Clinical Psychology Commons^™

The Role Of Cultural And Expressive Arts Therapies In The Puerto Rican Diasporic Identity: A Literature Review, Melissa Clay

Expressive Therapies Capstone Theses

Identity for Puerto Rican immigrants is a growing concern with the influx of migration due to numerous natural and human based disasters. This literature review will review Puerto Rico’s tumultuous history and the development of identity through history. Including the Taino, the influence of African slaves, The Three Root Model and colonization by Spain and the United States. Accordingly, this review explores culturally specific beliefs and culturally creative arts and how those can be used in healing practices through Expressive Arts Therapies. We will also consider the culturally sensitivities needed in further research on this topic and within current day …

Embodied Fatness In Boys: A Critical Phenomenological Study, Sean Leadem

Electronic Theses and Dissertations

This dissertation was an exploratory study of experiences of fatness in boyhood using a hermeneutic phenomenological qualitative method. The author conducted in-depth, open-ended interviews with participants who identify as men and for whom fatness or related body-difference was an issue in childhood or adolescence to gather data on the meanings of fatness for boys and the men they become. Data analysis was organized around the existential dimensions of embodiment, temporality, and relationality. Themes emerging from this analysis included a) the discovery of fatness as ambiguous meanings mediated by others, b) fatness as a problem in a horizon that does not …

Sex And Gender Differences In Attention-Deficit / Hyperactive Disorder (Adhd): A Literature Review, Kaitlyn N. Blair, Min Young Kim

Research Day

Background:

The American Medical Women's Association (AMWA) Sex and Gender Health Collaborative identified the need for a concise factsheet for clinicians outlining sex and gender differences in Attention Deficit Hyperactive Disorder (ADHD) as ADHD is underdiagnosed, undertreated, and frequently misdiagnosed in women due to lack of recognition of gender-specific presentation. AMWA's goal is to improve access and exposure to sex and gender differences in healthcare as few medical schools educate students on these differences. The poster summarizes the reviewed literature on the prevalence, diagnosis, referral for, prevention, clinical presentation, and treatment of ADHD with a goal to reduce sex and …

Exploring The Connections Between Craving, Depression, Sleep & Alcohol Use In Emerging Adults, Katie Moskal

Masters Theses & Specialist Projects

Alcohol use among emerging adults is a public health concern as it has been associated with negative consequences, such as accidental injury (Hingson et al., 2009). Given the negative consequences experienced for emerging adults, there is a need to identify factors contributing to alcohol use to determine ways to reduce these consequences. Poor sleep has been associated with higher alcohol-related consequences (Miller et al., 2016), and alcohol use has been associated with poor sleep (Goodhines, Gellis, Kim, et al., 2019), however there may be other factors contributing to this relationship, such as alcohol craving and depression. Higher alcohol craving has …

Sexism's Effect On Female Suicide Ideation & Non-Suicidal Self-Injury Through Body Surveillance & Self-Esteem, Caitlin Gregory

Masters Theses & Specialist Projects

Research has shown that women face an average of three sexist events per week (Fischer & Holz, 2010). These sexist experiences can present within domains of daily living, social media usage, workplace discrimination, psychological distress, and sexual objectification (Baires & Koch, 2020; Duggan, 2014; Oswald, et al. 2019; Perez, 2019; Rollero, 2013). Additionally, the literature has shown that types of sexist experiences can determine the severity of the impact on mental health outcomes, as benevolent sexism has showcased significant consequences on females’ self-esteem and body objectification and hostile sexism has been shown to impact selfevaluation and self-worth (Calogero & Jost, …

Agreement Of Psychiatric Diagnoses Within And Between Groups Of Mental Health Clinicians From Different Disciplines, Wade Mcguire

Dissertations

The development of therapy as a treatment option for mental health problems has led to the creation of different disciplines. Each discipline has developed its own conceptualization of classification and treatment of mental health problems. These conceptualizations have led to different areas of focus for each of the disciplines, specifically counseling, psychology, and social work. The purpose of this study is to investigate whether these areas of focus influence how each discipline diagnoses. For this study, data was collected by having clinicians provide diagnoses for three fictitious clients. The vignettes for the clients were taken from a psychopathology textbook to …

Addressing The Complexity Of Mental Health Care For Youth Experiencing Houselessness, Sarah Hamilton

