Clinical Psychology Commons^™

Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan

2025 Fall Honors Capstones Projects - Archive

Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …

Assessing The Relationship Between Treatment Quality, Matching And Dosage And Juvenile Justice Outcomes Among Youth With Co-Occurring Substance Abuse And Mental Health Disorders, Kevin T. Wolff, Michael T. Baglivio, Joshua A. Lang

Publications and Research

This study examined differences among youth in deep-end juvenile justice residential placement who did, and did not, present with co-occurring disorders. The prevalence of cooccurring mental health and substance use/abuse issues was found to be 19%, far lower than that of prior work. Researchers demonstrated more similarities than differences between youth with and without co-occurring disorders, both in terms of their criminal histories and the prevalence of their criminogenic needs. Additionally, the residential programs across Florida appear to provide treatment at similarly high levels of integrity, as measured by 1) matching treatment services to the highest three dynamic risk assessed …

Demographic Similarity, Psychopathy, And Perceived Inherent Value: An Investigation Of Factors Influencing Moral Decision Making, Ashley Michelle Poston

UNLV Theses, Dissertations, Professional Papers, and Capstones

The present study experimentally manipulated the demographic characteristics of the subjects of moral dilemmas such that they were 20%, 40%, 60%, and 80% demographically similar to participants. Participants rated each of these individuals on a novel measure of perceived inherent value, the Perceived Inherent Value Scale (PIVS) and responded to a series of moral dilemmas using the Consequences, Norms, and preference for Inaction (CNI) model of moral decision making where the subjects of the moral dilemmas were the 20%, 40%, 60%, and 80% similar individuals. Participants rated individuals who were more demographically similar to themselves as having greater perceived inherent …

Intervention Outcomes Of A Family-Based Intervention: A Case Review Of An Asian American Adolescent At Clinical High Risk For Psychosis, Monica Elizabeth Done

UNLV Theses, Dissertations, Professional Papers, and Capstones

Schizophrenia is a lifelong and debilitating condition that occurs in approximately 1% of individuals globally and includes positive, negative, disorganized, and other symptoms that interfere with functioning. The onset typically happens in adolescence, and recently, there has been an emphasis on finding individuals who are at high clinical risk for developing psychosis (CHR-P). Additionally, there has been a focus on creating intervention programs that may treat symptoms in the early phases of illness and decrease the likelihood of developing a schizophrenia spectrum and other psychotic disorders (SSD). Furthermore, there is limited research on the potential impacts of cultural identity on …

Beyond Additive Risk: Longitudinal Associations Between Discrimination And Positive Affect Development Among Adolescents With Single And Multiple Marginalized Identities, Vanni Jefferson V. Arcaina

UNLV Theses, Dissertations, Professional Papers, and Capstones

Adolescents with marginalized identities often face chronic exposure to discrimination, a social stressor linked to a range of negative mental health outcomes. While much of the existing literature focuses on internalizing symptoms, fewer studies have explored how discrimination may disrupt the development of positive affect (POA), which is a core dimension of emotional well-being linked to resilience, identity formation, and long-term health. The present study examined how overall, race/ethnicity-based, and sexual minority (SM)-based discrimination affects longitudinal patterns of POA among adolescents with single or multiple marginalized identities. Drawing on four waves of data from the Adolescent Brain Cognitive Development Study, …

Program Outcome Evaluation Of A Flexibly Structured Individual Outpatient Program For Severe Obsessive Compulsive Disorder In A Private Practice Setting, Jason R. David

Doctoral Dissertations

The current study is a quantitative program evaluation of the effectiveness private practice for treating obsessive compulsive disorder while incorporating multiple validated components to reduce common barriers of treatment access. There were three outcomes used to evaluate the first being the reduction in symptom severity across treatment, the second being the length of time in treatment before reduction can be seen, and the third being the rates completing treatment as agreed by therapist and participant. The current study was able to complete analysis for the first and third research question, and unable to answer the second. The first and primary …

Netflix And Kill: The Role Of True Crime Consumption In The Development Of Acquired Capability For Suicide, Chandler Jayne Mcdaniel

