Clinical Psychology Commons^™

Individual Differences In Anxiety Sensitivity And Emotional Avoidance: Potential Links In The Association Between Internalizing Problems And Peer Victimization, Juventino Hernandez Rodriguez

Graduate Theses and Dissertations

Chronic peer victimization has been linked to short- and long-term problems such as anxiety, depression, and aggression (Hawker & Bouton, 2000; Reijntjes, Kamphuis, Prinzie, & Telch, 2010; Reijntjes, Kamphuis, Prinzie, Boelen, van der Schoot, & Telch, 2011). Most children are able to escape the role of stable victim, but some struggle to end victimization and the negative trajectory associated with it. The present study explored individual differences in anxiety sensitivity and emotional avoidance, developmental vulnerabilities that heighten children’s risk for internalizing problems, as possible predictors of children’s level of peer victimization. Participants were 677 fourth-grade students and their teachers. Multi-informant …

I Judge, Therefore I React: An Experimental Investigation Of Acceptance, Jennifer Ann Shaver

Graduate Theses and Dissertations

The present study was designed to provide empirical tests of some of the mechanisms thought to operate in mindfulness-based treatments. Specifically, I tested the hypothesis that appraising distress judgmentally (as a needless and useless indication of personal weakness) would be associated with experiencing meta-distress (e.g., feeling ashamed about being distressed), which would, in turn, be associated with increased experiential avoidance (i.e., suppression or distraction from the distress) and shorter distress tolerance. In addition, I examined the hypothesis that compassionately appraising distress (as normal, understandable, and potentially a source of growth) would be associated with spending more time curiously exploring that …

The Effects Of Alcohol On The Interpretation Of Social And Emotional Cues: A Field Study Of College Student Drinking, Emotion Recognition, And Perceptions Of A Hypothetical Sexual Assault, Alexander James Melkonian

Graduate Theses and Dissertations

Alcohol use and abuse among emerging adults is highly correlated with increased risk for sexual victimization. Alcohol myopia theory has been used to explain impairments in Social information processing resulting in decreased attention to environmental Social cues including risk factors for sexual assault as well as facial emotional recognition. Those with deficits in Social information processing may be at particular risk for the misperception of salient risk factors for sexual assault by victims, perpetrators, and bystanders when intoxicated. In this naturalistic field study, participants who had been consuming alcohol were recruited to engage in tasks of facial emotion recognition and …

Avoidance As An Explanatory Mechanism For Poor Outcomes In Treatment For Substance Use Disorders, Andrew Oakland

Department of Psychology: Dissertations, Theses, and Student Research

Substance use disorders (SUDs) are prevalent and lead to significant impairments in people's lives in a variety of ways. One area which has gained attention is that of SUDs and their high comorbidity with mood and anxiety disorders. Many theories exist as to why these conditions often occur together, and the self-medication hypothesis is one that has perhaps the most research and general support behind it. The self-medication hypothesis states that individuals use substances to reduce negative affect which creates a feedback loop of negative reinforcement. Individuals then develop problematic substance use in addition to emotional dysregulation. One recent theory …

A Manipulation Of Cognitive Restriction And Goal-Conflict: Mechanisms Underlying The Disinhibition Effect Of Eating Behavior, Kayla D. Skinner

Graduate Theses and Dissertations

People are often faced with a self-control dilemma whenever the attainment of a long-term goal would come at the expense of an alluring temptation. The goal-conflict model of eating (Stroebe, van Koningsbruggen, Papies, & Aarts, 2013) suggests that restrained eaters (i.e., chronic dieters) experience self-regulation failure (e.g., overeating, or disinhibition) due to inner competing goals of eating enjoyment and weight control. The current study examined these concepts in a sample of people classified as unrestrained eaters (N = 123), allowing for an investigation of restricted cognitive focus as a causal mechanism of disinhibited eating. A 2 (restraint condition: restriction, intuitive …

Let Him Be An Honor To The Country: Veteran Violence And Public Opinion After The Civil War, Laura Smith

