Clinical Psychology Commons^™

The Role Of Adverse Childhood Experiences On Aggression And Substance Use In Young Adulthood, Sadie Goralski

Murray State Theses and Dissertations

Adverse childhood experiences (ACEs) are widespread within the United States. More than half of the population has experienced at least one adverse event during their youth. Such experiences range from parental divorce to sexual assault. Past research has shown that adverse experiences during the formative years play a major role in the development of multiple physical and mental health issues. The current study aimed to explore the interplay among ACEs and two of these covariates: aggression and substance use. Moreover, the proposed study further investigated the development of substance use in emotionally dysregulated individuals with past adverse experiences. In doing …

Development And Validation Of The Mealtime Behaviors Self-Report Questionnaire, Taylor Rae Perry

Electronic Theses & Dissertations (2024 - present)

Disturbances in eating are a hallmark feature of eating disorders (EDs). However, these disturbances extend beyond dietary patterns, as clinicians have long observed aberrant mealtime behaviors in individuals with EDs. Despite these observations, research on aberrant mealtime behaviors has been limited to a small case study of individuals with anorexia nervosa. Clinically, however, individuals across all ED diagnoses appear to exhibit these behaviors. Notably, there is currently no existing measure designed to assess aberrant mealtime behaviors. Developing such an assessment could provide clinicians with valuable information to inform mealtime interventions. Therefore, the present study aimed to examine the prevalence of …

Integration Of Theoretical Frameworks For Problematic Exercise: Toward A Comprehensive Model Of Maladaptive And Adaptive Exercise, Christina M. Sanzari

Electronic Theses & Dissertations (2024 - present)

Exercise can promote health and well-being, and yet a proportion of individuals who exercise develop a maladaptive relationship with physical activity. Problematic exercise is often associated with significant impairment and psychological distress, yet a consensus has not been reached regarding how problematic exercise should be conceptualized. The literature distinguishes between primary exercise dependence, or excessive exercise driven by its intrinsic reinforcement, and secondary exercise dependence, or excessive exercise driven by compensatory motivations related to weight and shape concerns. However, to date, little is known about the prevalence and nature of exercise dependence in the absence of eating pathology. This incongruity …

Risk Factors For Executive Functioning Development In Preschool Children With Type 1 Diabetes, Victoria L. Ledsham

Electronic Theses & Dissertations (2024 - present)

Links between Type 1 diabetes (T1D) and decreased cognitive functioning in children are well documented, but research on executive functioning (EF) in this population is more limited. Multiple T1D-related risk factors (e.g., hypoglycemia, hyperglycemia, glycemic variability, diabetic ketoacidosis) for EF have been established throughout the literature, but their individual effects have been difficult to determine given their interrelated nature. In result, cumulative risk has been proposed as a more robust predictor of EF differences in children with T1D. Moreover, despite the importance of early T1D onset as a risk factor for EF impairment, no studies have previously investigated EF in …

Concurrent Parasympathetic Synchrony In Romantic Couples Exposed To Childhood Maltreatment Subtypes, Kate L. Senich

Electronic Theses & Dissertations (2024 - present)

Early responsive caregiving hones children’s physiological systems and subsequently supports social interactions (Feldman, 2007; Porges 2001; Steelman et al, 2002). Conversely, mis-attuned interactions with caregivers, such as exposure to maltreatment subtypes, might hinder social engagement capacities at both behavioral and biological levels (Kim & Cicchetti, 2004; Sheridan & McLaughlin et al., 2014). These early adverse influences endure across development and can affect behavioral and physiological interactions with romantic partners (Mayo et al., 2021; River et al., 2020; Zamir, 2022). Specifically, temporally coordinated patterns of physiological responses between partners (i.e., synchrony) are linked with important relationship behaviors, including conflict behaviors …

Social Support And Negative Affective Outcomes Among Older Adults: Does Valuing Autonomy Matter?, Erika Anne Fenstermacher

Graduate Theses, Dissertations, and Problem Reports (ETD)

While not a normal part of aging, depression is a concerning psychiatric condition in late life. Depression is a significant predictor of suicide and the highest rates of suicide occur in middle aged and older adult men. One factor that may protect against depression and suicidal behavior among older adults is social support. Social support has been demonstrated as a significant factor in health and well-being. Perceived social support has consistently been linked to beneficial outcomes, however, received support has mixed results with some studies even finding received support to be harmful. For individuals who highly value autonomy, it may …

Evaluating The Brief Symptom Inventory (Bsi) And Bsi-18 Psychometrics, Samantha Freville

