Clinical Psychology Commons^™

Exploring The Relationship Between Mindfulness, Self-Compassion, And Empathy In Student Therapists, Nicole Montes

Dissertations

Literature suggests that the practice of mindfulness may foster self-compassion within the practitioner. Mindfulness is also associated with increased empathy towards others. The current study explored the relationship between a mindfulness intervention and student clinicians’ levels of self-compassion and empathy towards a mock “client.” Graduate student clinicians were randomly assigned to two groups: one that participated in a mindfulness exercise then viewed a mock client video, and another that did not participate in the mindfulness exercise and went directly to viewing the mock client video. Participants’ levels of empathy towards the client and self-compassion were measured. The results revealed no …

Morally Injurious Experiences, Trauma-Related Guilt, And Substance Use Among Iraq And Afghanistan Combat Veterans, Allison T. Battles

Psychology Theses & Dissertations

Exposure to morally injurious experiences (MIEs), or stressors that transgress deeply held moral beliefs, are risk factors for hazardous alcohol use and drug abuse among combat veterans. Guilt following a traumatic event also has a negative impact on veteran’s mental health and is conceptualized as a core symptom of moral injury that may elicit secondary outcomes, including substance use. Significant gaps remain in our understanding of the way MIEs and trauma-related guilt relate to hazardous alcohol use and drug abuse symptoms. Most prior research on MIEs and substance use have been limited to veterans sampled from the general population and …

Testing A Model Of Sexual Minority Orientation In Individuals With And Without The Broad Autism Phenotype, Lydia Ruth Qualls

Psychology Theses & Dissertations

Individuals with Autism Spectrum Disorder (ASD) and the Broad Autism Phenotype (BAP) are more likely than individuals with typical development (TD) to report a sexual minority orientation (e.g., Bejerot & Eriksson, 2014; DeWinter et al., 2017; Qualls, Hartmann, & Paulson, 2018). There has been no research on how existing theories of sexual orientation might explain the development or increased likelihood of sexual minority orientation in these individuals. The aim of this study was to operationalize and test the fit of an existing model of sexual orientation (Worthington, Savoy, Dillon, & Vernaglia, 2002) in individuals with TD, BAP, and ASD.

Participants …

Group Treatment Effectiveness For Substance Use Disorders: Abstinence Vs. Harm Reduction, Jill D. Parramore

Counseling & Human Services Theses & Dissertations

The purpose of this systematic review and meta-analysis was to compare group treatment effectiveness for substance use disorders within the U.S. across treatment philosophies as it relates to the primary research question, Is there a significant difference of group treatment effectiveness between Abstinence and Harm Reduction treatment philosophies? It was hypothesized that group treatment will remain an effective intervention to treat substance use disorders between treatment philosophies and that no significant differences exist between-group comparisons. The aim of this study is to provide evidence of treatment effectiveness that will ultimately improve treatment outcomes for substance use disorders, provide guidance for …

Hostile Attributions To Ambiguous Situations: A Vignette Study Of The Mediating Role Of Hostile Attributions In The Relationship Between Community Violence Exposure And Youths’ Aggressive Behaviors, Hyun Kim

Student Theses

The effect of exposure to community violence has received increasing attention in recent years, given its prevalence and negative psychological and behavioral consequences on adolescents, including aggression (Lambert et al., 2018). The existing literature links violence exposure to hostile interpretation of situations (Dodge et al., 1990; Huesmann, 1988), and hostile interpretations to aggressive responses (Bradshaw et al., 2009; Crick & Dodge, 1994; Dodge et al., 1990). However, most studies have focused on parenting practices and within home violence. Few studies have examined the possible mediating role of hostile attribution bias in the relationship between community violence exposure and youth aggression, …

Cross-Age Peer Mentoring: A Meta-Analysis, Samantha Burton

Graduate Doctoral Dissertations

Youth mentoring programs are a promising intervention for youth, particularly those who experience or are at risk for developing a range of psychological, social, behavioral, and contextual difficulties. Cross-age peer mentoring is a form of formal peer mentoring that matches an older youth mentor with a younger youth mentee to promote positive youth outcomes. The current study used meta-analysis to explore the overall effectiveness of cross-age peer mentoring programs, as well as to explore moderators of cross-age peer mentoring program effectiveness. A comprehensive search of the literature published prior to April 2019 was conducted to identify evaluations of cross-age peer …