Graduate Theses and Dissertations

This study examines the causes, perception, and treatment of violence and crime committed by veterans after America's Civil War. After an examination of the research problems plaguing the study of violence and crime among veterans, this study uses newspaper articles, tracts and sermons, the published journals and letters of Union and Confederate soldiers, and other contemporary sources to evaluate the presence and perception of violence and the hardships associated with the homecoming of veterans. Alcohol and drug addiction that began during the war followed veterans home. Discipline in the army was inconsistent, and violence abounded in camp as well as …

Are Women Higher In Anxiety Than Men? United States Surveys, 2003‐2013, Rabale Hasan

Honors Scholar Theses

A large proportion of the U.S. population suffers from anxiety and related mental illnesses. An in-depth analysis needs to examine all possible factors that may explain why anxiety is on an upward trend and why women are more likely than men to present with anxiety. This study examined the anxiety in five cross-sectional United States surveys (Total N=19,630) taken in 2003, 2006, 2009, 2011, and 2013. Predictors such as demographics (e.g., race, age, gender), medical conditions, behavioral choices (e.g., BMI, exercise, sleep), and psychosocial stressors were investigated. Linear regression and logistic regression analyses were used to examine trends. Anxiety is …

Investigating The Theory Of Ambiguous Loss: The Role Of Ambiguity Tolerance In Pre-Death Grief For Caregivers Of Individuals With Dementia, Megan Kale-Cheever

Graduate Theses and Dissertations

This thesis sought to investigate the relationship between ambiguity tolerance and caregiver grief within the framework of ambiguous loss theory. Thirty-one family caregivers completed a quantitative survey comprising two pre-existing scales and several demographic questions designed to assess level of ambiguity tolerance, level of grief, caregiver age and gender, type of relationship to the care recipient, living situation, length of caregiving career, level of Social support and frequency of difficult behaviors. Quantitative data analysis revealed that while no relationship existed between total ambiguity tolerance and total caregiver grief, a modest, inverse relationship exists between tolerance toward general-type ambiguity and burden, …

The Caregiver–Child Relationship, Youth Mental Health, And Placement Stability In A Child Welfare Sample, Laura A. Rindlaub

Electronic Theses and Dissertations

Objective: Healthy relationships between adolescents and their caregivers have been robustly associated with better youth outcomes in a variety of domains. Youth in contact with the child welfare system are at higher risk for worse outcomes including mental health problems and home placement instability. A growing body of literature points to youth mental health problems as both a predictor and a consequence of home placement instability in this population; the present study aimed to expand our understanding of these phenomena by examining the interplay among the caregiver-child relationship, youth mental health symptoms, and placement change over time. Method: The sample …

The Impact Of Prefrontal Cortex "Warm Up" On Immediate Cognitive Reappraisal Ability In Older Adolescents With Elevated Symptoms Of Depression, Emma L. Peterson

Electronic Theses and Dissertations

Cognitive Reappraisal (CR) is a central component of Cognitive Behavioral Therapy for adolescent depression. Yet, previous research indicates that a brain region highly associated with successful CR in adults, the Prefrontal Cortex (PFC), is not fully developed until early adulthood. Thus, there is growing concern that CBT interventions directed at building CR abilities in depressed teens might be constrained by PFC immaturity. However, CR is an effective strategy for regulating affect. The current study evaluated an intervention aimed at enhancing CR performance through PFC “warm up” with a working memory task. Additionally, the study examined moderators of intervention response, as …

Internet Delivery Of Prep-Based Relationship Education For Older Couples, Benjamin A. Loew

Electronic Theses and Dissertations

Healthy marriage has been associated with increased longevity and better health in later life. At the same time, many older couples will confront age-related stressors that may result in relationship distress, such as declining health, decisions about retirement, and caring for elderly parents and/or adult children. Yet empirical knowledge of relationship dynamics among older couples is limited, and there appears to have been little development, provision, or assessment of research-based relationship services for this population.

