Clinical Psychology Commons^™

Development Of A Novel Measure To Assess For Alcohol Misuse In Older Adults: The Alcohol Misuse Scale For Older Adults (Amsoa), Nathan Jensen

College of Graduate Studies: Theses & Dissertations

Alcohol is the most regularly used intoxicating substance in most geographic locations. Alcohol use in the United States specifically is well over global averages. While alcohol misuse is generally considered to be understood as a problem for younger adults, it is often unrecognized and understudied older adult populations. Currently, there is an absence of a comprehensive tool measuring for developmentally salient behaviors, symptoms, and features of alcohol misuse in older adulthood, which blocks researchers’ ability to measure alcohol misuse well. The purpose of this study is to develop a psychometrically valid and reliable assessment of alcohol misuse for older adult …

Social Support In Black Individuals: The Moderating Effects On The Relationship Between Resilience And Well-Being, Imani Elise Crosby

College of Graduate Studies: Theses & Dissertations

Black individuals possess numerous strengths and positive contributions that build strong communities and cultivate psychological well-being (Biglan et al., 2012). However, much of the current literature focuses on hardships Black individuals face, skewing the larger discourse of their lived experience. This exclusive focus on adversity often neglects pathways by which Black people thrive and flourish. It is important to consider how Black experiences relate to a sense of well-being. Resilience, or the ability to “bounce back” from adverse experiences is linked well-being outcomes (APA, 2012). However, it is unknown whether the promotive effects of resilience directly contribute to well-being outcomes …

Psychotherapist Awareness And Competence Managing Social Media Concerns, Jing Wen Ong

College of Graduate Studies: Theses & Dissertations

Social media use increased substantially in recent years, spurring the growth of research focused on its association with mental health. Previous research examined the relationship between positive and negative aspects of mental health and social media use. Other studies explored the relevance of social media to professional practice of psychologists including the use of social media to reach populations with limited access to mental health services and ethical dilemmas arising from social media use; however, there is limited understanding of the pertinence of social media to concerns that clients discuss in therapy and therapist competence in handling these discussions. The …

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

College of Graduate Studies: Theses & Dissertations

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

The Effects Of Cultural Responsiveness And Therapy Duration On Black Americans’ Therapy Preference, Katilyn M. Ashley Treem

College of Graduate Studies: Theses & Dissertations

Marginalized groups are less likely to seek out mental health services than non-marginalized groups. There are various reasons why marginalized groups, such as Black Americans, are less likely to seek out mental health services, one of which is the cultural barriers between a clinician and client. Research suggests that Black Americans feel that clinicians struggle to overcome these cultural barriers. Therefore, it is important for clinicians to actively receive training on how to serve clients with diverse backgrounds. Cultural responsiveness, an extension from cultural competence, is the active application of the knowledge and skills obtained in training. Examining people’s therapy …

Exploring The Relationships Among Adhd, Generalized Anxiety Disorder, And Emotion Regulation, Anna S. Hall

College of Graduate Studies: Theses & Dissertations

This study investigated the relationships among Attention-Deficit Hyperactivity Disorder (ADHD) symptoms and common comorbid struggles for clients, including Generalized Anxiety Disorder (GAD) symptoms, and executive functions, especially emotion regulation. ADHD and GAD are prevalent mental health conditions, are commonly comorbid with each other, and are both correlated with relative deficits in executive functions. Executive functions comprise higher-order cognitive processes like planning, inhibition, initiation, and monitoring, as well as emotion regulation. Prior research established connections among ADHD symptoms, GAD symptoms, and emotion regulation but did not examine which specific facets of emotion regulation were most relevant. The current study aimed to …

The Effect Of First-Person Testimonial Versus Didactic Video Interventions On Attitudes And Behavioral Intentions Toward Buprenorphine, Tristan S. Fletcher

