Clinical Psychology Commons^™

The Integrated Behavioral Model Of Mental Health Help Seeking (Ibm-Hs): A Health Services Utilization Theory Of Planned Behavior For Accessing Care, Joseph H. Hammer, David L. Vogel, Patrick R. Grzanka, Nayeon Kim, Brian T. Keum, Claire Adams, Sarah A. Wilson

Chemical and Materials Engineering Faculty Publications

This article introduces the integrated behavioral model of mental health help seeking (IBM-HS), a theoretical model for understanding the constructs (e.g., systemic, predisposing, and enabling factors; mental health literacy; illness perceptions; perceived need; stigma; shame; perceived benefits, motivation) that influence people’s decision making around seeking professional mental health care and their ultimate access to formal treatment. The IBM-HS is a help-seeking-specific adaptation of the empirically supported integrated behavioral model and integrative model, which are themselves evolutions of the theory of planned behavior and theory of reasoned action. The IBM-HS posits that help-seeking determinants (e.g., structural forces; cultural influences; past help-seeking …

Fantasia On A Theme Of Purpose: Using A Music-Guided Scribble Technique To Support Meaning-Making In Older Adult Retiree Musicians, Sophia R. Smith

Art Therapy | Master's Theses

Within the population of older adults, overall well-being corresponds with the ability to self-actualize and seek meaning, but age-related changes combined with ageism and isolation can negatively impact this capacity to maintain a sense of purpose, especially following retirement. It may be that retired musicians are especially vulnerable to this experience later in life due to a loss of the primary method of creative engagement and community that is facilitated by musical performance in a group setting. Integrating phenomenological and ethnographic approaches, this study utilized a qualitative design to understand how music-guided art-making incorporating the scribble technique could support a …

Suicidality In Autistic College Students, Sam Fisher

McNair Scholars Manuscripts

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

Mindfulness-Based Art Therapy: The Effects Of Art Media On Mindfulness And Stress Reduction In College Students, Isabella Sziraczky

Art Therapy | Master's Theses

This mixed-methods, mindfulness-based art therapy (MBAT) study explores how different art media and tools affect mindfulness and stress reduction in university students. Undergraduate and graduate university students (N = 11) were recruited to participate in the single-session art therapy study. Participants engaged in a brief mindfulness exercise, known as a body-scan meditation, followed by 20 minutes of art-making. The students who volunteered to participate in this study were randomly assigned to one of two groups — collage or acrylic paint — which determined the media they used for the MBAT portion of the study. Data was collected from students before …

The Examination Of Suicidal Ideation And Ptsd Among First Responders, Amanda Catalan

Psychology Doctoral Specialization Projects

First responders are vital to our safety and protection, but this does not come without a price. First responders are often exposed to life threatening situations that put them at risk, and are exposed to those in critical condition, and unfortuantely, those who have died. This makes first responders more at risk to develop mental health conditions, particulalrly Posttraumatic Stress Disorder. (PTSD). First Responders were found to be more likely compared to civilians to develop PTSD. They were also more likely to experience suicidal ideation. First responders who met criteria for a PTSD diagnosis were also more likely to have …

Canine-Assisted Cognitive Processing Therapy: Promoting Healing For Veterans Diagnosed With Ptsd Through Canine "Battle Buddies", Shelby L. Meadows

Psychology Doctoral Specialization Projects

Trauma related symptoms and posttraumatic stress disorder (PTSD) have long been recognized for their connection to military and veteran populations and has become a significant barrier to the provision of mental healthcare. This original contribution to practice explores the significance of Canine Assisted Therapy as a novel approach to treating trauma in veteran and military populations. An extensive literature review examines the current research and discussion on trauma-informed care. It begins with a discussion on evidence-based practices for the treatment of PTSD, including Cognitive Processing Therapy, Prolonged Exposure, and Eye Movement Desensitization and Reprocessing. This is followed by a comprehensive …

Simulated Effects Of Postpartum Depression On Maternal-Infant Bonding: Mediated By Reward-Related Responses To Infant Facial Cuteness, Caitlin Harp