The Effectiveness Of A Mindfulness, Acceptance, Valued Action, And Flexible Coping Intervention For Race-Based Stress On Momentary Coping And Distress Symptoms, Jennifer Honculada Martinez

Graduate Doctoral Dissertations

Racism and racism-related stress has been shown to be associated with negative mental health outcomes among people of color (POC), such as increased depressive and anxious symptoms (e.g., Williams, Neighbors, & Jackson, 2003). Further, approximately up to 98% of all POC report experiencing a racist experience over the past year and in their lifetime, indicating that racism-related stress is a chronic experience. Most research on coping with racism has evaluated the cross-sectional impact of racism and mental health but has yet to identify which coping strategies may be most effective as buffers against the psychological impact of racism. Further, little …

Fatalism As A Cultural Influence On Correlates Of Anxiety And Worry In Latino/A Adolescents., Judy Mier-Chairez

Electronic Theses and Dissertations

Evidence that Latino/as in the United States experience lower rates of anxiety disorders as compared to the non-Latino/a White population has not yet led to the identification of the sources of these differences. Higher rates of anxiety disorders among more acculturated Latino/a individuals compared to those lower in acculturation suggest there are influential cultural variables relevant to anxiety, specifically that there is a loss of a protective Latino/a cultural factor in the acculturation process. Fatalism, an often-cited Latino/a cultural characteristic, emerges as an intriguing candidate for exploration in relation to anxiety due to the shared elements of future orientation and …

Resiliency As A Moderating Factor For The Impact Of Adverse Childhood Experiences On Substance Use In American Indian And Caucasian College Students, Emily Sargent

Theses and Dissertations

College students engage in frequent substance use behaviors and experience related consequences. Previous research suggests American Indians (AIs) experience higher rates of substance use and related consequences. Further, AIs may experience negative substance use outcomes given higher rates of adverse childhood experiences (ACEs). However, resiliency (i.e., experiencing positive outcomes despite adversity in one’s life) may be one factor that moderates the relationship between ACEs and substance use to in order to reduce use and negative consequences. The current study examined alcohol and drug use/consequences, ACEs, and resiliency among AI (n = 69) and Caucasian (CA; n= 91) university students via …

Coping Self-Efficacy As A Potential Moderator Of The Relationship Between Sexual Orientation And Negative Mental Health Outcomes, James M. Macchia

Psychology Theses & Dissertations

Sexual minority individuals (i.e., those who identify as a sexual orientation other than heterosexual) have consistently been linked to an increased risk of negative mental health outcomes. The process of coping can impact the content and severity of said outcomes, and one’s ability to cope is often predicted by the concept known as coping self-efficacy (i.e., one’s belief in his or her ability to cope). This study aimed to assess the effects of sexual orientation, coping self-efficacy, and their interactions on mental health by looking at different aspects of coping self-efficacy as potential moderating variables. Self-perceptions of coping skills were …

Healthy Identity Development Among Black Same-Gender Loving Men: A Mixed Methods Approach, Byron D. Brooks

Electronic Theses and Dissertations

Black Same-Gender Loving Men (BSGLM) are a population at the juncture of multiple marginalized identities, which may make it difficult to successfully form their identity due to experienced racism and heterosexism from communities to which they belong. Current paradigms of racial/ethnic and sexual identity do not fully capture the complexities of identity development among BSGLM. Moreover, there is scant literature available detailing what the process of identity development looks like among this population and which factors influence identity development among BSGLM. As such, the current study used an exploratory sequential mixed methods design to first discover what healthy identity looks …

Alcohol Use And Drinking-Related Eating Restriction Behaviors Among College Students, Peter Preonas

Psychology Theses & Dissertations

The combination of eating restrictions and alcohol use is a prevalent problem on college campuses. Some students engage in eating restrictions prior to drinking to limit their overall caloric intake or to enhance intoxication effects. To date, limited research suggests that drinking-related eating restriction behaviors are associated with additional and unique health risks relative to high-risk drinking or eating restrictions alone. As such, additional research examining this unique, risky set of behaviors is warranted. Consequently, the present study aimed to address gaps in the literature by further examining the risks associated with drinking-related eating restrictions and testing trait factors related …