College of Graduate Studies: Theses & Dissertations

Emerging adults exhibit disproportionately elevated levels of substance use disorders (Substance Abuse and Mental Health Services Administration [SAMHSA], 2021), opioid misuse (SAMHSA, 2021), and opioid use (Hu et al., 2017; Jones et al., 2015) compared to other age cohorts. If left untreated, opioid misuse and opioid use disorder can lead to various negative consequences, including premature death (Strang et al., 2020). Prior research indicates emerging adults have higher opioid-related mortality rates compared to other age groups in the United States (Gomes et al., 2018). Buprenorphine, an opioid partial agonist medication, is an effective intervention for opioid use disorder (Mattick et …

Dungeons And Dragons™ (D&D) As A Brief Intervention For College Students, Alexander W. Peralta

College of Graduate Studies: Theses & Dissertations

This quasi-experimental study investigated the effect of a table-top roleplaying game (ttrpg), specifically Dungeons and Dragons™ (D&D), on increasing feelings of social connection, decreasing perceived stress, increasing self-esteem and improving adjustment to college among first semester, first year students. participants signed up to either the D&D group or the comparison group. D&D participants (n = 18) attended five one-hour weekly D&D sessions, meanwhile the comparison group (n = 10) went through their first semester of college with no intervention, but completed the study measures at the same points in time as the D&D participants. All participants completed measures of social …

Communicating Through Dance: Examining Dance & Behavioral Therapy To Treat Selective Mutism, Clara Spitz

Scripps Senior Theses

Very little research has been done to examine the efficacy of treatments for adolescents with selective mutism (SM). Although cognitive behavioral therapy (CBT) has been distinguished as one of the optimal treatment styles for SM, a significant portion of research in this area has focused on children. Additionally, it often incorporates play therapy, which may not necessarily apply as effectively to older populations. Dance therapy has emerged as a promising and innovative treatment for various anxiety and communication issues. Although specific studies on its application to SM are limited, existing research suggests its potential effectiveness in addressing this condition as …

Differences In Mental Health Attitudes, Symptoms, And Help-Seeking Behaviors Between College Student-Athletes And Non-Athletes, Cristian Miralles

Honors College Theses

This study examined differences in mental health stigma, attitudes, and help-seeking behaviors between student-athletes and non-athletes. 8 student-athletes and 231 non-athletes from a rural college in southeastern USA took an online survey, and independent samples t-tests were conducted to examine group differences. There were no statistically significant differences in any measure between student-athletes and nonathletes. However, exploratory sex analyses found females had lower stigma and used services more frequently compared to males. Participants then explained any mental health resources they utilize, with most using ‘Personal Relationships’ when needed. ‘No need’, or participants who's mental health concerns were not significant enough …

The Transdiagnostic Role And Measurement Of Cognitive Inflexibility Across Understudied Eating Disorder Groups: A Multi-Method Investigation, Mckenzie Miller

Electronic Theses & Dissertations (2024 - present)

Cognitive inflexibility is an established transdiagnostic executive function deficit that maintains a wide array of psychiatric conditions. Eating disorders (ED) are serious, life-threatening conditions that remain underdiagnosed and understudied across diverse demographic groups. There is growing evidence for a role of cognitive inflexibility in driving hallmark ED symptoms, particularly in anorexia nervosa. Treatments targeting cognitive inflexibility may improve the currently poor outcomes of these conditions. To date, the role of cognitive inflexibility remains to be examined across demographically and diagnostically diverse ED groups. The first two studies presented here examine associations between cognitive inflexibility and symptom presentation in two relatively …

Development And Initial Validation Of The Supervisor Responsiveness Scale, Ramon Garcia

Electronic Theses & Dissertations (2024 - present)

Theoretically, responsiveness to the emergent needs of supervisees and clients is the primary means by which clinical supervisors help trainees become effective psychotherapists (Friedlander, 2012). To advance understanding and research on this aspect of supervision, the Supervisory Responsiveness Scale (SRS) was developed and assessed psychometrically.

