the minority …

Compassion-Based Resilience Training (Cbrt) For Frontline Healthcare Workers In Contact With Covid-19 Patients, Michael Perez Sosa

Dissertations and Theses

Objectives: The COVID-19 pandemic has had deleterious consequences for the mental health of frontline healthcare workers worldwide. One systemic review of the literature found high prevalence rates of anxiety (67.55%), depression (58.89%), and stress (62.99%) reported by this population (Vizheh et al., 2020). Additionally, high rates of burnout and symptoms associated with trauma have also been ubiquitous during the pandemic for frontline healthcare workers. The purpose of this study is to investigate Compassion-Based Resilience Training (CBRT) as a remotely delivered intervention for frontline healthcare workers in contact with COVID-19 patients to reduce symptoms associated with stress, depression, anxiety, burnout, and …

Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall

Theses and Dissertations

This study aims to assess 1) patterns of family functioning and 2) longitudinal associations between family functioning patterns and well-being in a vulnerable cohort of children with chronic illness. Caregivers of hematology (16.4%) and oncology (83.6%) patients ages 7-20 (N=55; M_age = 13.3 [SD = 2.7]; 52.7% female; 45.5% non-Latinx White, 38.2% Black or African American, 12.7% Latinx, 1.8% Asian, and 1.8% multi-racial,) reported on family functioning via the Family Assessment Device. Cluster analyses identified three mutually exclusive clusters: one high adaptive group, one moderate adaptive group, and one maladaptive group. Group membership was not significantly …

Body-Image Distress In Breast Cancer Survivors And Their Evaluation Of Medical Tattooing Following Surgery, Miranda Proctor

Graduate Thesis and Dissertation 2023-2024

A review of the literature reveals a high incidence of body-image distress among breast cancer survivors who have undergone surgery, which is a natural response to the significant changes in their appearance. Reconstructive surgery, utilizing implants or flaps, may be employed to restore breast size and shape. Medical tattooing can simulate the nipple-areola complex and decorative appliques can conceal scars and skin color variations. Both reconstructive surgery and medical tattoos are associated with patient-reported satisfaction, yet further research is necessary to understand their combined impact on body-image distress. To investigate this, a survey was distributed among national breast cancer support …

The Misattuned Music Industry: An Intersubjective Perspective On The Music Industry's Mental Health Crisis, Jonathan Fricke

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Research shows that professional musicians tend to experience higher rates of mental health challenges compared to the general population. While there are a number of underlying factors and historical experiences that may help us to better understand these psychological struggles, I will be examining the relational system between musician and the music industry beginning at the time in which an amateur musician transitions to the professional realm. With this transition comes incredible demand and pressure from the industry. Professional musicians are at the mercy of grueling tour schedules where they spend months away from loved ones, must be "on" at …