In the current study, 93 individuals representing 61 older-adult couples participated in a randomized, waitlist-controlled trial of an online version of the Prevention and Relationship …

Risk For Engagement In Nonsuicidal Self-Injury In Children And Adolescents, Andrea Lee Barrocas Gottlieb

Electronic Theses and Dissertations

Although NSSI engagement is a growing public health concern, little research has documented the developmental precursors to NSSI in longitudinal studies using youth samples. This study aimed to expand upon previous research on groups of NSSI engagement in a population-based sample of youth using multi-wave data. Moreover, this study examined whether chronic peer and romantic stress, the serotonin transporter gene (5-HTTLPR), parenting behaviors, and negative attributional style predicted the NSSI group membership as well as the role of sex and grade. Participants were 549 youth in beginning in the 3^rd, 6^th, and 9^th grades at …

A Historical Review And Resource Guide To The Scholarship Of Teaching And Training In Psychology And Law And Forensic Psychology, Cynthia J. Najdowski, Bette L. Bottoms, Margaret C. Stevenson, Jennifer C. Veilleux

Psychology Faculty Scholarship

The field of psychology and law, including forensic psychology, is an exciting concentration of research activity and student training and has grown rapidly, but to what extent have teaching and training efforts in the field been systematically catalogued and evaluated? We conducted a historical review and content analysis of the American and Canadian literature on the scholarship of teaching and training in the field. This review catalogs (a) information related to the development of training and teaching, (b) descriptions of programs and courses at various levels, and (c) articles on teaching resources or techniques in this field. We hope it …

Supervisee Avoidant Attachment And Supervisors' Use Of Relational Behavior : Contributions To The Working Alliance, Katharine Suzanne Shaffer

Legacy Theses & Dissertations (2009 - 2024)

Supervision research has demonstrated the importance of a strong supervisory working alliance in the context of clinical training. However, little is known about what specifically occurs in clinical supervision that contributes to a strong supervisory working alliance. The present study of counselor trainees was designed to investigate relations among their avoidant attachment style, perceptions of relational behaviors used by their supervisors in the most recent supervision session, and the supervisory working alliance. Competing hypotheses stated that greater use of relational behavior on the part of supervisors would either mediate or moderate the inverse relationship between trainees' avoidant attachment style and …

Impact Of Pretreatment Self-Perceived Quality Of Life On Chronic Pain Patients, Michelle Laird

Walden Dissertations and Doctoral Studies

Researchers and practitioners have developed new treatment options for chronic pain management based on biopsychosocial models of pain known as interdisciplinary pain management programs (IPMP), which involve interdisciplinary care that integrates physical treatment with emotional, environmental, behavioral, and cognitive interventions. Despite literature documenting the effectiveness of IPMPs, patients find it difficult to obtain authorization for these programs from third party insurance payers. The purpose of this quantitative causal comparative study was to explore whether a patient's perceived quality of life after injury but prior to treatment will affect his or her success in an IPMP. This study was based in …

Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune

Antioch University Dissertations & Theses

Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …

Using Structural Equation Modeling To Understand The Role Of The Family In Pediatric Asthma Contexts, Nour Al Ghriwati

Theses and Dissertations

Family factors have long been associated with the psychosocial adjustment of children with chronic illnesses, such as asthma (Minuchin, 1975; Rapee, 1997). Research indicates that negative family factors may also contribute to child disease severity, via bio-behavioral mechanisms of effect (Wood et al., 2006); however, these pathways have yet to be examined with a comprehensive focus on more positive family factors. This study sought to examine whether factors such as family cohesion, problem solving abilities, and communication influence asthma symptom severity in children via their effects on child depression and anxiety symptoms. Using structural equation modeling, we identified significant indirect …

A Phenomenological Exploration Of The Experience Of Parenting Half-Siblings Within A Blended Family, Nicole Josephsen

Antioch University Dissertations & Theses

Blended families are a growing population and encompass a diversity of characteristics and family types. Among the different types of blended families are those with both stepchildren and mutual children. Research on the complex experience of parenting a mutual genetic child and a stepchild within a blended family is minimal. To better understand the unknown experience of such parents, this phenomenological study was conducted to provide an in depth description of the experience of simultaneously parenting mutual children and stepchildren within a blended family. In this phenomenological study the researcher conducted interviews with six participants who varied by gender, socioeconomic …

Postural Sway In Infants At Low And High Risk For Autism Spectrum Disorder, Rachel C. Harris

Open Access Theses

ABSTRACT Harris, Rachel C. M. S., Purdue University, December 2014. Postural Control in Infants at Low and High Risk for Autism Spectrum Disorder. Major Professor: Laura J. Claxton. Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder more commonly known for deficits in social and communication skills. More recently, aspects of motor development have been shown to be delayed in children with ASD, including deficits in their postural control abilities. Children with ASD have difficulty integrating information from their sensory systems to help control their balance. Infants at risk for ASD and infants who are later diagnosed with ASD have delays …