Murray State Theses and Dissertations

The Brief Symptom Inventory (BSI) (Derogatis, 1975, 1993) is often utilized as an intake screener for psychiatric symptoms with a variety of populations. The present study evaluated the internal consistency, convergent validity, and discriminant validity of the BSI-18 when compared to similar subscales, including Somatization (SOM), Anxiety (ANX), and Depression (DEP), and dissimilar subscales, including Nonsupport (NON), Drug Problems (DRG), and Alcohol Problems (ALC), on the Personality Assessment Inventory (PAI) to determine its clinical utility in communicating clients’ level of distress in an outpatient clinical sample. The results indicated that Global Severity Index (GSI) scores of the BSI and BSI-18 …

The Correlation Between Working From Home And Depression, Anxiety & Stress And The Moderating Effect Of Parenting, Lauren H. Marshall

Murray State Theses and Dissertations

This thesis explores the impact of working from home on depression, anxiety and stress and whether parenting has a moderating role in its impact. The number of individuals working from home increased dramatically because of the pandemic and many individuals continue to work from home despite the absence of government-issued lockdowns and the diminishing threat of the COVID-19 virus. Earlier pre-pandemic research supports several positive work-related outcomes of working from home; however, little consideration has been given to the long-term impact of this major change in the way we work on individual’s mental health. Social isolation, an increase in sedentary …

Beyond My Control: The Role Of Sense Of Control On Cognitive Functioning And Depressive Symptoms In Older Adults, Sabine Lohmar

Graduate Theses, Dissertations, and Problem Reports (ETD)

Depression and depressive symptoms commonly coincide with mild cognitive impairment (MCI) and dementia in older adults (Ismail et al., 2017; Panza et al., 2010), with its prevalence varying based on dementia severity, diagnostic criteria, and dementia subtype (Chi et al., 2015; Ismail et al., 2017; Leung et al., 2021; Lopez et al., 2003). This relationship is hypothesized to exist for a variety of reasons, including that depressive symptoms occur as an emotional response to cognitive functioning (Bennett & Thomas, 2014; Richard et al., 2013). Emotional responses may be explained by a decline in sense of control, or the belief in …

Examining The Relationships Among Value Placed On Autonomy, Use Of Compensatory Control Strategies, And Suicidal Ideation In Older Adults, Catherine Huang Ju

Graduate Theses, Dissertations, and Problem Reports (ETD)

Rates of suicide in older adults are higher than those found in the general United States population. A variety of risk factors unique to older adulthood contribute to these numbers. Greater value placed on one’s own autonomy is related to suicidal ideation in older adults, but no research has yet been done to examine the mechanisms underlying this relationship. As individuals age and functional impairment increases, older adults generally engage in compensatory primary control strategies (e.g., seeking help) but those who prioritize independence and self-directedness – i.e., place a high value on autonomy – engage in fewer compensatory primary control …

No Man’S A Stone: A Qualitative Approach To Characterizing Masculinity In Older Adulthood, Montgomery T. Owsiany

Graduate Theses, Dissertations, and Problem Reports (ETD)

Suicide rates are exceedingly high in U.S. older men (aged 65 years and older). In 2020, older men were about 6.5 times more likely to die by suicide than older women and 1.14 times more likely than men aged 18 to 64 years. Masculine norms (e.g., emotional suppression, self-reliance, anger, physical toughness risk-taking behaviors, alcohol misuse) are believed to influence the presentation of mental disorders, such as depression, which has led to the conceptualization of masculine depression. Research on masculinity often focuses on the experiences of younger men, ignoring how gender identities may change as one progresses through adulthood. Meanwhile, …

The Effects Of Parenting Styles On Childhood Memories And Resilience Building, Nathaniel Paredes

Murray State Theses and Dissertations

One of the most significant agents of shaping children early in life is their parental figures. There has been extant research into parenting styles and outcomes later in life. The current study sought to understand how parenting styles can influence the formation of positive and adverse childhood experiences (PCEs and ACEs), which in turn lead to the development of resilience later in life. It was expected that participants who reported higher levels of authoritative parenting would be significantly correlated with higher levels of positive childhood experiences, and lower levels of adverse childhood experiences. Secondly, authoritarian and permissive parenting would be …

Bending But Not Breaking: An Investigation Of The Relationship Between Psychological Flexibility And Suicidality In Individuals With Chronic Pain, Adalyn Mcmurray

