Clinical Psychology Commons^™

Psychophysiological Insights Into Child-Centered Play Therapy For Trauma: A Case Study, Kristi L. Perryman, Samantha Robinson, Timothy J. Schoonover, Julia Conroy

Counseling, Leadership, and Research Methods Faculty Publications and Presentations

Existing literature thoroughly reviews the detrimental consequences that adverse childhood experiences (ACEs) have physically, emotionally, neurobiologically, and financially. It is imperative to develop effective treatments that offer a sense of hope to children who have been impacted. The established relationship between high ACE scores and physiological hyperarousal due to emotional dysregulation is clear in the literature. This relationship indicates that taking psychophysiological measures may be an effective method of gauging the effectiveness of trauma treatments. This study measured the heart rate of a child who had experienced multiple ACEs, during 16 child-centered play therapy (CCPT) sessions, using the Empatica (E4) …

Gender As A Predictor Of Parent-Teacher Discrepancies In Child Adhd Evaluations: Consideration Of Gender Bias, Kaitlyn M. Saunders

All-Inclusive List of Electronic Theses and Dissertations

This study aimed to advance the current literature on the relationship between informant (parent and teacher) perceptions of ADHD symptoms (hyperactivity, inattention) and gender, considering possible gender bias. Previous research demonstrates that there are consistent differences in the prevalence of ADHD between boys and girls in childhood, between girls in childhood versus adult women, and in the sex-ratio between community versus clinical samples. The current literature is mixed regarding what is causing these discrepancies in prevalence of ADHD, particularly about whether gender bias is a contributing factor. Data was collected from parents and teachers of 116 children (50% male; 50% …

Mental Health Stigma Related To Depression And Suicidal Behavior In Korean-Americans, Soo Min Kim

Student Theses

Despite the surge of the Korean population within the United States, the Korean-American population is significantly underrepresented in research when observed separately from other Asian groups. The Republic of Korea has had the highest suicide rate within the OECD nations for well over a decade (Organization of Economic Cooperation and Development), and evidence suggests that the risk of suicidality may extend to Koreans living abroad (Kung, 2018). There is also evidence of high prevalence of depressive symptoms in Korean-Americans (Bernstein et al., 2011). In addition, Koreans are consistently demonstrated to hold stigmatizing beliefs about mental illness, however, very little research …

Derogatory, Racist, And Discriminatory Speech (Drds) In Video Gaming, Sean Woodford

Dissertations

Video games have been examined for their effects on cognition, learning, health, and physiological arousal, yet research on social dynamics within video gaming is limited. Studies have documented the presence of derogation, racism, and discrimination in this anonymous medium. However, gamers‟ firsthand experiences are typically examined qualitatively. Thus, this study aimed to establish a quantitative baseline for the frequency of derogatory, racist, and discriminatory speech (DRDS) in gaming. DRDS frequency, sexual harassment, and hate speech measures were administered to 150 individuals from online forums and social media groups. Descriptive and inferential analyses were used to gauge which factors affected DRDS …

Understanding The Barriers And Contributions To Success Among African American Graduate Students Pursuing Doctorate Degrees In Clinical Or Counseling Psychology: A Comparative Analysis Of Predominantly White Institutions And Historically Black Colleges And Universities In The U.S., Chelle' Thomas

Dissertations

This study investigated the barriers encountered by African American students in earning doctorate degrees in clinical or counseling psychology at Predominately White Institutions (PWIs) compared to Historically Black Colleges and Universities (HBCUs). This study aims to elucidate the challenges encountered by African American graduate students in their pursuit of doctoral degrees in clinical or counseling psychology. The study focused on analyzing the obstacles and positive impacts experienced by African American graduate students as they strive to obtain doctorates in clinical or counseling psychology. Multiple challenges and contributions have been identified in this a phenomenological qualitative study. The qualitative results indicate …

The Association Between Social Media, Toxic Masculinity, And Depression In Young Adult Males, Anthony Warren