Cal Poly Humboldt theses and projects

Infant cuteness (facial cuteness in particular) is linked to evolutionary adaptations to motivate caretaking and protective behaviors (Kringelbach et al., 2008). Previous neuroimaging work has demonstrated that infant cuteness activates reward-related regions in the brain (Glocker et al., 2009) and behavioral work suggests that the reward value of cuteness is linked to maternal tendencies (Hahn et al., 2015). It is estimated that 15% of new mothers experience postpartum depression (PPD) (Wisner et al., 2013), which impacts the mesolimbic system and is linked to anhedonia (i.e., reduced ability to experience pleasure). Based on the above literature, this study used a simulated …

Relationship Quality And Metacognitive Beliefs On Grief Outcomes Of Bereaved Cancer Caregivers, Katelyn Anderson

PCOM Psychology Dissertations

Cancer caregivers are a unique population among grief literature due to the typical experience of preparedness for the loss. Nevertheless, their responses may vary, with some experiencing significant distress resulting in prolonged grief disorder (PGD). PGD has higher risks for mental and health problems, creating an urgency to understand the underlying factors for appropriate treatment interventions. Research mainly examines automatic thought processes in grief coping processes, but there is minimal research on the influence of metacognitive beliefs on PGD. Furthermore, there is a limited understanding of how the quality of the relationship between the deceased and the caregiver influences PGD …

Revisiting The Global Measures Of Overall Neuropsychological Function And The Impact Of Race-Based Normative Data In Clinical And Forensic Populations, Zachary Thomas Dipasquale

PCOM Psychology Dissertations

This research investigated the impact of race-based normative data, the removal of a subtest, and the reason for referral on neuropsychological assessments. Three hypotheses were tested using various statistical methods. The first hypothesis predicted a significant difference in the Average Impairment Rating (AIR) when comparing European American normative data to African American normative data. The second hypothesis posited that the removal of the 12th composite score (Av-1) would significantly alter the classification of brain injury using the AIR. The third hypothesis proposed that a significant difference would be observed in the AIR, General Deficit Scale (GDS), and Halstead Impairment Index …

Women Objectifying Women: The Impact Of Social Power, Sarah E. Attaway

Graduate Student Theses, Dissertations, & Professional Papers

Objectification Theory (OT) states that women’s humanity is reduced to being a physical object whose sole purpose is to give men physical pleasure; OT explains why men objectify women, and why women objectify themselves, but does not explain why women objectify other women (Fredrickson & Roberts, 1997). Research has found that participants primed to experience high- or low-power objectified others in a work relationship more than those primed to experience equal-power (Schaerer et al., 2018). The current study aimed to examine if this finding would replicate to women engaging in sexual and beauty objectification and dehumanization towards other women. 330 …

The Cultural Adaptation Of An Eating Disorders Assessment Tool For South Asian American Women, Neha J. Goel

Theses and Dissertations

South Asians (SAs) are less likely to be screened, referred, and treated for eating disorders (EDs), although they experience these serious health conditions at rates similar to those of their White counterparts. Available ED assessment tools do not adequately capture cultural nuances in the presentation of eating psychopathology in SAs. Thus, the current study culturally adapted the Eating Disorder Examination-Questionnaire (EDE-Q) to enhance its validity, applicability, and cultural relevance for SA women living in the US. During the cultural adaptation phase, the principal investigator consulted with participant experts (N=24) and research experts (n=4) to create the …

Observed Parent And Child Differences In Black Mothers Of Children With And Without Attention-Deficit/Hyperactivity Disorder, Sydney E. Padgett

Theses and Dissertations

Attention-Deficit/Hyperactivity Disorder (ADHD) is childhood's most common neuro- developmental disorder, mainly distinguished by a pattern of inattention, hyperactivity and/or impulsivity. Compared to the plethora of research on White children with ADHD, the research on Black children with ADHD is limited. Looking more closely at the functions related to parenting children with ADHD, there is even less information known on the interactions between Black children and their parents compared to White children and their parents. The primary aim of the thesis study was to compare observed parenting and child behaviors between Black mother/child dyads of children with and without ADHD. This …

Sexual Assault Disclosure: The Role Of Survivor And Disclosure Recipient Race & Ethnicity, Nola J.A. Browne