Theses and Dissertations

The Interpersonal-Psychological Theory of Suicide (IPTS) identifies acquired capability as a key factor contributing to suicidal behavior. Previous research has shown that violent media exposure can increase suicidal risk through desensitization, imitation, and trauma activation. However, little is known about the role of true crime consumption (TCC), a popular form of violent media engagement, in relation to IPTS constructs. This study examined whether TCC predicts acquired capability for suicide, perceived burdensomeness, and thwarted belongingness. A total of 215 participants were retained after data cleaning. Hypotheses predicted that higher TCC would be associated with higher acquired capability (H1), that TCC would …

Profiles Of Adults With Attention-Deficit/Hyperactivity Disorder (Adhd) Using The Personality Assessment Inventory (Pai), Tailyn L. Gillette

Electronic Theses and Dissertations

Attention-Deficit/Hyperactivity Disorder (ADHD) is often diagnosed in childhood. However, the disorder can be more complex to diagnose in adulthood as several comorbid disorders may also impact attention. Many symptoms, often prevalent in childhood, taper off in adulthood, adding to the difficulty of differential diagnosis. Clinicians must decipher symptoms of ADHD from comorbid disorders during diagnostic procedures, which can be tedious. As the requests for adult ADHD diagnoses grow, the need for more efficient diagnostic procedures seems to be ever-present. The current research utilized an exploratory two-step cluster analysis to explore subgroups that resulted from archival data of adults with ADHD. …

Implicit Weight Bias Among Men In Allied Health Career Fields, Jessica Jensen

Walden Dissertations and Doctoral Studies

This quantitative study observed if there was a difference in the presence of implicit weight bias in men who work in allied health fields versus men not in allied health fields. Age and ethnicity (Hispanic/Non-Hispanic) were also observed in these groups as moderating factors to see if they also had differences in the effects between groups. The purpose of this study was to utilize an electronic weight-implicit association test (W-IAT) to identify any significant differences in the presence of weight bias between the two groups. Implicit weight bias in this population is problematic in that implicit bias, particularly implicit weight …

Quality Of Life And Mental Health: A Qualitative Exploration Of Perceived Factors That Impact Older Adults, Chasiti Herring

All-Inclusive List of Electronic Theses and Dissertations

Enhancing quality of life and well-being is a universal phenomenon across the lifespan. As the population ages, older adults are in great need of supportive services to enhance quality of life and their ability to manage their mental health. The purpose of this study is to examine the quality of life (QoL) of older adults. This study aimed to provide valuable research in the area of QoL through the exploration of perceived factors that impact the older adult population. This exploratory qualitative research study consisted of 10 older adult participants between the ages of 65 and 95. Research recruitment prioritized …

Comparing Profiles Of Impairment Among Children With Dmdd, Adhd, And Odd, Joanna Christmas

All-Inclusive List of Electronic Theses and Dissertations

Disruptive Mood Dysregulation Disorder (DMDD) has a high comorbidity rate with ADHD (Bruno et al., 2019), meaning that many children referred for ADHD evaluation may also meet criteria for DMDD. Additionally, the two disorders can have some similarity in how they present. Thus, clinicians who frequently assess children for ADHD could benefit from being aware of how measures commonly used in ADHD evaluations can also be useful in identifying characteristics of DMDD as well as patterns of impairment more specific to DMDD. The present study explored possible differences in parent and teacher ratings of child peer impairment as well as …

Exploring The Impact Of Identity-Based Bullying On Suicidal Thoughts And Behaviors Among 6th-12th Grade Youth In Virginia, Camille N. Johnson

Psychology Theses & Dissertations

Suicidal thoughts and behaviors (STBs) are a growing public health concern among youth. Bullying victimization is a robust risk factor for STBs and identity-based bullying (IBB) or bullying that occurs due to a person’s actual or perceived social-identity/identities that is ingrained in discrimination, prejudice, or bias, has been found to be more strongly associated with STBs compared to bullying that was unrelated to identity. The current study used data from the Virginia School Survey of Climate and Working Conditions (N=399,493) to examine associations between general bullying, adult-perpetrated bullying, and IBB with depression and STBs among 6th-12th grade youth. This study …

Examining Social And Intrapersonal Factors Among Youth Crisis Line Volunteers, Sunday Hull