Murray State Theses and Dissertations

Chronic pain is a burdensome condition that has been found to be associated with increased suicide risk, yet the mechanisms underlying this relationship remain unclear (Domenichiello & Ramsden, 2019). The present study aimed to examine the role of pain interference and psychological inflexibility in predicting past two-week suicidal thoughts among individuals with chronic pain, with psychological inflexibility explored as a potential moderator. This study also sought to replicate and extend McCracken et al. (2018) and enhance the understanding of suicidality in chronic pain populations by using the Multidimensional Psychological Flexibility Inventory (Rolffs et al., 2018b), a more psychometrically sound measure …

Personality Assessment Inventory: The Treatment Rejection Scale & Treatment Variables, Ashlee Bradley

Murray State Theses and Dissertations

The present study aimed to identify the role and validity of the Treatment Rejection Scale (RXR), one of the treatment consideration scales on the Personality Assessment Inventory (PAI; Morey, 1991), and its relationship with treatment variables in an outpatient clinical setting. The study used archival data involving 200 client files. The current study evaluated RXR scores in relation to premature, situational, and mutual terminators. Therapist-rated process variables, such as client cancellations, the number of sessions attended, client “no-shows,” and any barriers to completing treatment from the clinician’s point of view, were also considered. Additionally, the treatment outcome variable, in the …

A Strength-Based Approach To Understanding The Impact Of Experiences Of Discrimination Related To Identity-Based Stressors On Disordered Eating Among A Sample Of Sexual And Gender Diverse Individuals, Susana Cruz Garcia

Electronic Theses & Dissertations (2024 - present)

Empirical research investigating eating disorder (ED) behaviors among sexual and gender minorities has grown substantially in recent decades, though notable gaps call for further work to clarify mixed findings regarding the experiences of this heterogeneous population. This study sought to add to our understanding of disordered eating behaviors in LGBTQIA+ participants, with a specific focus on differences between lesbian and gay (LG) versus bisexual, transgender, queer, intersex, asexual, and other identities (BTQIA+), with the latter group remaining especially underrepresented in the literature. Study aims were firstly, to quantify ED incidence and the frequency of experiences of identity-based discrimination in sexual …

Contributions Of Birthing People’S Prenatal Parasympathetic Nervous System Functioning And Postnatal Sensitivity On Infant Temperament, Amanda M. Flagg

Electronic Theses & Dissertations (2024 - present)

Grounded in developmental psychobiology, this research aimed to elucidate how birthing people’s physiological regulation during pregnancy may shape the early emergence of socioemotional development in early infancy. The present study examined how birthing people’s prenatal parasympathetic nervous system (PNS) activity, specifically baseline high-frequency heart rate variability (HF-HRV) and HF-HRV withdrawal, and postnatal sensitivity contributes to infant temperamental reactivity at six months of age. The study aimed to clarify early developmental mechanisms through which birthing people’s PNS shapes emerging infant temperament. Data were drawn from a longitudinal cohort of Black and African American birthing people, a population underrepresented in psychophysiological research, …

Clinical Experiences In Conducting Empirically Supported Treatments For Insomnia, Sondra S. Tiab

Electronic Theses & Dissertations (2024 - present)

Controlled research shows that cognitive-behavioral therapy (CBT) is an effective treatment for insomnia, yet clinician experiences with applying CBT in routine settings has received limited attention. This study replicated and extended upon the Two-Way Bridge initiative (Goldfried et al., 2014), which aimed to establish a dialogue between researchers and clinicians on the identification of variables that promote and interfere with the effectiveness of evidence-based therapies. This survey study asked clinicians to identify variables they have encountered that make it challenging to implement CBT and related interventions for insomnia. N = 182 clinicians completed an online survey on typical assessment practices, …

Does Type Of Metta Phrase Impact The Acceptability And Utility Of Loving-Kindness Interventions: An Experimental Evaluation, Shannon B. Underwood

Electronic Theses & Dissertations (2024 - present)

Loving-kindness (metta) meditation (LKM) is a widely utilized self-compassion intervention with numerous biopsychosocial benefits. Yet a smaller, emerging body of evidence suggests that LKM is difficult and various barriers impact its accessibility and effectiveness. Relational Frame Theory provides a behavioral and contextual perspective of language and cognition that may help clarify how LKM may yield receptivity or rejection of the practice itself. Prior research examining the role of language in LKM identified specific metta phrases more likely to evoke a coordinated (i.e., sameness/agreement) or oppositional (i.e., rejection/lacking) response, and found that indices of psychological suffering predicted oppositional responding (Underwood, 2023). …