Honors Undergraduate Theses

To date, most research on sexual assault disclosure has utilized samples composed predominately of White women (Fedina et al., 2018). As a result, there is a need for research that examines sexual assault disclosure within racially and ethnically diverse samples. Therefore, the purpose of this study is to examine whether survivors’ race/ethnicity is related to whether they disclose their sexual assault to others of the same and different races and ethnicities. The study recruited undergraduate college students from the UCF Psychology Department Sona System to complete an online survey that assessed history of sexual assault and disclosure of sexual assault …

Motivations For Retaliatory Aggression On Social Media Among Borderline Personality Endorsers, Hannah Grimes

Honors Undergraduate Theses

Social media has become a popular way of connecting with people, but it has also led to an increase in cyber aggression. Borderline Personality Disorder (BPD) is a condition that is characterized by retaliatory aggression, difficulty in interpersonal relationships, and high impulsivity. Those who endorse BPD symptoms experience unstable interpersonal relationships and struggle to maintain connections with others which can lead to problematic behaviors on social media like retaliatory aggression. Understanding the motivations behind those behaviors can help inform the experiences of the diagnosed population, mitigate problematic behaviors, and facilitate healthy social relationships. This study aims to explore the motivations …

Childhood Trauma, Stress, Gender, And Depression's Impact On Suicidal Behavior, Emily H. Mezni

Honors Undergraduate Theses

Suicide is one of the leading causes of death in young adults. Continuous prevention and intervention efforts throughout the world have been made to reduce suicide risk in this population. Two of the biggest known risk factors for suicide is childhood trauma, a traumatic event or events that occur during youth, and depression. Researching the impact childhood trauma and depression make in conjunction with other factors will help to increase knowledge of suicidal behavior. In this study, recent stress and gender will be factored with childhood trauma and depression severity to predict suicidal ideation and attempt. Recent stress is useful …

The Influence Of Intersectionality On Identity And Resilience, Stephanie Washburn

Honors Undergraduate Theses

Co-occurring multiple minority group membership (e.g., ethnic/racial minority and sexual/gender minority) has come to be referred as intersectionality. The purpose of this study was to explore if intersectionality is related to identity and resilience in undergraduate adults. The participant pool consisted of college students from a large metropolitan university in the Southeastern United States, (N = 340), who took an anonymous online self-report survey battery in exchange for course credit. Higher levels of resilience were associated with lower levels of identity distress. Further, identity commitment, but not identity exploration, predicted resiliency. Sexual/Gender Minority (SGM) individuals had lower resiliency than …

Individual And Organizational Challenges To Implementing Prolonged Exposure Therapy In The Military Health System: A Systematic Review Of Client And Provider Perspectives, Paris R. Cloutier

Honors Undergraduate Theses

Military veterans and active-duty service members face high rates of posttraumatic stress disorder (PTSD), a chronic and debilitating condition that is comorbid with other negative psychological and social outcomes. PTSD symptomology in military careers is attributed to unique organizational factors and risks both during and post-deployment. Delivering modern, effective PTSD treatments derived from evidence-based research to the military population is a multi-faceted effort. Among these interventions, prolonged exposure therapy (PE) is a safe and effective trauma-focused treatment for veterans. To yield higher rates of PE success, common challenges faced by both military clients and their clinicians that may be impairing …

Need For Cognition, Empathy, And Self-Esteem As Predictive Factors Of Modern Media Selectivity, Alfredo J. Hurtado Jr.

Honors Undergraduate Theses

Personality traits often drive media selectivity, as individuals seek out specific types of media and media genres for gratification. To further understand selectivity in a modern context, this study examined the personality factors of need for cognition, self-esteem, and empathy in relation to engagement with social media, literature, music, podcasts, video games, and tabletop games, with their associated genres. Analyses of 328 participants revealed that personality traits provided minimal to mild influence in media and genre selection, suggesting that the mechanisms behind media selection are comprised of other psychological and sociological factors.