The Effect Of Parent-Child Interaction Therapy On Strengthening The Attachment Relationship With Foster Parents And Children In Foster Care, Christina Marie Danko

College of Science and Health Theses and Dissertations

Children in foster care are more likely to face difficulties in forming a secure attachment relationship and to have problem behaviors than children not in foster care (Dozier & Rutter, 2008). Parent-Child Interaction Therapy (PCIT) is an evidence-based treatment that focuses on strengthening the attachment relationship between the child and the caregiver, as well as reducing the number and intensity of behavior problems. Although PCIT is based on attachment theory, very few studies have examined the effect of PCIT on child-parent attachment or examined the effect of PCIT on attachment in foster care families. This study extends prior work and …

Emotional Interference Of Response Inhibition In Obsessive-Compulsive Disorder, Thomas Grover Adams

Graduate Theses and Dissertations

Researchers have hypothesized that failures of inhibition are partially responsible for habitual and perseverative symptoms that are unique to Obsessive-Compulsive Disorder (OCD). It is also well known that sequelae of emotional processes are also implicated in the etiology and maintenance of obsessions and compulsions. However, little research has tested how emotional processes moderate inhibitory functions in OCD. In the present study, high contamination phobic (HCP, n = 17) and low contamination phobic (LCP, n = 30) participants completed an emotional go/no-go task, which measured the interfering effects contamination-threat processing on action restraint. The present study had a two level between-subjects-quasi-independent …

Differential Extinction Of Disgust And Anxiety Among Victims Of Sexual Traumatization, Christal Badour

Graduate Theses and Dissertations

Emerging evidence suggests that in addition to fear, traumatic event-related disgust reactions may be integral to understanding the sequelae of sexual traumatization. Importantly, evidence broadly suggests compared to fear, disgust may be resistant to extinction. As such, conditioned disgust reactions may not evidence the same pattern of extinction observed with fear-based reactions. This may have important implications for the treatment of posttraumatic stress disorder (PTSD). As such, the current study sought to fill an important gap in the existing literature by examining specific processes and mechanisms that are likely to affect outcomes of exposure-based interventions following sexual traumatization. Specifically, 72 …

Coping With Emotions During Reintegration: An Evaluation Of Service Members' Psychological Health, Christina Marie Marini

Open Access Theses

Upon returning home from deployment, service members are likely coping with strong emotions related to deployment stressors. In addition, service members and their intimate partners may be tasked with emotionally reconnecting with one another after an extended period of separation. Reintegration is therefore a critical, transitory time to evaluate associations between emotional coping strategies utilized by service members and their partners as predictors of service members' well-being. Previous research has indicated that service members' expression of emotions is positively related to their well-being post-deployment, whereas their avoidance is negatively related. These relationships were reevaluated in the current study. The current …

Don’T Worry, I Am Fine: A Qualitative Analysis Of Family Communication And Depression In Chinese International Students In The Us, Lan Jin

Open Access Theses

Depression and associated mental health problems are increasingly a critical health issue for Chinese international students in the U.S. (Lyubomirsky, Kasri, & Zehm, 2003; Cheung, 2011; Liu, 2009). Recent studies in different U.S. universities found a 32% to 47% rate for depression symptoms among Chinese international students (Cheung, 2011; Wei et al., 2007). The statistics suggest that Chinese students face a high prevalence of depression problems (Han et al., 2013). To address the depression problems, family communication provides substantial support for Chinese students (Liu, 2009). However, little is known about family communicative practices of this population (Wei et al., 2010). …

The Role Of Social Support In Adolescents: Are You Helping Me Or Stressing Me Out?, Gonzalo Bacigalupe, Maria Camara

Counseling, School Psychology & Sport Faculty Publication Series

Interpersonal relationships are indispensable in helping adolescents cope with stressors, acting as social support sources that protect them from psychological distress. Learning from their experiences may elucidate what strategies could be employed to support adolescents during this vulnerable life stage. Focus groups (N = 80) with adolescents in the Basque Country, Spain, were conducted to capture adolescents' narratives on stress and social support. Findings revealed the dual role of interpersonal relationships – as stressors and as sources of social support. Adolescents draw on sources of support that are familiar, mature, friendly, and, most importantly, worth of trust. Their most valued …