Psychology Honors Projects

Children and youth experiencing houselessness have a unique set of mental health needs due to the traumatic experience of houselessness during childhood and the other adverse childhood experiences that often coincide with houselessness (van der Kolk, 2003; Wong et al., 2016). They face immense barriers in access to mental health care due to logistical factors as a result of their housing status and socio-structural factors (Krippel et al., 2020; Gallardo et al., 2020; Bradley et al., 2018). However, existing studies reveal a lack of evidence-based interventions for children and youth experiencing houselessness and a lack of insight from mental health …

Opinion & The Insanity Plea: What Can A Little Education Do?, Anna Raker

Masters Theses & Specialist Projects

The misconceptions regarding the insanity defense have often left bias rampant within the court room. Within this study, the goal was to understand the relationship between education via an expert witness and how it changes one’s verdict on a case where the insanity defense is used. Participants were given a vignette regarding the circumstances of an NGRI defense case, and then randomly assigned to a control video and a myth video. The control video talked about the circumstances around assessment, and insignificant details of the case, while the myth version discussed the common myths and misconceptions regarding the insanity defense. …

The Association Of Mindfulness, Passive Social Media Use, Social Comparisons, Fomo And Depression In College Students, Cody Weeks

Theses, Dissertations and Culminating Projects

There is mounting concern that social media use among young adults has contributed to the increase in depression in this population, particularly college students. Passive social media use (i.e., browsing or following behavior) has been linked to higher rates of depression and other mental health symptoms among college students. However, scant research has focused on factors that may be used to alter passive social media use and decrease depression, such as mindfulness. Thus, the current study aimed to examine 1) the association between passive social media use and mindfulness, 2) to assess the mechanisms by which mindfulness may influence passive …

Minority Stress Through Time: Sexual Minority Stress & Suicidality Across Generations, Jenessa Canen

Masters Theses & Specialist Projects

Research suggests that sexual minority populations are at a much higher risk for suicide than their heterosexual peers. The primary explanation for this disparity is minority stress theory. The theory of minority stress proposes that in addition to everyday stressors experienced by most people, sexual minorities experience additional unique stressors related to their sexual minority identity. Since minority stress theory was proposed in 2003, much has changed about how the United States understands and views sexual minorities. Theoretically, this should impact the way minority stress is being experienced, which may be seen by examining minority stress across sexual minorities of …

You Call Us Treatment Resistant: The Effects Of Biases On Women With Borderline Personality Disorder, Cassidy Acosta

Electronic Theses, Projects, and Dissertations

This study explored how negative attitudes toward and discriminatory practices against women with Borderline Personality Disorder (BPD) affect them and impact their treatment. The study adopted a constructivist paradigm, and data was collected via virtual interviews with research partners (i.e., women with BPD) who use online mental health forums. A final construction was established after the data was interpreted. Ultimately, it was determined that women with BPD face stigma and are described as treatment resistant; however, by providing a supportive treatment environment, women with this diagnosis see positive outcomes. The results of the study are intended to support women with …

The Contribution Of Self-Compassion To Anxiety And Mood In Daily Life, Yamini Pant

Honors Scholar Theses

Self-compassion, the act of being kind and understanding towards oneself, has been shown to have positive impacts on mental health. Depression and anxiety are both common mental health disorders that can interfere with an individual’s ability to function in daily life. Several studies have shown that self-compassion correlates with depression and anxiety at a cross-sectional level and across longer periods of time (e.g., several months). In the present study, we examined the fluctuations and the directionality of self-compassion, depression, and anxiety on a day-to-day basis over the span of a week. We also examined the ways that worry and rumination …

Moral Objections To Pornography: Does The Reason For Opposition Affect Consumption?, Grant Parker

Electronic Theses and Dissertations

Recent literature has suggested a link between self-described “problematic” pornography usage or pornography addiction and moral incongruence (Grubbs et al., 2022; Guidry et al., 2019). That is, when someone is morally opposed to pornography, they feel worse about their use of it. As of yet, however, no link has been established between specific reasons for objecting to pornography and their effects on consumption. Participants were 54 adults selected randomly using Amazon’s MTurk survey distribution platform. Respondents completed demographic questions and 6 scales measuring frequency of pornography use, objections to pornography, self-perceived problematic porn use, external and internal shame, God representations, …

