Clinical Psychology Commons^™

Factors Associated With Patient-Reported Experiences And Outcomes Of Substance Use Disorder Treatment In Cape Town, South Africa, Bronwyn Myers, J. Randy Koch, Kim Johnson, Nadine Harker

Psychology Publications

Background

Interventions are needed to improve the quality of South Africa’s substance use disorder (SUD) treatment system. This study aimed to identify factors associated with patient-reported suboptimal access, quality, and outcomes of SUD treatment to guide the design of targeted quality improvement initiatives.

Method

We analysed clinical record and patient survey data routinely collected by SUD services in the Western Cape Province, South Africa. The sample included 1097 treatment episodes, representing 32% of all episodes in 2019. Using multivariate logistic regression, we modelled socio-demographic, substance use and treatment correlates of patient-reported suboptimal access to, quality and outcomes of SUD treatment. …

A Call To Dismantle Systemic Racism In Criminal Legal Systems, Cynthia J. Najdowski, Margaret C. Stevenson

Psychology Faculty Scholarship

Objectives: In October 2021, APA passed a resolution addressing ways psychologists could work to dismantle systemic racism in criminal legal systems. The present report, developed to inform APA’s policy resolution, details the scope of the problem and offers recommendations for policy and psychologists to address the issue by advancing related science and practice. Specifically, it acknowledges the roots of modern-day racial and ethnic disparities in rates of criminalization and punishment for people of color as compared to White people. Next, the report reviews existing theory and research that helps explain the underlying psychological mechanisms driving racial and ethnic disparities …

Motherless Mothers: Attachment, Grief, And The Development Of Maternal Identity In A Sample Of Maternally Bereaved First-Time Pregnant Women, Ronit Grofman Margalit

Selected Full-Text Dissertations 2020-

This study investigated the development of maternal identity among maternally bereaved first-time pregnant women over 17 weeks of gestation, who lost their mother more than 12 months before their pregnancy. The aim of this study was to explore the relationships among attachment-related avoidance, attachment-related anxiety, maternal identity, and grief reactions. Participants were recruited online via announcements on email listservs, social media, bereavement forums, and pregnancy forums. A cross-sectional study was conducted among N = 250 primigravida women who experienced the death of their mother at least a year prior to their pregnancy. Data were collected using online self-report measures. Attachment-related …

Applying Dialectical Behavior Therapy To Latinx Youth Experiencing Deportation Stress: A Critical Literature Review And Culturally Congruent Application, Desiree Curcio

Selected Full Text Dissertations, 2011-

Deportation policies from Immigration and Customs Enforcement (ICE) have harmful effects on the mental health of immigrant families in the US. These effects can be experienced at multiple points such as living in fear of deportation, undergoing ICE raids, becoming detained, or being deported. The children that witness these experiences of deportation within their families are impacted substantially. Some of the psychological effects of having a parent deported or detained can include internalizing and externalizing problems, attention difficulties, emotional and behavioral changes, interpersonal conflict, and feeling like a burden. While the impacts of deportation on youth are highlighted in the …

Memory For Emotional Expressions In Adults With Acquired Brain Injuries, Lauren Jeanne Radigan

Wayne State University Dissertations

Introduction: Memory for emotions expressed by others forms the continuity that characterizes unique and intimate relationships. Successful memory for facial expressions requires the ability to remember the identity of the face (who showed the emotion) as well as the emotion (which emotion they showed). People with acquired brain injuries (ABI) frequently have problems with social cognition, which involves understanding cues that communicate emotional and interpersonal information. ABI is commonly associated with trouble perceiving emotional expressions and recognizing the identity of faces; however, research on memory for emotions after ABI is sparse. This study examined cognitive and emotional characteristics that contribute …

Risk Factors For Traumatic Bonding And Associations With Ptsd Symptoms, Emma Virginia Shaughnessy

Dissertations and Theses

What could lead individuals to become attached to people who cause them harm? Traumatic bonding, a construct similar to, yet distinct from, Stockholm syndrome, offers one possible psychological explanation as to why many people with abusive romantic partners do not break off these relationships. But the question remains: when comparing individuals with abusive romantic partners, what individual-level factors make some of these people more likely than others to develop traumatic bonding toward their current partners? A path model tested the associations among childhood maltreatment, attachment insecurity, traumatic bonding, and PTSD symptoms in a sample of 354 participants in abusive relationships. …