First, 35 items reflecting trainees’ perceptions of their supervisor’s responsiveness, as defined by Friedlander (2012), were developed and rated for clarity, face and content validity by a panel of 12 experienced supervisors. After the item pool was refined based on these ratings, 216 supervisees representing all training levels rated each item on a 1 ( …

Suicidality Among Black Women: Considering Resiliency Within The Historic And Societal Context Of Risk, Samantha J. North

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Suicide is a global health challenge that has been historically understudied among Black women. The interpersonal-psychological theory of suicidality (IPTS) is a primary theory examined in suicidality; however, the three factors within the theory (lack of belongingness, perceived burdensomeness, and capability to die) focus on the individual. The purpose of the current study was to examine these factors in an expanded context of the historical and societal impact of oppression. A mixed methods Qualtrics study was administered to Black women who voluntarily completed the survey anonymously. Quantitatively, the study found significant differences between the impact of the IPTS factors on …

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

Murray State Theses and Dissertations

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

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

Student Knowledge Of Sexual Assault Resources, Kali Forden

Murray State Theses and Dissertations

Despite the changes in policy and the endorsement of mandatory reporting among college students over time, less than half of survivors of sexual assault report the incident to police or university officials (Cantor et al., 2020). Further, while there is little research on the subject, Moore and Baker (2016) found that a student’s residence can influence whether they report a sexual assault. This project sought to extend this research to determine whether a student’s residence and knowledge of available resources effects the likelihood to report a hypothetical sexual assault. Additionally, it sought to determine the relationship between reporting a sexual …

Symptoms Of Anxiety, Trauma, Depression, And Obsessive-Compulsive Disorders In A Subsequent Pregnancy Following A Previous Pregnancy Loss, Juliana Lynn Restivo Haney

Graduate Theses, Dissertations, and Problem Reports (ETD)

Pregnancy loss is a common and intense personal event that has been found to be a risk factor for increased symptoms of mood, trauma, obsessive-compulsive and anxiety disorders in subsequent pregnancies. Using a self-report online survey, the current study hypothesizes that levels of anxiety, trauma, and obsessive-compulsive symptoms will be higher in pregnant individuals who had a pregnancy loss in their most recent previous pregnancy (n= 61) when compared to pregnant individuals whose most recent previous pregnancy resulted in a live birth (n= 62). Participants responded to an online questionnaire asking about reproductive and mental health history, symptoms of perinatal …

The Relationship Between Moral Thought-Action Fusion And Scrupulosity Across Judaism, Christianity, And Islam, Kelsey Evey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Scrupulosity is a subtype of obsessive-compulsive disorder (OCD) where individuals are upset by intrusive thoughts related to religious or moral issues. Current research suggests that scrupulosity occurs across the major world religions—including the Abrahamic religions (i.e., Judaism, Christianity, and Islam). Some research suggests that moral thought-action fusion (moral TAF), a dysfunctional belief that thinking something is equal to doing it, may only be pathological under certain circumstances (e.g., if it is not culturally normative). If this is true, the current cognitive model of scrupulosity may need to be amended to reflect how cultural differences impact the role of moral TAF …

Associations Among Psychosocial Factors, Health-Related Quality Of Life, And Adherence In Pediatric Inflammatory Bowel Disease, Cecelia I. Nelson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Inflammatory Bowel Disease (IBD) is a prevalent disorder among youth in the United States. IBD is one of the leading causes of chronic pain in adolescence and symptoms can lead to reduced quality of life, social embarrassment, and lower self-esteem. Adherence to medical regimens for IBD is incredibly important to prevent morbidity, mortality, and impaired health-related quality of life (HRQOL). However, adolescents struggle generally with adherence and the regimen for IBD can be complicated and include aversive side effects. Psychological factors, such as depressive symptoms, are key factors associated with non-adherence. Nevertheless, gut-specific anxiety (GSA) is a psychological factor that …

Seeing Red: Hostile Attribution Bias, Aggression, And Antisocial Personality Disorder Traits, Kaley Potter

Graduate Theses, Dissertations, and Problem Reports (ETD)

Antisocial personality disorder (ASPD) is a destructive and severe mental illness that costs the U.S. trillions of dollars annually. Although ASPD is significantly correlated with acts of aggression, violence, and imprisonment, not all individuals with ASPD are aggressive. In samples without ASPD, increased aggression has been linked to an error in social information processing, which is referred to as hostile attribution bias (HAB).