Dissertations

The world is shaped by diverse influences that significantly affect individuals’ internal landscapes, leading to both positive and negative effects with profound implications for society. Role models play a pivotal role in shaping the aspirations of young adult males by providing direct and indirect lessons that leave lasting impressions and influence their worldview. In recent years, social media use, toxic masculinity, and mental health have garnered significant attention in understanding the experiences of young adult males. The focus in this study was to examine the relationships between social media use, toxic masculinity, and depression in young adult males ranging in …

Examining The Association Between Parental Attachment, Fictive Kin Bonds, Psychological Needs Satisfaction, Emotional Distress, And Subjective Well-Being Among Black Americans, Roxanne Watts

Dissertations

Secure attachment with parents predicts less emotional distress and greater subjective well-being across the lifespan. One mechanism by which parental attachment supports mental health outcomes is through psychological needs satisfaction (PNS). In addition to the attachment to parents, relationships with fictive kin caregivers are prevalent and important among Black families. The present study investigated the association between parental attachment, fictive kin bonds, psychological needs satisfaction and mental health outcomes (i.e., emotional distress and subjective well-being) in a sample of Black American adults. Two hundred twenty-three (N = 223) participants completed measures of parental attachment, fictive-kin bonds, psychological needs satisfaction …

Understanding The Relations Between Parental Psychological Distress And Child Emotional And Behavioral Problems: A Path Analysis, Lauren S. Erp

Dissertations

Maternal psychological distress has consistently been linked to emotional and behavioral problems in school-aged children. Given the high prevalence and negative outcomes of child emotional and behavioral problems, parenting variables have been examined as mechanisms underlying this relation. Research has demonstrated that mothers who endorse high psychological distress report high parenting stress, which contributes to the use of more negative parenting practices. Moreover, parenting stress has been shown to relate to negative parenting practices through parenting inflexibility. Yet, no known study has examined parenting stress, negative parenting practices, and parenting inflexibility as pathways through which parental psychological distress relates to …

Associations Between Coping Style And Perceptions Of Web-Delivered Physical Activity Messages Among Women In Midlife With Cardiovascular Health Risks, Kristen Pasko

Theses and Dissertations

Midlife women are at unique risk for cardiovascular disease (CVD) and benefit from increasing physical activity (PA). Many PA interventions involve social support, though fail to address related processes such as social comparison. Desire for specific types of social support and comparison may represent emotion-focused versus problem-solving coping, though little is known about women’s preferences for/responses to these coping opportunities. The present study examined women’s selections of PA content in a digital environment. Over 7 days, women in midlife ≥1 CVD risk factor (N = 60, MAge = 50.70, SD = 5.89) wore a PA monitor and visited a proprietary …

Developing A Fair And Interpretable Representation Of The Clock Drawing Test For Mitigating Low Education And Racial Bias., Jiaqing Zhang, Sabyasachi Bandyopadhyay, Faith Kimmet, Jack Wittmayer, Kia Khezeli, David J. Libon, Catherine C Price, Parisa Rashidi

Rowan-Virtua School of Osteopathic Medicine Departmental Research

The clock drawing test (CDT) is a neuropsychological assessment tool to screen an individual's cognitive ability. In this study, we developed a Fair and Interpretable Representation of Clock drawing test (FaIRClocks) to evaluate and mitigate classification bias against people with less than 8 years of education, while screening their cognitive function using an array of neuropsychological measures. In this study, we represented clock drawings by a priorly published 10-dimensional deep learning feature set trained on publicly available data from the National Health and Aging Trends Study (NHATS). These embeddings were further fine-tuned with clocks from a preoperative cognitive screening program …

Religion And Social Support As Protective Factors Among African American Women Sexually Abused As Children, Vanessa K. Tower

Walden Dissertations and Doctoral Studies

Childhood sexual abuse (CSA) is a worldwide public health issue. Although CSA has been researched internationally, research on African American women who self-report CSA remains limited. Utilizing secondary data from the National Longitudinal Study of Adolescent to Adult Health, a quantitative study was conducted to explore whether religion and social support were related and differed as a function of CSA presence versus absence among African American women between ages 33 and 43. This study was grounded in resiliency theory, which is rooted in the study of adversity and is a strength based approach. A cross-comparative correlation design was conducted. Religion …

Self-Harm In Female Youth With Undiagnosed Adhd: Implementing American Academy Of Pediatrics Screening Guidelines, Roselie M. Woodard

Dissertations

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity. If undiagnosed or untreated, ADHD can lead to severe psychosocial issues such as academic failure, substance abuse, unplanned pregnancy, and incarceration. The financial burden in the U.S. from diagnostic errors creates an immense, rising fiscal impact. Early diagnosis and management are crucial to prevent these complications.