The Deaf Community And Their Preferences In A Clinical Psychological Setting, Alexandra Alonso

Honors Undergraduate Theses

The focus of this study was to examine the Deaf community and their preferences for both a psychologist and the language utilized in a clinical psychological setting. The study gave each participant a mock profile for a psychologist and then asked participants to answer questions on their perceptions of the psychologist provided. A total of 22 participants who identified as Deaf, deaf, hard-of-hearing, or as an individual with hearing loss were surveyed. Results indicated that participants randomly assigned to the Deaf psychologist had higher rates of satisfaction and trust over participants who were assigned to other psychologists. The study also …

Technology Screens And Effects On Attention: A Meta-Analysis, Carly A. Haxel

Honors Undergraduate Theses

This study looks at how technology screens have an effect on academic performance considering how technology is becoming relied upon more every day. A meta-analytic review that quantitively combines data was conducted to estimate effect sizes between technology screens and academic performance. The study held no restrictions on location or ethnicity. 12 studies were chosen, consisting of 31,844 total participants. Ethnicity, research design, and screen type were found to moderate the effect of screen time on academic performance. Theoretical implications and future research is also discussed in this study.

Underlying Dimensions Of Posttraumatic Stress Disorder Symptoms Pre And Post-Treatment In Women With Co-Occurring Substance Use Disorder, Emy Willis

Electronic Theses and Dissertations, 2020-2023

A considerable proportion of women worldwide have experienced various manner of abuse in their lifetime (Devries et al., 2011). Women are more at risk of exposure to physical and sexual violence (Hedtke et al., 2008), and women who have experienced interpersonal violence are at heightened risk of developing several mental health conditions including posttraumatic stress disorder (PTSD), and substance use disorders (SUDs; Acierno et al., 1999; McGruder-Johnson et al., 2000; Messman-Moore & Bhuptani, 2017). Treatment outcomes for individuals with co-occurring PTSD and SUDs tend to be worse than for those diagnosed with PTSD alone (Schäfer & Najavits, 2007), and outcome …

The Role Of Childhood Abuse In Subsequent Event-Level Risky Sexual Behavior And Substance Use, Megan C. Kennedy

Graduate Research Theses & Dissertations

Childhood abuse is widespread and associated with negative consequences including mental illness, revictimization, substance use, and impaired functioning. Emotion dysregulation is a possible explanation for the relationship between childhood abuse and subsequent outcomes. Potential pathways between childhood abuse history, risky sexual behavior, and substance use have been explored, with evidence for use of sex and substances to avoid negative affectivity associated with greater risky sexual behavior and substance use. Risky sexual behavior (RSB) is defined as any behavior that places individuals at greater risk for negative outcomes and often include condomless sex, substance use prior to or during sex, and …

Satanists’ Sexual Self-Concept, Samuel Danielson

All Graduate Theses, Dissertations, and Other Capstone Projects

The present study examines sexuality within an international sample (n = 908) of modern Satanists. Sociodemographic and religious data from this sample are provided. Frequencies of Satanists’ engagement in different sexual behaviors are also explored. Furthermore, two aspects of Satanists’ sexual self-concept, sexual self-esteem and sexual anxiety, are assessed along with these variables’ relationships with the strength of Satanists’ group identity and the length of time identifying as a Satanist. Results indicate that the strength of Satanists’ identity impacts both their sexual self-esteem and sexual anxiety. Limitations and directions for future research on Satanism and sexuality are discussed.

Examining The Effects Of An Online Group Social Skills Program On Emotion Regulation Skills For Adolescents And Young Adults With An Autism Spectrum Disorder, Breanna Perron

All Graduate Theses, Dissertations, and Other Capstone Projects

Difficulties with emotion regulation and social skills have been identified as core deficits for individuals with an autism spectrum disorder (Turcotte et al., 2016). These deficits have been shown to lead to a multitude of social consequences and difficulties across the lifespan when unaddressed (Shattuck et al., 2011). Therefore, it is vital to establish effective interventions to teach the skills necessary to combat those deficits. The present study uses a behavioral skills training model to teach emotion regulation online using video modeling. The results provide potential support for increasing emotion regulation through the teaching of social skills. There were also …