Effects Of Memantine And One-On-One Caregiver Contact On Antipsychotic Medication Prescribed To Elderly Veterans With Dementia, Abimbola Farinde

Presidential Alumni Research Dissemination Award

The reduction of antipsychotic medications for elderly patients diagnosed with dementia is an important goal for treatment because of the negative side effects and increased mortality risk associated with these drugs. Prior research has suggested the benefit of adding one-on-one caregiver intervention and memantine to a cholinesterase inhibitor protocol to reduce the amount of antipsychotic medication. This research examined the differences between these treatment protocols (cholinesterase inhibitor only and combination therapy) on antipsychotic drug dosage prescribed to 98 elderly male veteran outpatients with dementia. The theoretical foundations for this study are based on the neurochemical model, related to the cholingeric …

Testing Bidirectional Contextual Effects Of Adolescent Risk Factors On Young Adulthood Outcomes: A Life Course Perspective To Gangs, Andrea E. Lamont

Theses and Dissertations

Leading theories in developmental science emphasize the role of the individual as an active agent in shaping her or his environment. Yet, most empirical work has focused on unidirectional models, ultimately treating the individual as a passive recipient of environmental risk. Part of this gap between theory and analysis is methodological in nature – i.e., classical statistical methods typically do not allow for the modeling of bidirectional influences or complex longitudinal relations. Recent advancements in longitudinal methodologies, however, expand our ability to answer more nuanced developmental questions. In this dissertation, I demonstrate how advanced longitudinal methods could be used to …

Project Shine: A Family-Based Intervention For Improving Physical Activity, Sedentary Behavior, And Diet In African American Adolescents, Sara M. St. George

Theses and Dissertations

This study examined the effects of a family-based intervention for improving moderate-to-vigorous physical activity (MVPA), sedentary behavior (SB), and fruit and vegetable (F&V) intake in African American adolescents. The intervention (Project SHINE: Supporting Health Interactively through Nutrition and Exercise) integrated Social Cognitive (SCT), Self Determination (SDT), and Family Systems Theories (FST) to improve healthy physical activity and dietary behaviors. Behavioral strategies from SCT (i.e., self-monitoring, goal-setting, self-regulatory skill-building), elements involved in facilitating intrinsic motivation for health behavior change from SDT (i.e., autonomy, competence, belongingness), and positive parenting practices from FST for integrating parent and peer systems (e.g., parental monitoring, parent-adolescent …

Inspiring Change: Exercise Self-Efficacy, Dispositional Optimism, And Perceived Stress In College Seniors, Joshua M. Garrin

Walden Dissertations and Doctoral Studies

Prohealth competencies, positive outcome expectancies, and adaptive stress appraisals have profound implications for the real-world transition of college seniors—a population for which engagement in physical activity reflects a preeminent concern. Prior studies on exercise self-efficacy (ESE), dispositional optimism (DO), perceived stress (PS), and physical activity have yielded inconclusive evidence of the emergent psychosocial challenges encountered during the final year of the college experience. Using a triadic framework of self-efficacy, attribution, and cognitive appraisal theories, this crosssectional, quantitative study was conducted using a web survey to examine (a) the impact of physical activity level on ESE, DO, and PS; (b) the …

Examining The Relations Among Trauma, Distress, Resilience, And Physical Health, Kathryn Elizabeth Chaisson

Graduate Theses and Dissertations

This study examined the role of traumatic distress as a mediator in the relation between trauma exposure and somatic malaise and healthcare utilization. Resilience was examined as a moderator between trauma exposure and somatic malaise and healthcare utilization, then between trauma exposure and traumatic distress. A total of 206 female participants recruited from an obstetrics and gynecology specialty practice completed measures of trauma exposure, traumatic distress, resilience, somatic malaise, and healthcare utilization. Multiple hierarchical regressions were performed to test the hypothesized relations. Results indicated that trauma exposure was a significant predictor of traumatic distress and resilience, and of somatic malaise …