Identifying School Climate Predictors Of School Absenteeism, Victoria Bacon

UNLV Theses, Dissertations, Professional Papers, and Capstones

Attendance is a crucial component of the education system and may be addressed utilizing Multi-Tiered System of Supports (MTSS) models. To effectively utilize such models, clear demarcations between tiers must exist to classify students appropriately. Additionally, relevant risk and protective factors must be identified as targets for intervention and prevention efforts at each tier. Little research exists that identifies school climate factors, and other student-based contextual factors such as academic mindset and social emotional learning, that impact absenteeism. The present study aimed to identify suitable tier demarcations as well as school climate and student-based contextual factors relevant at each tier. …

Examination Of The Relationship Between Sport-Specific Thoughts And Emotions And Anxiety And Depression In College Athletes, Marina Elizabeth Harris

UNLV Theses, Dissertations, Professional Papers, and Capstones

Depression and anxiety are prevalent mental health difficulties affecting student athletes, who notoriously reject mental health interventions that are not sport-relevant. This study will assist in understanding the extent to which sport-relevant thoughts and emotions impact depression and anxiety in collegiate athletes. Two-hundred and twenty-five NCAA athletes competing at the Division, I, II, or III level were administered the Sport Interference Checklist (SIC), Test of Performance Strategies (TOPS), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire (PHQ-9). Results of correlational analyses revealed a significant relationship between SIC Dysfunctional Thinking (in training and competition) and anxiety (GAD-7) and depressive (PHQ-9) symptoms, …

Examination Of The Influence Of Consumer Preferences For Cognitive Behavioral Treatment Components And Consumer Effort During Treatment Sessions On Child Welfare Outcomes, Christopher Philip Plant

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: The current study is a secondary analysis of one arm of a controlled trial evaluating the efficacy of FBT-CW for mothers identified for concurrent child neglect and substance abuse (see Donohue et al., 2014). FBT-CW is comprised of multiple cognitive behavioral intervention components targeting skill sets that are hypothesized to influence child neglect and/or substance abuse. The primary areas of focus for these interventions include: (a) management of antecedents to substance abuse and/or child neglect, (b) parenting skills training, (c) communication skills training, and (d) job getting and financial management skills. Purpose: The purpose of this study was to …

Examination Of Factors Reported By Athletes To Interfere With Their Lives Outside Of Sports, Jesse Scott

UNLV Theses, Dissertations, Professional Papers, and Capstones

The original Sport Interference Checklist (SIC) is a mental-health screening instrument designed to assess the extent to which mental health factors interfere with athletes’ performance during sport training or competition. In addition, the SIC appraises whether athletes are interested in pursuing psychological treatment for the aforementioned factors. Although validated, the SIC does not assess how the aforementioned factors affect athletes’ performance outside of sports. Doing so would permit professionals to examine the influence of these factors across sport training, sport competition, and life outside of sports.

The purpose of this study was to determine the psychometric properties and clinical utility …

Menstrual Cycle Changes In Dysregulated Eating Symptoms, Kimberly S. Stevens

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Animal and human data indicate that fluctuations in ovarian hormones (e.g., estrogen and progesterone) across the estrus/menstrual cycle drive changes in eating behavior. Post-ovulatory phases (i.e., mid-luteal and pre-menstrual in women) correspond to distinct ovarian hormone profiles (i.e., low estradiol or high estradiol coupled with high progesterone) that are known to have stimulatory effects on eating behavior and have been associated with increased risk for emotional eating and binge eating. Nonetheless, other specific components of dysregulated eating (e.g., preoccupation with food, loss of control over eating) that are related to and/or prospectively predict the development of clinical binge eating …

Investigating A Multimodal Approach To Clinical Diagnosis Of Mild Cognitive Impairment And Alzheimer’S Disease, Sean M. Flannery

Psychology Theses & Dissertations

An estimated 5.8 million Americans suffer from dementia due to Alzheimer’s disease (AD), with that number projected to grow to 13.8 million by mid-century (Alzheimer’s Association, 2019). Mild cognitive impairment (MCI) describes the stage between normal cognitive decline that comes with aging and a dementia diagnosis (Peterson, 1999). Due to a lack of a cure or particularly effective treatment, a major goal of treatment is to focus on improving quality of life (Budson & Solomon, 2016). An early and accurate diagnosis can address this goal in a variety of ways. Despite the high prevalence and immense amount of research in …

The 23: Racial And Other Demographic Differences In The Assignment Of Risk Factors For Individuals Found Not Guilty By Reason Of Insanity In Virginia, Dominique Raquel Blanchette