The current study tested the extent to which HABs, or the tendency to attribute hostility to neutral or ambiguous stimuli, predicted aggression above and beyond ASPD traits in participants with a history of incarceration. Participants (N = …

Latine Psychology Specialty Program Development, Leeza Rojas

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

According to the 2020 United States Census, the Latine community is the second largest ethnic represents 18.9% of the total United States population and is expected to grow to 28% by the year 2060 (U.S. Census Bureau, 2018). Despite this, the Latine community continues to be underserved and often underutilize behavioral health services (Blanco et al., 2007). For this reason, it is imperative that psychologists and other behavioral health providers have specialized training to best meet the community’s needs. The current literature fails to explore how Latine psychology concentrations are curated to train and inform future clinicians. This study examined …

Examining Invalid Brief Child Abuse Potential Inventory Profiles Within A Randomized Controlled Trial For Toddler-Aged Children And Their Parents, Lindsay Rebecca Druskin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Child abuse is a significant public health concern that impacts children worldwide. Efforts to connect at-risk parents with prevention and intervention programs require the use of high-quality measures that evaluate child abuse potential. Researchers frequently use the Child Abuse Potential Inventory (Milner, 1986) and the Brief Child Abuse Potential Inventory (BCAP; Ondersma et al., 2005) which contain Validity indices that evaluate response patterns such as social desirability responding. The measure developers recommended that abuse risk scores from invalid profiles be disregarded in clinical and research settings; however, little is known about factors that may relate to invalid responses and whether …

Body Image Development And Eating Disorder Risk In Young Children: What Do Parents Want To Know?, Anna Atchison

Electronic Theses & Dissertations (2024 - present)

Background: Body image concerns and other risk factors for disordered eating can emerge in early childhood, but no interventions specifically target these early risk factors to mitigate future eating disorder risk. This study sought to quantify parents' knowledge of factors influencing eating disorder risk in young children, their concerns about their children’s eating behaviors, and perceived need and preferences for a parent education intervention addressing these topics. Methods: Parents (52 mothers, 55 fathers) of children aged 2-6 completed measures of parental eating disorder symptoms and internalized weight bias and child eating behaviors. Open-ended questions explored parents’ concerns about their children’s …

Outcome-Based Patient-Therapist Matching Implementation: A Study Of Clinician Beliefs And Attitudes, Ashleigh Smith

Electronic Theses & Dissertations (2024 - present)

Background. Implementation science aims to identify methods that support the adoption of evidence-based practices (EBPs), including measurement-based care (MBC) and MBC-informed patient-therapist matching. Examining clinician attitudes can elucidate potential barriers to implementing EBPs, and attitudinal differences may exist across groups of therapists. In the context of a patient-therapist matching implementation project, this multi-method study investigated the relationship between clinician characteristics, attitudes toward EBPs/MBC, and implementation climate. Method. A sample of N = 72 therapists completed measures of demographic and clinical characteristics, attitudes toward EBPs, perceptions of implementation climate, and attitudes toward monitoring and feedback. A subset of N …

Validation Of The Intolerance Of Uncertainty Scale-12 In A Sample Of Pregnant People, Kayla Costello

Electronic Theses & Dissertations (2024 - present)

Background: Intolerance of uncertainty (IU) has been proposed as a transdiagnostic mechanism driving anxiety, depression, and eating disorder symptoms. Pregnancy is a time of significant uncertainty, yet few studies have examined the measurement of IU and its impacts on pregnant people. The current study aimed to examine the psychometric performance of two versions of the Intolerance of Uncertainty Scale (IUS-27 and IUS-12) and its associations with psychopathologies common in pregnancy.