Females with ADHD, particularly those with the inattentive subtype, often face diagnostic challenges due to symptom masking and over-compensation. This results in poorer cognitive functioning and self-esteem compared to males with ADHD. ADHD is linked to autonomic nervous …

Divine Retribution, Anna Payne

Ursidae: The Undergraduate Research Journal at the University of Northern Colorado

Sexual abuse has always been an issue in all cultures throughout the world and history. Easton et al. delved into the problems of barriers to disclosing child sexual abuse with 460 male participants which showed that 61.7% of them reported CSA at the hands of a priest. As that study was conducted, Helsel and McCormack tackled the effects of CSA on the nervous system and psyche. While religion is used as a coping mechanism, it is also a tool for maltreatment from clergy sexually abusing children to parents seeking ways to rid the child of demons. There have been over …

Predicting Changes In Accommodation Throughout Pediatric Intensive Outpatient Cognitive Behavioral Therapy For Obsessive-Compulsive Disorder, Rachel S. Inabata

Clinical Psychology Dissertations

Family systems play an integral role in the development and maintenance of mental health disorders. In the context of pediatric obsessive-compulsive disorder (OCD), accommodation is a common interpersonal phenomenon in which families may unwittingly reinforce symptoms and avoidance behavior of the patient. Treatments for severe pediatric OCD such as intensive outpatient programs (IOP) often involve family to reduce accommodation. Little research has investigated baseline symptoms as predictors of change in accommodation in IOP contexts serving patients with high-acuity OCD. The current study examined the role of baseline OCD, anxiety, depression, and functional impairment in changes in accommodation throughout OCD treatment …

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. …

Case Report Of A Brief Modular Anxiety Intervention For Integrated Primary Care: Addressing Clinician Feasibility Concerns And Barriers To Using Manualized Treatments, Katherine Buckheit, Robyn L. Shepardson, Luke Mitzel, Risa B. Weisberg, Stephen A. Maisto, Jennifer Funderburk

The Journal of Integrated Primary Care

Individuals with anxiety symptoms commonly present in primary care settings and prefer behavioral health (versus pharmacotherapy) treatment, but behavioral health interventions are underutilized. Primary care behavioral health (PCBH) models, in which embedded behavioral health providers deliver behavioral treatment in primary care, may help address the gap in provision of anxiety treatment. However, evidence-based anxiety treatment options feasible for delivery in primary care are limited, and clinicians often report concerns about using manualized interventions. Recent recommendations by the U.S. Preventative Services Task Force to increase anxiety screening among adults in primary care may result in increased identification of individuals with anxiety …

Navigating Identity: An Examination Of Intersectional Discrimination And Suicidal Ideation Among Lgbq Latinx Individuals, Jaclyn Pachicano

Dissertations (1934 -)

Suicide is one of the leading causes of death in the United States, with LGBQ Latinx adults showing higher risk for suicidality and related mental health outcomes. Experiences of discrimination, including heterosexism and ethnic discrimination, are often connected to increased risk for suicidal ideation. In addition to intersectional experiences of discrimination, LGBQ Latinx people often feel an incompatibility between their sexuality and ethnic identity, known as conflicts in allegiances (CIA), possibly increasing risk of suicidal ideation. It remains unclear what mechanisms connect intersectional discrimination and suicidal ideation. The current study expands on intersectional research by utilizing the Interpersonal Theory of …