Is It Good To Be Bad? The Potential Buffering Role Of Callous-Unemotional Traits On The Relationship Between Trauma And Juvenile Offending, Kathryn Anne Mcgill

Graduate Theses and Dissertations (2019 - present)

Juvenile offending is prevalent, costly, and often difficult to intervene in. Although there are a multitude of factors previously studied that contribute to offending, researchers are still unable to pinpoint all possible variables contributing to juvenile offending. More so, of explored and accepted factors leading to juvenile offending, predictive ability of any specific factor leading to offending is still weak. Thus, study of specific predisposing factors leading to juvenile offending, as well as mediational or moderational variables, is needed. This study explores two previously studied variables in the pathway to juvenile offending: trauma and callous-unemotional traits. Novel study of the …

Does A Single Night Of Mindfulness Meditation Improve Sleep And Stress In Female College Students?, Koushik Thudi

Psychological Science Undergraduate Honors Theses

Several recent studies have shown that mindfulness-based practices have been effective in treating sleep problems. However, these studies have primarily looked at multi-component interventions that take place over several weeks or months. No studies have evaluated the efficacy of short-term mindfulness-based practices on sleep the same night. This study aims to do just that. The sample consisted of 10 students attending the University of Arkansas. All participants slept in a sleep laboratory on two consecutive weekday nights. During one night, they completed a mindfulness-based exercise. The other night, they completed a similar control task (counterbalanced). Polysomnography-based sleep data were collected …

Understanding The Role Of Emotion Regulation Tendencies In The Momentary Associations Between Negative Affect And Eating Disorder Behaviors., Coby D. Banet

College of Arts & Sciences Senior Theses

Background: Eating disorders (EDs) are becoming increasingly commonplace and are associated with a broad array of dangerous medical complications. Further, EDs frequently present alongside comorbid psychiatric disorders (e.g., depressive and anxiety-related disorders), which are known to both predict ED severity and reduce treatment efficacy. While diagnostic categorization persists, Fairburn et al.’s (1993) transdiagnostic model suggests EDs may be more closely related and maintained through core, shared symptoms. To assess ED maintenance, momentary triggers such as negative affect (NA) are becoming increasingly centralized. The present study examines the roles of depressive symptoms and worry in predicting and moderating the relationships among …

Religion And Ptsd In Puerto Rico Natural Disaster Survivors, Abraham Reynolds

Loma Linda University Electronic Theses, Dissertations & Projects

Religious coping can influence recovery from natural disaster trauma. Participants were recruited from a religiously sponsored university in Puerto Rico, affected by several natural disasters between 2017 and 2020, using an online survey. A significant relationship was found between negative religious coping and changes in mood and cognition, mediated by the effect of worthiness of self. Results indicate that negative religious coping may adversely influence an individual’s view of self and increase PTSD-related changes in mood and cognition. If clinicians only examine a client’s view of self, they may miss the influence of negative religious coping.

Racialized Experiences Of Covid-19: Help-Seeking Patterns In Response To Racial Discrimination Among Asian American College Students, Jeeyun Lee

Student Theses

In the United States, reported anti-Asian hate crimes increased by 164% from 2020 to 2021, with New York demonstrating a difference of 223% (Center for the Study of Hate & Extremism, 2021). Ample evidence suggested its deleterious emotional impact; COVID-19-associated racial discrimination was found to be significantly associated with increased levels of mental distress, such as anxiety, depression, and PTSD symptoms (e.g., Hahm et al. 2021). With an aim of addressing the significant dearth of research on Asian Americans’ help-seeking behaviors in response to COVID-19-associated racism and distress, this study employed grounded theory to explore the experiences of 10 self-identified …

The Association Between Mental Health Diagnoses And Trial Competency Assessments In Defendants: A Meta-Analysis, Danielle C. Severe

Student Theses

In the realm of trial competency evaluations, there are a variety of methods used to evaluate whether an individual is fit to stand trial. Presently, forensic psychologists conduct trial competency evaluations in order to assess one’s ability to stand trial, but for persons with a mental health diagnosis, the generic competency measures are not the most effective means to assess one’s ability to stand trial, as mental health diagnoses impair cognitive functions that are required in judicial proceedings. Forensic psychologists have opted to utilize other assessment methods such as the MacArthur Competence Assessment Tool – Criminal Adjudication [MacCAT-CA] and Fitness …