Psychology Theses & Dissertations

Crisis lines provide a free crisis response service that is highly accessible to individuals who are at elevated risk of suicide and may not be otherwise connected with care. In order to best tailor crisis line interventions to youth populations, a number of youth-to-youth crisis lines invite youth callers to connect with trained youth volunteers. While prior research has examined adult crisis lines workers’ experience and well-being and identified key factors that predict positive and negative volunteering outcomes, far less is known about similar determinants of experience and well-being among adolescent volunteers on youth-to-youth crisis lines. The purpose of this …

Identifying Alcohol Intervention-Relevant Constructs For Greek Life: Examining Across Greek Membership And Gender Among College Students, Emily Susan Renzoni

Psychology Theses & Dissertations

Among college populations, students who are members of social Greek life organizations (i.e., social fraternities and sororities) drink more and experience higher rates of negative alcohol-related consequences than their non-affiliated peers. Although there has been success of alcohol interventions in general college populations, research has shown that college drinking interventions that are delivered to students in Greek life are not efficacious in reducing alcohol consumption or related consequences. It is meaningful to investigate if the content commonly addressed in these interventions, although well-documented as being linked to drinking in the general college population, has the same associations for students who …

Observed Parenting, Parent-Child Aggression, And Intimate Partner Violence As Predictive Of Family Dysfunction, Paige Munshell

Psychology Theses & Dissertations

Family systems theories contextualize violence as occurring across multiple levels of the family, yet much of the existing literature focuses on a single family member’s outcome (i.e., the child) and neglects to include data collected from fathers. This study examined the associations between indicators of functioning at the dyadic-level in the family system—observed parenting, Intimate Partner Violence (IPV) perpetration, and Parent-Child Aggression (PCA) risk—and later overall family dysfunction. Participants were 180 mothers and 144 of their male partners evaluated when their child was 18 months old and re-evaluated at 4 years old. Measures of observed parenting, IPV perpetration, and PCA …

Evaluating A Self-Guided Cognitive Behavioral Coping Skills Workbook For Sexual Violence-Exposed College Students Using A Nonconcurrent, Multiple Baseline Design, Marley F. Fradley

Graduate Theses and Dissertations

College students endorse high rates of sexual violence victimization and posttraumatic stress disorder (PTSD). Help-seeking behaviors in college students are low and may be impacted by limited financial resources, competing obligations, treatment-related stigma, and features of PTSD such as avoidance, fear, and shame. Novel opportunities for sexually victimized college students to engage with trauma-focused interventions are necessary to mitigate the biopsychosocial consequences of PTSD. In a nonconcurrent, multiple baseline trial of a self-guided cognitive behavioral workbook for PTSD, sexual violence-exposed college students (N = 6) completed a 3-, 4-, or 5-week baseline period and then utilized the study workbook for …

Gender Considerations When Examining The Association Between Military Sexual Trauma And Chronic Pain Conditions, Lily Sarfaraz

Dissertations

Military sexual trauma (MST) amongst veterans is a growing concern for the Veterans Health Administration (VHA). Veterans who screen positive for MST receive VHA care for any injuries caused as a result of MST, psychological or physical, free of charge. MST is difficult to track, can result in long-term disability, and the burden of illness varies across genders. Current data highlights discrepancies seen across the literature of actual detected MST cases, with rates varying vastly. Efforts to track prevalence of MST identify additional concerns over the various comorbidities seen in MST cases. When examining symptom sequalae of MST, there is …

Motor And Phonic Tic Severity And Its Relationship To Social, Emotional, And School Functioning In Children With Tourette Syndrome From The Caregivers’ Perspective, Courtney C. Thompson

Dissertations

Abstract

Tourette Syndrome (TS) is a neurodevelopmental disorder characterized by motor and phonic tics that is frequently associated with functional impairments. The present study examined the relationship between motor and phonic tic severity, comorbid conditions, academic accommodations, and the social, emotional, and school functioning of children with TS. Caregiver data were collected on tic severity, comorbid conditions, social, emotional, and school functioning, academic accommodations, and grades. Overall, social, emotional, and school functioning fell within the moderate range, with school functioning positively associated with social and emotional functioning. Phonic tics were linked to social functioning, whereas both motor and overall tic …