Alcohol And The Resulting Consequences Of Delirium Tremens, Nicasio L. Santos

2024 Symposium

Alcohol is a depressant drug, inhibiting the function of the central nervous system (CNS) and neurons in the mind (Greenberg, 1953). This results in physiological effects that are typical of an inhibited CNS; slowing of the heartbeat and breathing, and decreasing blood pressure (Scorzelli & Chaudhry, 2009). However, this inhibition of both the CNS and the neural chemistry develops a tolerance, and in turn withdrawal symptoms (Polli et al., 2023). These withdrawal symptoms are the inverse of the inhibition caused by the depressant effects of alcohol (i.e., an overactive CNS, increased activity of neurons; Smith-Alnimer & Watford, 2004). In extreme …

An Investigation Into Loneliness And Solitary Drinking In A University Sample, Daniel C. Faraci

USF Tampa Graduate Theses and Dissertations

Alcohol consumption tends to occur in social contexts and has been shown to increase prosocial behaviors and facilitate social connection. Simultaneously, socially excluded drinkers tend to increase or continue problematic levels of alcohol consumption when alone, possibly consuming alcohol as a replacement for desired but unavailable social connection. This investigation attempted to examine the relationship between loneliness (i.e., lack of perceived social connection) and subsequent alcohol consumption in solitary versus social contexts using ecological momentary assessment (EMA) techniques. University students recruited through a research subject pool who drank at least once per week were asked to respond to 28 short …

Investigating The Role Of Betrayal Blindness Between High Betrayal Trauma And Dating Violence Among Young Mothers Maltreated As Children, Lauren Catherine Wallace

Theses and Dissertations

Young mothers experience greater rates of dating violence (DV) victimization and perpetration compared to their non-parenting, female peers as well as older mothers (Joly & Connolly, 2016). Child maltreatment is a salient predictor of DV victimization and perpetration (Li et al., 2019; Murphy et al., 2020). According to Betrayal Trauma Theory (BTT), child maltreatment perpetrated by a close loved one, such as a parent or primary caregiver, is defined as a high betrayal trauma (Freyd, 1996). Young mothers who experienced a high betrayal trauma may endorse betrayal blindness as a way to cope with abuse from their caregiver (Freyd & …

Brief Report: Supporting Families In Intensive Treatment For Pediatric Anxiety And Obsessive-Compulsive Disorders, Jacqueline Sperling

Perspectives on Early Childhood Psychology and Education

Pediatric anxiety rates have doubled during the COVID-19 pandemic (Racine et al., 2021), but access to care has not increased commensurately (Panchel et al., 2021). Intensive group- and family-based outpatient treatment that implements cognitive-behavioral therapy (CBT) with exposure and response prevention (ERP) for pediatric anxiety disorders and OCD is a treatment design that treats more children at one time and may facilitate treatment momentum with its intensive nature so that new patients can be treated sooner. This paper describes CBT-based interventions from an intensive treatment program for pediatric anxiety disorders and/or OCD that involves parents and that can be applied …

A Therapist Perspective: Gender Differences In Treatment Recommendations For Adults With Adhd, Inattentive Presentation, Casey Redus

Walden Dissertations and Doctoral Studies

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder with onset during childhood and often persisting into adulthood. Statistics show that more men are diagnosed with ADHD than women, and that women are more often diagnosed with ADHD inattentive type. Treatment for ADHD has not focused on non-psychopharmacology gender-based treatment recommendations, and this has been identified as requiring further research. This qualitative study explored therapists' process in making treatment recommendations for women versus men diagnosed with ADHD inattentive subtype. Social role theory was used to underpin the research. The participants of the study included ten licensed psychologists in the state …

Students Speak: A Qualitative Examination Of The Intersection Of Identity And Sexual Violence In A University Setting, Danika M. Charles

Theses and Dissertations

Sexual violence remains a public health concern in the United States. Much of the research has focused on gender-binary individuals, despite the heightened vulnerability of Black, transgender, and nonbinary (BTN) individuals due to societal stigma and discrimination. Campus climate surveys have been recommended by the Obama Administration to address sexual violence, though they often underrepresent BTN students, failing to capture their unique experiences. This study aims to bridge this gap by focusing on the intersection of gender and racial identities, using an intersectional stigma framework to explore the prevalence and impact of sexual violence on BTN students and advocate for …

Navigating Identity: An Examination Of Intersectional Discrimination And Suicidal Ideation Among Lgbq Latinx Individuals, Jaclyn Pachicano