Predictors Of Ptsd, Depression, And Suicide-Related Outcomes For Military Personnel And First Responders In A Three-Week Intensive Outpatient Program For Ptsd, Victoria Steigerwald

Electronic Theses and Dissertations, 2020-2023

Military personnel and first responders are distinct populations that share similarities on work, cultural, and peritraumatic factors that may impact evidence-based PTSD treatment (EBT) outcomes. Little research to date has compared their response to EBTs or identified predictors of EBT outcomes for both populations. The present study examined whether first responders' treatment outcomes were non-inferior to those of military personnel in a three-week Trauma Management Therapy (TMT)-based intensive outpatient program (IOP) and whether baseline hyperarousal symptoms were predictive of outcomes. Data were analyzed from 111 military personnel and first responders (85.6% male, mean age=43.0 years) who completed the IOP. Changes …

Measuring Gender-Related Biases And Exploring Methods To Diminish Bias By Targeting Relations For Defusion, Chynna B. Frizell

Graduate Theses/Dissertations

Biases related to gender are an important area of empirical attention in the United States due to social challenges related to prejudice, stereotyping, and discrimination based on gender. The purpose of this study is to evaluate potential bias related to binary and nonbinary gender using a measure of relational responding rooted in Relational Density Theory (RDT) (Belisle & Dixon, 2020). Mass and volume of networks in terms of gendered stereotypical relations are assessed to further examine binary gendered stereotypes and to examine relations regarding nonbinary genders in the context of traditionally masculine and feminine labels. Implicit biases regarding male and …

A Job-Demand Resource Theory And Psychological Flexibility Integrated Model Of Police Officer Burnout, Lucas David Baker

Dissertations and Theses

Police officers encounter stressors as a result of job responsibilities that contribute to high rates of occupational burnout. Defined by three primary components (emotional exhaustion, depersonalization, and professional inefficacy), burnout is associated with health- and work-related problems among officers. In addition, police agencies incur significant costs associated with burnout due to performance decline and turnover. Officer burnout is also a matter of public interest given that burnout is associated with low prosocial behavior and high use of force. As such, research that aims to explore the formation and maintenance of officer burnout may be consequential for the profession and society …

Psychological Functioning And Community Support In Adolescents Exposed To A School Shooting, Jessica Taylor Kelly

Dissertations and Theses

This study evaluated the impact of community support, specifically the impact of a trauma-related community-led campaign, on high school youth following a school shooting. Adolescents are at risk for the adverse impacts of trauma exposure (Katsiyannis et al., 2018; Rajan et al., 2019; Heleniak et al., 2016; McDermott & Cobham, 2012; McLean et al., 2013; Schonfeld & Demaria, 2020). However, social support from one’s community has been found to protect against the psychological and functional consequences of exposure to trauma (Bal et al., 2003; Cheng et al., 2014; Derivois et al., 2014. The purpose of this study was to assess …

A Narrative Study Describing The Transition From Residential Treatment As A Child: An Adult Perspective, Alison Marie Vogelsang

Dissertations and Theses

To date, the literature sorely lacks empirical research exploring treatment outcomes among children in residential treatment centers (RTCs). Consequentially, there is an increasing demand for more studies examining such outcomes, particularly as they pertain to an individual’s experience leaving an RTC. There is even less research exploring the perspectives of individuals who resided in an RTC as a child due to the vulnerable nature of this population and difficulty in accessibility. The transitional period is believed to be a salient component impacting treatment outcomes, yet little is known about how this component of residential treatment is experienced and whether it …

Understanding How Different Personality Models Can Predict Non-Suicidal Self-Injurious Behaviors, Rachel Chavin

Dissertations and Theses

The current study seeks to examine the role of maladaptive personality traits and personality functioning’s relationship with non-suicidal self-injury (NSSI) engagement and suicidal behavior. Specifically, this study examined the validity of the Alternative Model of Personality Disorders (AMPD) in predicting historical and prospective self-harm behavior in comparison to the Five Factor Model. This study recruited 400 female participants, ages 18-24, who completed a battery of measures about personality functioning, traits, self-harm, and suicidal history. Two weeks after the initial assessment, participants completed a follow-up survey to assess their NSSI behavior over the past two weeks. Through point-biserial correlations, this study …