An Evaluation Of Therapeutically Applied Role-Playing Games For Psychological And Social Functioning Amongst Youth/Young Adults, Adam Thomas Soleski

Electronic Theses, Projects, and Dissertations

Tabletop role-playing games (TTRPGs) are “a collaborative narrative game where group members role-play a character that they create in order to solve puzzles, uncover treasure, and defeat monsters in a fictional environment that is created together using formal rules and participation structures'’ (Davis & Kilmer, 2020). TTRPGs have begun to increase in popularity and evoke new interest in exploring whether these new treatment modalities result in positive mental health outcomes. Specifically, therapeutically applied role-playing games (TARPGs) are TTRPGs that integrate therapeutic mechanisms in order to promote improved psychological and social functioning. The goal of the present study was to examine …

Dyadic And Ecological Associations With Intimate Partner Violence (Ipv): Using Hierarchical Linear Modeling To Differentiate Ipv From Community Crime, Rachel Carpenter

Electronic Theses and Dissertations

Research on intimate partner violence (IPV) and intimate partner sexual violence (IPSV) has largely focused on individual and dyadic-level risk factors, but recently studies have explored how the surrounding environment is associated with IPV/IPSV. Studies that have explored community-level variables typically only use IPV/IPSV samples and do not first compare indicators of IPV/IPSV to those of general crime in those same communities. To address these gaps, this study was conducted in two parts. Data were retrieved from the Tennessee Bureau of Investigation Reporting System, County Health Rankings and Roadmaps System, the US Census Bureau, and other sources. Study 1 first …

Bilingual Profiles Differentially Predict Executive Functions During Early Childhood: A Latent Profile Analysis, Hwajin Yang, Germaine Y. Q. Tng, Wee Qin Ng, Sujin Yang

Research Collection School of Social Sciences

Recent studies suggest that heterogeneous bilingual experiences implicate different executive functions (EF) in children. Using a latent profile analysis, we conducted a more nuanced investigation of multifaceted bilingual experiences. By concurrently considering numerous bilingual indicators – age of L1 and L2 acquisition, interactional contexts of verbal exchanges, L1 and L2 proficiency, balance of language use at home and school, and receptive vocabulary – we identified three latent profiles (subgroups): balanced dual-language, dominant single-language, and mixed-interaction. We found that the balanced dual-language and dominant single-language profiles predicted significantly better switching than the mixed-interaction profile. However, no profile differences were found in …

Parental Well-Being And Children’S Internalizing Symptoms During The Beginning Of The Covid-19 Pandemic In The United States, Diana Duran

Theses and Dissertations

During the beginning of the COVID-19 pandemic stay-at-home orders in the U.S., many parents of school-age children faced new challenges, such increased child-care demands (Adams, 2021). Prime et al. (2020) theorized these negative pandemic impacts would decrease parents' well-being and thereby impact children's psychological adjustment. This study hypothesized that higher number of negative pandemic impacts would predict worsened stress and relationship satisfaction levels among parents, and that this would in turn predict worsened child internalizing symptoms. 595 U.S. parents of school-age children were recruited online during May 2020. Higher number of negative pandemic impacts predicted worsened parents' stress and relationship …

Preference For Abstinence-Based Recovery And Public Stigma Toward Substance Use Disorders, Diamond Meadows

Electronic Theses and Dissertations

The present study drew from the publicly available Amerispeak survey (n = 6,515) and examined public stigma towards different substances, the relationship between preferences for abstinence-based recovery and stigma toward each substance, and whether perceived dangerousness of substances moderates the relationship between preferences for abstinence-based recovery and public stigma. The results indicate that the general public has greater stigmatizing attitudes towards methamphetamine use disorder than cocaine use disorder, opioid use disorder, and alcohol use disorder. Furthermore, a preference for abstinence-based recovery was associated with greater stigmatizing attitudes toward all SUDs. The perceived dangerousness of a substance did not moderate the …

Introspective Accuracy For Social Cognition Across The Psychosis Spectrum: Influence Of Sleep Disturbance, Cassi Springfield