The Withdrawal From Afghanistan: Impacts On U.S. Veterans Who Served In Afghanistan, Nicole Wall

Dissertations

This study explored the experiences and perspectives of U.S. military veterans who served in Afghanistan regarding their views on the impacts of withdrawal from Afghanistan. Using a qualitative phenomenological approach, the study explored the effects of the immediate and unexpected withdrawal from Afghanistan as it pertains to military veterans' perspectives on the purpose, value, and meaning of their previous military service, and the service of future generations. The study included 10 participants who had previously served at least one deployment to Afghanistan; each participated in a semi-structured interview via phone call, Zoom meeting, or in-person. The interview included 10 demographic …

Understanding Mental Health Crisis Response Through The Lens Of First Responders, Ella Gibson

Student Theses

Responses to mental health crises are becoming an increasingly contentious topic as cases of extreme police violence or fatality during a crisis are publicized in the media. Although first responders’ experiences with mental health crisis response have been explored in prior literature, there remains a lack of research that gathers data from multiple first responder roles and compares their experiences across groups. There is also a significant gap in research examining the perspectives of co-response teams. This study sought to gather qualitative data on the experiences of police officers, EMTs/paramedics, and co-response team members, and to explore their perceptions of …

Cyberbullying Victimization And Suicide Behavior: The Roles Of Social Anxiety And Body-Related Comparison Among Young Latina Adults, Monica Elena Ochoa

Theses and Dissertations

Suicide behavior rates have increased over the years in the United States among Latinas and adolescents/young adults. Previous research has identified relationships between various body-related concerns, (e.g., body dissatisfaction, appearance comparison, and body shame) cyberbullying, social anxiety, and suicidal ideation, yet minimal research has examined the relationship of these factors and how they interrelate to explain suicide risk in Latina young adults. This study investigated whether body dissatisfaction, appearance comparison, and body shame had indirect effects on suicide behaviors through the interaction of cyberbullying victimization in 194 Latina college students. The results of this study found that cyberbullying victimization mediated …

Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel

Electronic Theses and Dissertations

Trauma is a substantial threat to public health. As such, significant effort has been exerted into developing interventions which mitigate the consequences of trauma. Trauma-informed practice (TIP) aims to alleviate the effects of trauma by building policies and practices focused on safety, trust, transparency, support, collaboration, and empowerment. This study investigated how individual-level factors, including readiness for organizational change, perceived benefit of TIP training, and personal trauma history affect one’s ability to apply a TIP lens in a sample (n =100) of members of a graduate-level college. Further, it explored if one’s perceptions of and response to trauma-informed practice training …

Emotion Regulation Flexibility And Well-Being In College Athletes In Aesthetic Sports, Kaitlyn D. Chamberlain

Graduate Theses and Dissertations

This study examined emotion regulation flexibility and well-being (including psychological well-being, physical well-being, perceived sport performance and worth of sport participation) in athletes in aesthetic sports. This population experiences high environmental demands and constraints and thus low control over their environment. Collegiate athletes within aesthetic sports and female athletes experience specific social factors and demands that threaten their well-being, compared to those experienced by male athletes and athletes within non-aesthetic sports. Consistent with the transactional theory of stress and coping, individuals with less power to regulate their environment will require greater ability to regulate themselves in accordance with their changing …

Exploring The Impacts Of Medical Invalidation On Postpartum Parents With Pcos, Shalini Venkat

Electronic Theses and Dissertations

Individuals with polycystic ovary syndrome (PCOS) face an increased risk of poor perinatal health, yet little is known about whether negative healthcare experiences contribute toward these outcomes. Patients with PCOS have reported experiencing invalidation by healthcare providers; however, the effects of these encounters in postpartum populations remain unclear. Using data from an online survey, the current study investigated whether PCOS status moderated the relationships between invalidating communication by healthcare providers, pregnancy and birth complications, postpartum depression, and postpartum anxiety. While experiences of invalidating communication by healthcare providers predicted worse perinatal health, those with PCOS solely experienced an increased risk of …

Differential Substance Use Screening Approaches Among Medical Providers Based On Pregnancy Status, Ericka L. Suarez-Vella