Psychology Theses & Dissertations

Not Guilty by Reason of Insanity (NGRI) acquittees uniquely walk the line of involvement in both the criminal justice and mental health systems, both of which have literature indicating the presence of underlying racial biases related to practices and outcomes. The current study examined 366 forensic charts from an inpatient psychiatric hospital in Virginia to examine potential differences in the number of risk factors assigned for NGRI acquittees based on a variety of demographic variables. Information about demographic characteristics, psychiatric history, and criminal history was recorded and analyzed. It was hypothesized that younger age, male gender, a psychotic diagnosis, violent …

A Multi-Dimensional Model Of Sexual Stigma And Relationship Satisfaction Among Female Same-Sex Couples: The Self-Fulfilling Prophecy Of Rejection Sensitivity, Alexander Thomas Shappie

Psychology Theses & Dissertations

Sexual stigma is associated with impaired relationship functioning among sexual minority couples and is associated with a variety of negative outcomes that result in an inequitable burden for members of this population. While there is considerable evidence that sexual stigma and minority stress are related to individual health outcomes, less research has examined relationship health. The present study provides an important contribution to the literature because it was the first to offer a dyadic model that tested the relatedness between all three individual-level manifestations of sexual stigma (i.e., enacted, internalized, and perceived sexual stigma) and relationship satisfaction among same-sex couples. …

Mindfulness And Its Impact On Adaptive Coping And Psychological Well-Being: An Intervention For Undergraduate Students, Charles Bradley Freligh

Psychology Theses & Dissertations

The concept of mindfulness has been shown to positively impact psychological well-being, and one application of mindfulness-based interventions has been the development and implementation of courses specifically for college students, a population that has been shown to be particularly vulnerable to the negative impacts of stress. While these interventions have displayed beneficial outcomes, the mechanisms of how mindfulness exerts its impact remain unclear. One potential mechanism of mindfulness’ enhancement of well-being may be through its cultivation of an adaptive coping style in which an individual becomes more likely to approach and investigate stressors rather than avoid them. In this study, …

Psychopathy Assessment And Related Constructs: Differences And Distinctions For Primary And Secondary Psychopaths, Simon Saleem

Electronic Theses and Dissertations

This study investigated the assessment of psychopathy from the perspectives of two self-report scales that differ substantially their construction and conceptual approach to the fundamental clinical subtyping of psychopaths: primary versus secondary psychopathic presentations. The self-report scales used in this study were the Levenson Self-Report of Psychopathy Scale (LSRP; Levenson et al., 1995) and the Perkins’ Alienation Scale-Short Version (PAS; Perkins & Harper, 1998). It was hypothesized that the presence of psychopathy would demonstrate significant presence in the distribution of undergraduate students and additionally, that these measures would demonstrate construct validity and replicate previously established relationships between psychopathy measures and …

Effects Of Perceived Poverty And Chaotic Living Conditions On Externalizing Problems In At-Risk Adolescents, Margaret Bullerjahn

Master's Theses

Adolescent externalizing behaviors have consistently been related to both poverty and family dysfunction within the psychological literature; however, the distinction between the effects of objective poverty and perceived poverty on adolescent behavior is relatively new. The current study aimed at understanding the relationship between adolescents’ perceived poverty and their engagement in externalizing behaviors. The sample for this study is 194 at-risk youths in a military-style residential program. Participants completed a series of questionnaires addressing perceptions of their family’s financial status, family chaos, the number of daily routines practiced within their home, and history of externalizing behaviors. Additionally, information about participants’ …

Mental Healthcare Providers' Personality And Its Relation To Preferences Of Client Personality, Taylor R. Rodriguez

Master's Theses

The incorporation of personality assessment and client treatment preferences in psychotherapy has implications for therapeutic processes and outcomes (e.g., treatment engagement, retention). While this research has largely focused on client characteristics and traits, mental healthcare providers seem to demonstrate differing perspectives of clients as a function of both their own and their clients’ personalities. However, no prior literature has considered providers’ pretreatment preferences of clients. The current study aimed to examine providers’ unique personality profiles and their associations with preferences for client personality characteristics utilizing a person-centered personality approach (i.e., latent profile analysis). Specifically, the study (1) examined providers’ personality …