Master's Theses

People with schizophrenia-spectrum and bipolar disorders can have impairments in introspective accuracy (IA; ability to accurately estimate one’s own abilities). Research suggests that positive, negative, and depressive symptoms may be related to IA, but findings are mixed. Examining sleep disturbance as a determinant of IA may help explain these mixed findings. The current study aimed to explore the relationships between sleep disturbance, symptoms, and IA in participants across the psychosis spectrum. Participants completed diagnostic, symptom, and sleep disturbance assessments. Participants also completed social cognitive tasks, estimated their performance on the tasks (used to calculate IA), and indicated their confidence in …

Children’S Disclosure Of School Bullying: The Relation Between Peer Victimization, Internalizing Symptoms, Negative Affect, And Gender, Julia L. Kiefer

Graduate Theses and Dissertations

Children who are bullied by their peers are at risk for several negative developmental outcomes and are therefore advised to tell an adult when they are. However, victims of school bullying are often reluctant to disclose to adults that they are being bullied. Some bullied children also experience symptoms of anxiety or depression, which could further reduce their likelihood of telling an adult. In this study, I tested the degree to which children’s internalizing symptoms predicted their likelihood of telling adults about being bullied at school, and if this relation was exacerbated by children’s negative feelings associated with telling an …

"I Think It's Biblically Wrong, But Temptation Gets The Better Of Me": A Survey On Out-Of-Control Sexual Behavior In A Christian Cohort Of Men In The Uk, Timothy C Y Lau, Glenn M. Miles

Dignity: A Journal of Analysis of Exploitation and Violence

The current study aims to better understand influences on men within the UK Christian community on their engagement with pornography and prostitution. The authors utilized the Carnes (2012) survey to examine the landscape of sexual knowledge and behaviours, and to identify symptoms, and the propensity towards, “out-of-control sexual behavior” among participants. Data from a survey sent to the Christian community through church networks and word of mouth was used for this study. Of the 491 men who participated, the majority (94%, 460) described their personal Christian faith as “strong.” Despite the Christian faith community's moral code of conduct, the survey …

Exploring Predictors Of Healing From An Expressive Writing Intervention About Heterosexism And Why Lgbtq+ Clients Might Withhold From Their Therapists, Ally B. Hand

Graduate Masters Theses

Heterosexism is a cultural system that impacts LGBTQ+ individuals internally, interpersonally, institutionally, and structurally. Exposure to these different levels of heterosexism, whether enacted overtly, covertly, intentionally, or unintentionally, contributes to the well-documented and disproportionate negative mental health outcomes experienced by the LGBTQ+ community (National Academies of Sciences, Engineering, and Medicine [NASEM], 2020). Subsequently, LGBTQ+ individuals seek out professional mental health services at higher rates than cisgender and heterosexual populations, though access to therapeutic care that addresses sexual minority specific stressors, such as experiencing heterosexism directly, is limited (Williams & Fish, 2020). The current study is a secondary analysis of a …

Developmental Differences In School Climate Predictors Of Chronic School Absenteeism, Michael Fensken

UNLV Theses, Dissertations, Professional Papers, and Capstones

School attendance problems (SAPs) represent a critical developmental challenge for youth. SAPs represent a spectrum from difficulties attending school despite complete school attendance to complete absence. Ongoing SAPs can lead to chronic absenteeism, which may be defined as missing 8.3–10.0% (15–18 days) of school in an academic year. However, debate exists over the utility of a demarcation for chronic absenteeism. A shortcoming of cutoffs to defining problematic chronic absenteeism is that demographic, academic, symptom, and family variables are not delineated clearly. Yet, the present intervention frameworks (e.g., multi-tiered systems of supports models; MTSS) rely on clear delineations of such variables …

An Examination Of The Association Of Religiosity, Purity Culture, And Religious Trauma With Symptoms Of Depression And Anxiety, Kaelyn R. Griffin

UNLV Theses, Dissertations, Professional Papers, and Capstones

While no consistent definition yet exists for religious trauma, religious abuse is typically defined as a misuse of authority by a spiritual leader to coerce, control, or exploit those under their leadership, which may in turn lead to the experience of religious trauma. Numerous studies suggest that experiencing abuse within a religious environment is a both global phenomenon and common experience. The impact of religious abuse has recently gained greater media attention, specifically related to the social and psychological impact of leaving high-cost religious groups (i.e., those with rigid rules or groups from which departure leads to isolation and rejection …