Coping With Creativity - The Relationship Between Depression/Anxiety And Creative Coping In College-Aged Students, Nelly M. Dragu

Honors Undergraduate Theses

The relationship between creativity and mental illness has been established in the literature. There are multiple possible explanations for how mental illness and creativity are connected, and creativity has shown to be an effective treatment for different mental illnesses (for example, through art therapy). Despite this, there is limited research on which creative activities those with mental illnesses naturally use to cope. Information on the type of creative coping that the mentally ill naturally gravitate to and find most effective can further inform possible treatment plans and suggestions. This study aims to address gaps in the literature concerning how college-aged …

The Role Of Parental Attachment In The Relationship Between Adverse Childhood Experiences And Depression In Emerging Adult Males, Kerstin Gracia

Honors Undergraduate Theses

Experiencing adversity during childhood can impact mental health throughout adolescence and into adulthood. Adverse childhood experiences (ACEs) are comprised of different types of abuse, neglect, and household dysfunction. Children who experience ACEs are more likely to display internalizing (e.g., depression) and externalizing (e.g., acting out) behavior problems in adolescence. Those with insecure attachment styles are more likely to have grown up in a disorganized, inconsistent environment and have an increased chance of experiencing ACEs. The current study examined the relationships among ACEs, depression, and parental attachment in emerging adult men, with parental attachment tested as the mediating factor. It was …

Co-Occurrence Of Autism Spectrum Disorder And Attention-Deficit/Hyperactivity Disorder With Idiopathic Hypersomnia: Data From The Hypersomnia Foundation Registry, Sophie Sevan Mikkelsen

Honors Undergraduate Theses

In recent years, hypersomnia patients and researchers alike have increasingly discussed the possibility of heightened comorbidities, or co-occurrences, of autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) with the central disorders of hypersomnolence: idiopathic hypersomnia (IH) and narcolepsy (N). While a few scarce studies have investigated a link between ADHD and N, there has been no research on the co-occurrence of these conditions with IH. This study, using data from the Hypersomnia Foundation’s CoRDS Patient Registry, is the first to identify self-reported rates of ASD and ADHD diagnoses by people with idiopathic hypersomnia. Four chi-square tests were conducted to determine …

The Comparative Efficacy Of Ketamine And Esketamine In Treating Anhedonia And Suicidal Ideation: A Meta-Analysis, Yanyi Wu

Honors Undergraduate Theses

This meta-analysis examines the efficacy and effectiveness of racemic ketamine (RS-ketamine) and esketamine in reducing depressive symptoms such as suicidal ideation and anhedonia in patients suffering from treatment-resistant depression and bipolar disorder. This review comprehensively looks at six studies: three clinical studies focusing on suicidal ideation and three looking at anhedonia. Across the studies, RS-ketamine and esketamine were associated with a higher resolution of suicidal ideation, risk, and anhedonia. Significant improvements were noted in the suicidal desire and ideation subscale of the Beck Scale for Suicidal Ideation. The pooled effect size for suicidal ideation (d = 0.533) and pooled …

An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero

The Qualitative Report

UNHCR reports that about 82.4 million individuals were forcibly displaced as they attempted to avoid persecution, conflict, or human rights violations in their home countries. In addition to traumatic experiences, refugees encounter stressors such as low income, reduced social support, and language barriers. This qualitative study aimed to explore the impact of pre-migration trauma and political detainment on mental health outcomes and living conditions. A total of eight interviewees participated in video conferencing interviews. A non-probability convenience sampling using the snowballing technique was utilized to identify participants. Data were analyzed using an inductive approach for thematic analysis. The software Dedoose …

Social-Emotional Outcomes In Emerging Adults With Adhd: The Influence Of Self-Compassion On Peer Rejection, Rejection Sensitivity, And Psychological Distress, Alia Hussain

Theses and Dissertations (Comprehensive)

Emerging adulthood, the developmental period ranging from 18 to 29 years, is a critical stage of development in which individuals grow their social skills, set and achieve life goals, learn to live independently, and further develop brain regions involved in higher-level cognition, shaped by their environment and experiences throughout emerging adulthood. Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder associated with adverse interpersonal outcomes. Approximately 5 to 8% of emerging adults are reported to have an ADHD diagnosis and may be at higher risk than typically developing emerging adults for unfavourable developmental outcomes. This heightened risk may be attributed to their …

Therapist Engagement With Patient Nonverbal Behavior: Exploring These Interactions As A Mechanism Of Change In Virtual And In-Person Short-Term Psychotherapy, Elliana Sheriwn