Methods: This study is a secondary analysis of participants (n = 254) recruited for a larger study of a single-session intervention targeting disordered eating in pregnancy. We examined fit …

Burnout In Forensic Psychology Related To Personal Traits And Vicarious Trauma, Olivia Shae Bruno

Theses and Dissertations

Burnout is described as having three components: emotional exhaustion, depersonalization, and feelings of ineffectiveness (Maslach et al., 1997). Burnout is considered a major occupational hazard due to the consequences for the afflicted and the population they work with (Leka & Jain, 2012) including low quality care, job dissatisfaction, absenteeism, and high turnover rates (Maslach et al., 2001). Previous research has identified some occupations and settings which are linked to high rates of burnout, including psychologists (Rodriguez & Carlotta, 2017) and those working in a high stress field, such as police officers (Vazquez et al., 2021), corrections officers (Herlickson, 2010) or …

Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perinatal substance use (PSU) is a serious and growing public health concern. It is associated with a variety of adverse health outcomes for both mother and child and has been shown to negatively impact the parent-child relationship. Despite the growing prevalence of PSU, there are notable deficits in provider knowledge regarding, and comfortability with, PSU. Moreover, providers report feelings of judgment, resentment, fear, and hesitancy related to their work with women with PSU. Subsequently, women with PSU struggle to find appropriate, compassionate, and effective treatment for their substance misuse. Widespread and accessible training is needed to bolster provider knowledge base, …

Alcohol Addiction Recovery Experiences Among Christian African Immigrants, Chukwudera Arthur Egesionu

Walden Dissertations and Doctoral Studies

AbstractThe problem of alcohol addiction is heightened when other psychological factors are present, such as the stress of acculturation. The purpose of this research was to describe the experiences of Christian African immigrants in America who have used faith-based treatment approaches while in recovery from alcoholism and to determine how their faith may have been a way of coping with their recovery. In this hermeneutic qualitative phenomenological study, data were collected through semi-structured interviews with eight participants. The data were analyzed to explore the experiences of Christian African acculturating to America who endorse a faith-based approach to their recovery, and …

Predictors Of Depression And Life Satisfaction Among Asian Indians Living In The United States Of America, Ramanjot Kaur Basanti

Walden Dissertations and Doctoral Studies

This study assessed the statistical contribution of gender, acculturation, Asian values, coping self-efficacy and discrimination in the prediction of depression and life satisfaction with Asian Indian American adults. The increasing number of Asian Indians in the United States has prompted psychologists and other clinicians to seek understanding of the unique mental health needs of this population. However, previous studies on predictors of depression and life satisfaction among Asian Indians living in the United States had been scarce and inconclusive. The current study, grounded in Berry’s multidimensional theory of acculturation, used a cross-sectional correlational survey design to examine if gender, acculturation, …

Ethically Managing Theories Of Agency In Counseling And Psychotherapy, Jeffrey S. Reber, Jacob D. Tubbs, Jacob A. Larson

Issues in Religion and Psychotherapy

Informed by personal and professional cultures, clients and therapists inevitably hold various assumptions and attributions about the possibility of free will. Given that these “theories of agency” may not always align, and in light of the ethics codes for psychotherapists and counselors, it is imperative, as a matter of cultural competence and responsivity, that therapists seek training in understanding different cultures of agency. To that end, and to help therapists navigate cultural differences and mitigate the risk of personal and professional values imposition, this article provides a conceptual framework for organizing the common formal and informal theories of agency that …

Trauma-Informed Supervision: The Supervisory Needs Of Mental Health Therapists Engaged In Trauma-Related Work, Erynne H. Shatto, James Stefurak Ph.D., Amy E. Rinner, Lacy M. Kantra

Journal of Counselor Preparation and Supervision

We present the need for therapists who engage in trauma-specific work to receive trauma-informed supervision or consultation. This is based on the findings that the emotional labor required of trauma-specific work is high and increases a therapist’s risk for experiencing negative impacts from their work such as vicarious trauma, compassion fatigue, unhelpful transference/countertransference, reminders of their own trauma, and burnout. Further, clients incur risks of receiving iatrogenic care when therapists engaged in trauma-related work are not given appropriate job related resources and/or receive ineffective supervision. We discuss a model for trauma-informed supervision, including supporting theory and initial guidelines for supervisors’ …