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 …

Reply [To Burnout Reflections: Musings On Bianchi And Schonfeld’S Five Focal Areas], Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Contrary to what one might assume, the burnout construct did not emerge from systematic research. The definition of burnout was formulated in the 1970s based on prenotions and anecdotal evidence. No sound empirical studies, no in-depth theoretical reflections, not even a review of the stress literature underpinned the introduction of the construct. It is thus unsurprising that some observers regard the edifice of burnout research with scepticism. The pioneers of burnout research neglected basic scientific standards and, by overlooking the abundant work of contemporary stress researchers, deprived themselves of important safeguards against illusions of novelty making big claims based on …

The Role Of Ethnic-Racial Centrality On Exposure To Microaggressions And The Mental Health And Academic Success Of Second-Generation Latiné Adolescents, Lisette Munoz

Theses and Dissertations

People holding racially minoritized identities are frequently subjected to racial-ethnic microaggressions, a form of everyday racism and discrimination. Acculturative stress and microaggressions have a direct impact on immigrants' mental health (Gee et al., 2007; Finch & Vega, 2003; Hovey, 2000). The increase in conservative immigration policies has led to increased anti-immigrant sentiments and microaggressions (Sissoko & Nadal, 2021). The impact of microaggressions can detrimentally affect psychological and physiological wellbeing, as well as academic performance and cognitive function (Solórzano & Pérez Huber, 2020). Because of their experiences with discrimination, Latino children may become more aware of biases in their social interactions …

Relational Mechanisms In Residential Eating Disorder Treatment: A Moderated Mediation Analysis, Bethany Ah Crawford

Electronic Theses & Dissertations (2024 - present)

Background. Eating Disorders (ED), previously described as a “disease of disconnection,” appear to have differing trajectories of treatment and behavior change based, in part, on feelings of connectedness to others during and outside of treatment. Patient experience of Relational Connectedness is not well-explored in ED treatment compared to other diagnoses but may be a valuable mechanism of change. Interpersonal problems are also known to impact outcome trajectories. Patients high in interpersonal and relational difficulties exhibit negative compensatory behaviors such as avoidance and hostility, which can deleteriously affect building a trusting relationship. Individual difference variables likely play a role in relationship-outcome …

The Healer's Call: Helping Clients In A Secular World With Spiritual Problems, Brent Taylor

Issues in Religion and Psychotherapy

No abstract provided.

Issues In Religion And Psychotherapy Volume 42 Number 1

Issues in Religion and Psychotherapy

No abstract provided.

Front Matter

Issues in Religion and Psychotherapy

No abstract provided.

President's Message: An Eternal Perspective, David T. Seamons

Issues in Religion and Psychotherapy

No abstract provided.

I Second That Emotion: Examining The Association Between Emotion Regulation Skills And Post-Traumatic Stress Disorder Symptoms After A Traumatic Event In A Sample Of Black College Students, Cheyenne Ashley

Graduate Masters Theses

Post-Traumatic Stress Disorder (PTSD) has been termed an “emotion disorder” due to its association with obstructing trauma survivors’ ability to regulate their emotions (Frewen & Lanius, 2006, as cited in Tull et al., 2020, p. 295). Previous research consistently shows individuals with PTSD experience significant difficulties in emotion regulation (ER) skills (e.g., Ehring & Quack, 2010). Despite the unique systemic challenges inherent in the experience of Black Folk which can exacerbate PTSD symptom severity (Carter, 2020; Bird et al., 2021), research focusing on Black trauma survivors remains limited.

This study utilized 3 self-report measures: the Difficulties in Emotion Regulation Scale …

Editorial Message

Issues in Religion and Psychotherapy

No abstract provided.

What Is It Like To Be A Diplomat? Reflections On Donald Griffin And Emotion, Oliver H. Turnbull

Animal Sentience

This commentary addresses three aspects of Donald Griffin’s work: (1) his thoughts beyond cognition, on emotion; (2) his views on the earliest origins of mind, including primitive forms of consciousness; and (3) his diplomatic use of memorable phrases to facilitate change.

A Network Analysis Of Social Determinants Of Health And Youth Suicidal Ideation And Suicide Attempts At The Neighborhood-Level In Houston, Tx, Tyler Hendley

LSU Master's Theses

Youth suicide is a complex, multi-faceted human phenomenon that has no singular cause but instead is theorized to be a result of an interplay of psychological, biological, and social risk and protective factors. To best identify youth suicide risk and possible avenues for intervention, a social-ecological model approach may prove beneficial. As community-level risk factors (i.e., social determinants of health (SDOH)) have shown to impact health outcomes, it is important to understand the association between community-level risk and youth suicide-related behaviors. Utilizing a network analytic approach, this study developed an estimated partial correlation network to understand the relationship between youth …