Externalizing Psychopathology In Individuals Who Have Criminally Offended: Factor Structure And Differential Outcome Associations, Robert Doss

Dissertations and Theses

In light of recent grievances with categorical conceptualizations of psychopathology, researchers recommend shifting away from categorical toward dimensional conceptualizations. However, research on dimensional conceptualizations and existing measurement tools’ ability to capture these dimensions is still in its early stages. Specifically, special attention has been paid to the externalizing dimension’s structure as a general dimension or two specific dimensions with shared characteristics (i.e., disinhibited externalizing and antagonistic externalizing). The current study aims to validate the PAI’s dimensional structure, focusing on the externalizing dimensions as depicted by the Hierarchical Taxonomy of Psychopathology (HiTOP) model, an emerging dimensional model of psychopathology. Participants were …

A Model Of Childhood Maltreatment, Ptsd Symptoms, Reinforcement Sensitivity, And Alcohol Outcomes In Young Adults, Logan E. Welker

Dissertations and Theses

Alcohol use poses a significant public health concern, particularly among young adults, 35% of whom report binge drinking (SAMHSA, 2019). Childhood maltreatment is reported by over 50% of young adults (Maples et al., 2014) which places individuals at a greater risk of problematic drinking (Goldstein et al., 2010). Developmental traumatology theory posits that 1) maltreatment-related psychobiological changes are responsible for the increased risk of dysfunctional alcohol use in maltreated individuals and 2) PTSD may be a good indicator of this psychobiological change (De Bellis, 2002). PTSD symptoms have mediated the relationship between childhood maltreatment and alcohol outcomes in previous studies …

Investigation On How Access To Insurance And Different Mental Health Services Impact Stigmatized Beliefs On Mental Health, Ashley Rossi, Barbie Hubner, Jordan Sferrazza

The Graduate Review

The current study aimed to investigate how access to insurance impacts mental health-related stigma and help-seeking attitudes, along with public and self-stigmatized views on seeking professional mental health services. Participants (N = 192) were recruited via Bridgewater State University Student Announcements and through convenience sampling. Individuals completed a survey consisting of five self-created questions and three different scales related to insurance coverage, mental health services, stigma, and help-seeking attitudes. We expected to find those with public insurance coverage would have higher self-stigmatized beliefs and lower help-seeking attitudes, but this hypothesis was not supported. We also expected that those with …

Observing The Relationship Between Health Locus Of Control And Help-Seeking Attitudes: A Multicultural Perspective, Jaymmy Cruz Matias, Erica A. English, Alan J. Stamper

The Graduate Review

Prior research has suggested that race/ethnicity and health locus of control (LOC) have an impact on mental health help-seeking attitudes. We investigated the relationship between these variables by administering a survey to 197 participants. We also explored the relationship between passive or active spiritual LOC and help-seeking attitudes. We found that White participants were more likely to seek out psychological help from primary care physicians, psychiatrists, and other mental health professionals compared to all other ethnic groups, which supported our second hypothesis. Also, all other ethnic groups were more likely to seek out spiritual help for psychological issues compared to …

Stigma And Criminalization Of Mental Health In An Inpatient Versus Jail Setting, Zachary C. B. Dumay, Jessica T. Harnais, Christina M. Cerminara

The Graduate Review

Stigmatization is the perceived, negative stereotype assigned to a group of individuals. This stigmatization has contributed to the criminalization of mental health, meaning that individuals with mental health issues are more likely to be arrested for behaviors that are not criminal. This project examines mental health stigma toward an individual in a psychiatric setting and a correctional setting. We hypothesized that when reading a vignette about an individual experiencing a mental health crisis, participants will stigmatize them more if they are incarcerated than if they are in a psychiatric facility. Results showed that participants exhibited a higher level of discrimination …

Childhood Adversity And Alexithymia: Implications For Health Status In An Urban Police Sample, Christopher P. Urbanik

Wayne State University Dissertations

American law enforcement is regarded as one of the most stressful occupations in the United States, involving repeated exposure to threatening or challenging encounters and the risk of severe injury and death. A voluminous literature has documented various psychophysiological implications of police stress, including morbidity and premature mortality. Adverse childhood experiences (ACEs) are potentially traumatic stressors during one’s formative years, such as abuse, neglect, and household violence and dysfunction. ACEs have been linked to increased mental and physical health risks, yet ACEs have not been studied in police officers. Given the increase in the level of stress experienced by today’s …