Walden Dissertations and Doctoral Studies

Exploring medical providers’ role in relation to pregnant individuals who use substances is critical. Understanding how screening practices and provider biases influence addiction treatment referrals based on pregnancy status can help address several key issues, including potential disparities resulting from provider bias. It can ensure fair referral practices, promote equitable access to treatment, and ensure timely intervention resulting in better health outcomes. It can influence changes to policy and procedure among healthcare and judicial establishments, ultimately improving the relationship between providers and patients. The purpose of this study was to explore how medical providers’ screening practices of substance use in …

Considerations And Guidelines For Clinical Training And Professional Practice In The Area Of Psychotherapy Termination, Elyssa L. Jampolsky

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Treatment termination occurs, invariably, in every psychotherapy relationship. Closing the therapy relationship is often a complex process and requires targeted training for psychotherapists to terminate treatment competently and in a way that preserves gains made and fosters continued client growth. Discontinuation of psychotherapy services requires practitioners to apply ethical knowledge, clinical expertise, and relational boundaries. Further, the nuances of forced, end-of-year termination in clinical training environments necessitates targeted supervision and explicit guidelines. Surprisingly, termination practices are underemphasized in training programs and in the literature. The current paper will review the extant literature related to psychotherapy termination broadly as well as …

Culturally Aware Mindfulness Training For Army Leaders: A Scalable Solution To Strengthen Mental Readiness, Katherine Dutler (Skowronski)

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This doctoral paper examines cost-effective, easily distributed mindfulness practices as a force-multiplier for psychological readiness in the U.S. Army. Daily mindfulness reduces symptom burden, raises distress tolerance, and sharpens performance—all without added equipment, appointments, or cost. However, stigma, long waitlists, and civilian-centric messaging still deter soldiers from adapting mindfulness practices. Rather than replacing clinicians, the program functions as preventive maintenance and a bridge while soldiers await care, thereby easing load on an overtaxed system. By embedding mental fitness alongside physical PT, the Army can advance its mandate to “deploy, fight, and win” with forces that are both mentally and physically …

Gender As A Moderator In The Relationship Between Crisis Call Responding And Police Job Satisfaction, Krystal Fuller

Walden Dissertations and Doctoral Studies

This quantitative study was conducted to investigate the relationship between crisis call responding and job satisfaction among police officers and whether gender moderates this relationship. With crisis helpline calls rising over the past decade, officers face increasing emotional labor demands, particularly female officers in male-dominated environments. While past research has explored stress and gender differences in law enforcement, few studies have examined their interaction. Using the job demands-resources model and gender role congruity theory, this study employed a correlational design with simple linear regression and Hayes’ PROCESS macro to test moderation effects. Participants included 78 police officers from central Texas …

Humor As A Predictor Of Life Satisfaction And Burnout Among Firefighters, Kayla Marie Kovach

Walden Dissertations and Doctoral Studies

Notwithstanding knowledge of the high stress levels experienced by firefighters, little is known about their coping strategies as compared with the general population. To address this gap, the differences in humor styles between firefighters and nonfirefighters in the prediction of life satisfaction and burnout were assessed. The study was grounded in the PERMA theory of well-being and the job demands-resources theory. A cross-sectional, correlational survey research design was used to assess if there are differences between firefighters and nonfirefighters in the types of humor (i.e., self-enhancing, affiliative, aggressive, and self-defeating) used and in the prediction of burnout and life satisfaction …

Our Teens Are Not Okay, But They Can Be: An Application Of The Family Firo Method To Improve Parent-Adolescent Communication About Suicide, Janene Pack Lpc, Cmhc, Peder Schillemat

Issues in Religion and Psychotherapy

This article explores the critical role of parent-teen communication in the mental well-being of teenagers, with a particular focus on its connection to suicide risk. A particular focus is on teens who live in Utah as the suicide rate for Utah teens and young adults is almost twice the national average. Despite the focus on families and religion in Utah, a significant number of teens continue to struggle with loneliness, hopelessness, and even thoughts of suicide. One key contributing factor to this struggle is the lack of open, supportive communication between Utah teens and their parents. The absence of effective …