An Exploration Of Social Networking Use And Mental Health In Transgender, Gender Non-Conforming, Gender Non-Binary, And Gender Fluid Persons, Jennifer Trimpey

Doctoral Dissertations

Social networking sites (SNS) allow for rapid information sharing in online spaces. Research in the general public suggests that extended SNS use corresponds with poor mental health outcomes such as depression and anxiety. Research regarding SNS use in LGBT populations seems to promote interpersonal connectedness. While such studies tend to include gender non-conforming persons (GNC), this group often represents a minimal proportion of participants. This study sought to explore SNS and mental health in persons identifying as GNC. A grounded theory approach was used to analyze the data to develop a substantive theory regarding SNS and mental health in this …

Clinical Work With Adult Male Incest Survivors: Therapeutic Themes And Perspectives, Kathryn B. Rosenberg

Doctoral Dissertations

For psychotherapists, encountering clients who have experienced sexual trauma or abuse is inevitable, whether or not the abuse is disclosed to the therapist; however, mental health professionals receive extremely limited (if any) training on how to identify or effectively support adult clients who are survivors of childhood sexual abuse (CSA). Many people who experienced CSA, especially those who identify as male, remain isolated and invisible in their suffering as adults even within therapeutic spaces, facing what feel like insurmountable barriers – both internal and external – to getting help. When sexual abuse is intrafamilial, these barriers are both amplified and …

Symptom Presentation Of Sexually Abused Youth: Associations With Abuse Attributions, Brittany Biles

Department of Psychology: Dissertations, Theses, and Student Research

Child sexual abuse (CSA) outcomes are heterogeneous. Some victims display a combination of externalizing behaviors (e.g., aggression) and internalizing symptoms (e.g., depression), while others present with minimal symptoms (Domhardt, Munzer, Fegert, & Goldbeck, 2015). Among the factors that have been explored as relating to CSA outcomes are child characteristics (e.g., age; Dube et al., 2005), abuse-specific variables (e.g., abuse severity; Stroebel et al., 2012), and family variables (e.g., familial social support; Ryan, Kilmer, Cause, Watanabe, & Hoyt, 2000). Although much of the literature supports these factors as contributing to outcomes following CSA, conclusions have been inconsistent. Research has begun to …

Feasibility And Validity Of Asking Patients To Define Individual Levels Of Meaningful Change On Patient-Reported Outcomes, Salene M.W. Jones, Yuxian Du, Ari Bell-Brown, Kaylin Bolt, Joseph M. Unger

Journal of Patient-Centered Research and Reviews

Purpose: Patient-reported outcomes (PROs) are frequently used in clinical care to monitor treatment response. However, most guidelines on PRO use treat all patients the same. This study tested the feasibility and validity of a method for determining individually meaningful change in PRO measures.

Methods: Participants (n = 398) completed 12 pain and distress questions to define individually meaningful change. This mixed-methods study used both quantitative and qualitative analyses, including descriptive statistics, inferential statistics, and content analysis.

Results: Two-thirds (67%) of the sample reported at least one medical condition, including depression and back pain. Most participants (70%–90%) were able to answer …

Creatively Exploring Self: Applying Organic Inquiry, A Transpersonal And Intuitive Methodology, Larisa J. Bardsley Phd

The Qualitative Report

This article explores the merit of using Organic Inquiry, a qualitative research approach that is most effectively applied to areas of psychological and spiritual growth. Organic Inquiry is a research approach where the psyche of the researcher becomes the instrument of the research, working in partnership with the experiences of participants and guided by liminal and spiritual influences. Organic Inquiry is presented as a unique methodology that can incorporate other non-traditional research methods, including intuitive, autoethnographic and creative techniques. The validity and application of Organic Inquiry, as well as its strengths and limitations are discussed in the light of the …

Examining Patterns Of Executive Functioning Across Dimensions Of Psychopathology, Scott Roye

LSU Doctoral Dissertations

Executive functioning is a multifaceted collection of higher-order cognitive processes used to perform goal-oriented tasks. Although this construct is heavily researched, a major issue regarding the current literature stems from the influence of task impurity, which interferes with how executive functioning performance is interpreted. Additionally, while executive functioning has been previously explored in clinical populations, less work has evaluated this topic measuring dimensional psychopathology. The present study sought to examine the role of executive functioning, as it relates to dimensional psychopathology. Data was analyzed from a total of 731 individuals between the age of 18-59 years who took part in …