Dissertations and Theses

The individual (intrapsychic) and dyadic (interpersonal) implications of nonverbal behavior have kindled interest among psychologists for decades. Many researchers and clinicians have studied nonverbal communication in the context of attachment and moment-to-moment interactions between parent and infant (Stern, 1977; Beebe et al., 2000). Theorists have also explored nonverbal behavior in the clinical setting as a dynamic relational dimension co-created by patient and therapist (Freedman and Lavendar, 1995). Although the extant literature highlights how nonverbal communication can inform psychotherapy outcome (e.g., by fostering empathy and building rapport), the topic of therapist engagement with patient nonverbal behavior—specifically, how these interactions serve as …

Social Determinants Of Psychosis: An Examination Of Loneliness, Stress, Discrimination, And Neighborhood Cohesion In Psychotic Disorders, Alexandria Selloni

Dissertations and Theses

This study examined social determinants in individuals diagnosed with psychotic disorders in a large, diverse, sample from the NIH-sponsored All of Us Research Program. Participants completed self-report measures of loneliness, perceived stress, everyday discrimination, and neighborhood social cohesion. Analyses showed that individuals with a diagnosis of a psychotic disorder experience significantly more feelings of loneliness, stress, everyday discrimination, and poorer neighborhood social cohesion compared to individuals without any diagnosis of a mental disorder as well as compared to individuals who may have other mental disorders other than psychosis. We further examined racial difference among individuals with psychotic disorders and found …

The Menstrual Cycle In Psychotherapy: Interventions, Therapist Engagement, And Blind Spots, Rozita Alaluf

Dissertations and Theses

There is a dearth of literature on psychotherapy and menstruation, except for the treatment and diagnosis of issues associated with premenstrual distress. This study aimed to bridge this gap by investigating the frequency and context of discussions about the menstrual cycle, the factors influencing therapists’ engagement with this topic, and the therapeutic approaches utilized to address the menstrual cycle within psychotherapy.

In phase 1, 118 psychotherapists from various theoretical backgrounds completed a survey on menstruation in clinical practice. The data was analyzed using descriptive statistics. In phase 2, semi-structured interviews were conducted with 7 psychotherapists, primarily identifying their theoretical orientation …

Motherhood In Crisis: A Qualitative Study Of First-Time Mothers Diagnosed With Breast Cancer, Tamzin M. Baker

Dissertations and Theses

The aim of this study is to explore the psychological impact of pregnancy-associated breast cancer (PABC) on a first-time mother’s identity. What effects does life-threatening illness have on the development of maternal identity and connection? This question was explored with a sample of six mothers via semi-structured interview and self-report measure with the aim to shed light on a scarcely studied phenomenon that is predicted to affect a greater number of mothers in the future. These research questions were explored through Interpretive Phenomenological Analysis (IPA) (Smith et al., 2009) resulting in group experiential themes and three theoretical constructs: (1) a …

Teach Them How To Say Goodbye: Student Therapist Termination At A Psychodynamic Training Clinic, Michael Ferrara

Dissertations and Theses

Termination is arguably one of the most important aspects of psychotherapy, however, the research into training for termination is sparse. Further, student therapists report that their training for termination provided little guidance, instruction, or acknowledgment of clinical realities around treatment endings. Using a semi-structured interview with a sample of 11 student therapists at a psychodynamic training clinic, this study explored experiences of termination and the preparation for those endings. Qualitative thematic analysis indicated that this group of student therapists did not experience shared and structured termination training but did not feel they were unprepared for the endings with their patients. …

Identity-Focused Therapist Self-Disclosure In Matched Sexual/Gender Minority Dyads: A Longitudinal Therapy Process-Outcome Study, Brian Thomas Neff

Dissertations and Theses

Therapist self-disclosure (TSD) is a controversial clinical intervention whose benefits and drawbacks remain contested. Notably, no prior research has differentiated explicitly between self-disclosures related to the therapist’s core identities and those peripheral to identity, and qualitative studies suggest that identity-focused therapist self-disclosure (TSD-I) may be beneficial when therapist and patient share at least one marginalized identity. LGBTQ+ people, who experience significant health disparities and utilize psychotherapy more than their heterosexual and cisgender counterparts, could benefit particularly from TSD-I. The mental and physical health challenges facing LGBTQ+ individuals are predominantly explained through minority stress theory, which suggests that societal prejudice and …