Dissertations (1934 -)

Suicide is one of the leading causes of death in the United States, with LGBQ Latinx adults showing higher risk for suicidality and related mental health outcomes. Experiences of discrimination, including heterosexism and ethnic discrimination, are often connected to increased risk for suicidal ideation. In addition to intersectional experiences of discrimination, LGBQ Latinx people often feel an incompatibility between their sexuality and ethnic identity, known as conflicts in allegiances (CIA), possibly increasing risk of suicidal ideation. It remains unclear what mechanisms connect intersectional discrimination and suicidal ideation. The current study expands on intersectional research by utilizing the Interpersonal Theory of …

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 …

Intense, Repeated, And Ever-Present: An Initial Investigation Of Traumatic Invalidation Among Sexual Minorities, Zane Browning Ballard

Dissertations (1934 -)

Lesbian, gay, bisexual, and queer individuals have been shown to experience significantly more negative health outcomes than do heterosexuals, commonly attributed to sexual minority stress. Research to date has insufficiently explained the processes by which stigma exposure becomes felt, internalized stigma and has not accounted for resemblance between presentation of mental health effects of sexual minority stress and of post-traumatic responses. Researchers have posited traumatic invalidation may partially explain the development and manifestations of reactions to sexual minority stress. The current study proposed and tested a measure of traumatic invalidation, conceptualized as instances of interpersonal, identity-based invalidation among sexual minorities. …

Initial Evaluation Of A Peer Supervision Program For Health Service Psychology Doctoral Students, William Bradley

Theses and Dissertations

Clinical supervision has long been utilized as the primary method of clinical training and evaluation for health service psychology doctoral students. Despite the central role that supervision has played and continues to play in the training of psychologists, little scholarly attention has been given to identifying effective methods for fostering competency in providing supervision. The lack of research in this area is concerning, given the accumulating evidence that negative supervision experiences, such as ineffective or inadequate supervision, are reported by a substantial proportion of trainees (21-92% across studies). Moreover, these experiences are associated with important proximal and distal training outcomes, …

Measuring Evidence Application In Routine Mental Health Settings: Testing A Coding System And Providing A Proof Of Concept, Eleanor Wu

Theses and Dissertations

Over the past 25 years, there have been increasing calls to advance the application of evidence in routine mental health settings for youth and families. Methods in the field for characterizing evidence application have played a critical role in shaping these efforts, which, to-date, have largely focused on measuring providers’ adherence to practices from evidence-based programs in treatment sessions. While this program-centric paradigm for characterizing evidence application has supported the widespread implementation of evidence-based programs in public mental health settings, it is limited in scope and applicability for characterizing all the ways that evidence may be applied across a service …

Using Youth Participatory Action Research To Scale Up Pre-Exposure Prophylaxis (Prep) In The Southern United States, Mariajose Jhamira Paton

Theses and Dissertations

The recently launched initiative, Ending the HIV Epidemic (EHE), provides a targeted plan to end HIV in the United States (US) by 2030, and prioritizes key demographic groups and geographic areas that are disproportionately burdened by HIV. Sexual and gender minority (SGM) youth, especially Black and Latiné youth (SGMBLY), are a key population for EHE as they have experienced the largest increase in new HIV rates in recent decades. States identified by EHE are disproportionately located in the Southern US, where increasing the uptake of pre-exposure prophylaxis (PrEP) for HIV has been a challenge. Though proven effective, youth participatory action …

Altered Sensory Processing And Pain In Youth With Sickle Cell Disease: Risk Factors And Moderators, Julia Johnston

Theses and Dissertations

Introduction: Youth with sickle cell disease (SCD) experience recurrent pain and increased risk for chronic pain. Neuropathic pain, characterized by alterations to the central and/or peripheral nervous systems, is not well understood among youth with SCD. Based on our current understanding of pain systems and existing literature on pain in SCD, this study aimed to elucidate psychosocial correlates of altered sensory processing (ASP) and neuropathic pain, determine biomedical risk factors contributing to the development of ASP among youth with SCD, and identify how sensory processing and biopsychosocial factors collectively influence pain experiences by assessing two plausible models. Methods: Thirty-five youth …