Experiences Of Cultural Disconnectedness Among Bosnian American Diaspora: A Phenomenological Perspective, Azra Osmancevic

Dissertations and Theses

ABSTRACT Diaspora, including immigrants and refugees, undergo various experiences in their new host countries related to cultural identity formation. One of the factors related to cultural identity development within the United States is feeling caught in between two identities, resulting in never truly feeling “here or there” (Suárez-Orozco & Suárez-Orozco, 2001). Experiences of cultural disconnectedness have been highlighted among the Bosnian American diaspora in numerous studies over the last two decades. Previous studies briefly described the challenges associated with diaspora balancing their native Bosnian cultures and host American cultures. The current study focused on the gap in the literature by …

Anhedonia And Impulsivity In College Alcohol Use: A Path Analysis, Sydney N. Stamatovich

Dissertations and Theses

This study tested a path model to explore whether different types of anhedonia are associated with alcohol use and problems via different types of impulsivity in 640 college students (ages 18-25). This study parsed anhedonia into four specific facets: consummatory and anticipatory anhedonia, and “recreational” and social anhedonia. Consummatory anhedonia (i.e., the “liking” of a reward) was hypothesized to be associated with alcohol use and problems via sensation seeking, a component of impulsivity where individuals tend to seek out rewarding, yet sometimes risky stimuli. Further, anticipatory anhedonia (i.e., the process of “looking forward to” or “wanting” a reward) was hypothesized …

Influence Of Social Expectations On Muscle Dysmorphia In College-Age Males Studying Exercise Science, Quinten Garver

Williams Honors College, Honors Research Projects

PURPOSE: To investigate the correlation between the risk of an individual developing MD and the presence of unrealistic social expectations. The research question is “How do unrealistic social expectations influence the development of muscle dysmorphia in college-age males studying exercise science?”. METHODS: An electronic survey was distributed to all exercise science students at The University of Akron. This survey was targeted exclusively at male students; any responses received by females were not analyzed. The survey consisted of 20 questions that were aimed at determining the individual’s risk of developing muscle dysmorphia and determining how likely the individual is to have …

The Expression Of Satanist Identity: Does Visible Identification Of Satanism Predict Discrimination And Depression?, Allyson Dudley

All Graduate Theses, Dissertations, and Other Capstone Projects

The current research examines the relationship between visible expression of religion, identification within Satanism, experiences of discrimination, and depression in a sample of modern Satanists (n = 1,272). Historically, Satanism has been scrutinized as immoral and a threat to public safety. The current research attempts to challenge that viewpoint by employing culturally competent methods and understanding of modern Satanism. Findings indicate a negative relationship between expression of Satanism and discrimination, expression of Satanism and depressive symptoms, in-group ties and discrimination, and identification (in-group ties and in-group affect) and depressive symptoms. Results show a positive relationship between identification with Satanism and …

The Impacts Of Learning 2 Breathe On Rumination, Adessa Flack

West Chester University Doctoral Projects

The present study examined the impact of Learning2Breathe (L2B), a mindfulness-based stress reduction program developed for use with adolescents on rumination. The program was applied to rumination in college-age men and women. Our experiment utilized a quasi-experimental design. The sample consisted of 50 undergraduate students that were placed in either the experimental or control group. Data was collected pretest and posttest through a variety of measures including the Rumination Reflection Questionnaire (RRQ) which consisted of a rumination and reflection subscale, and the Mindfulness Attention Awareness Scale (MAAS). A two-way mixed ANOVA design was used to analyze data. There was no …

Can It Heal And Hurt?: Survivors Of Sexual Assault Share The Benefits And Challenges Of Sexual Assault Support Group Participation, Brittni Gettys

West Chester University Doctoral Projects

Research exploring the relationships among trauma survivors is largely non-existent. This study aimed to explore the effects of relationships among individuals with a shared experience of sexual trauma within the group therapeutic context of sexual assault support groups. This study sought to examine the potential buffering and supportive effects of social support between sexual assault survivors, while also exploring the potential negative effects of shared trauma that may occur from the potentially triggering nature of seeking support from other sexual assault survivors. These complex dynamics were explored through examining the relationships and experiences of sexual assault survivors who have attended …