Clinical Psychology Commons^™

Reply [To Burnout Reflections: Musings On Bianchi And Schonfeld’S Five Focal Areas], Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Contrary to what one might assume, the burnout construct did not emerge from systematic research. The definition of burnout was formulated in the 1970s based on prenotions and anecdotal evidence. No sound empirical studies, no in-depth theoretical reflections, not even a review of the stress literature underpinned the introduction of the construct. It is thus unsurprising that some observers regard the edifice of burnout research with scepticism. The pioneers of burnout research neglected basic scientific standards and, by overlooking the abundant work of contemporary stress researchers, deprived themselves of important safeguards against illusions of novelty making big claims based on …

Predictors Of Mental Health Services Use In Integrated Primary Care During Covid-19, Joseph D. Harrison

PCOM Psychology Dissertations

The purpose of this study was to identify the predisposing, need, and enabling factors that predict mental health services use before and during COVID-19 in an integrated primary care network in the Philadelphia metropolitan area. This retrospective observational study examined a sample of primary care patients from January 2018 to February 2020 (i.e., pre-COVID-19) and March 2020 to December 2022 (i.e., peri- COVID-19) using electronic health record data. Mental health services use was defined as the number of appointments attended by patients. A hierarchical regression was conducted to identify predictors of mental health services use by sequentially adding sociodemographic predisposing …

Acculturation, Self-Esteem, Family Norms, And Disordered Eating Behaviors In South Asian Women, Angela Abraham

PCOM Psychology Dissertations

This study investigated the relationships among acculturation, self-esteem, family norms, and disordered eating behaviors among South Asian women living in the United States. Although research suggests culture plays a role in the etiology of eating disorders, little information on the experiences of South Asian women exists. This study sought to fill this gap in the literature. Using a cross-sectional, quantitative survey-based design, 151 South Asian women provided insight into their experiences with family norms, acculturation, self-esteem, and eating behaviors. Results indicated that acculturation was not significantly associated with disordered eating. However, self-esteem was found to be negatively associated with disordered …

A Qualitative Study Of Euphemistic Language And Identity Development Involving Sexual Assault, Keena Stewart

PCOM Psychology Dissertations

According to the Centers for Disease Control and Prevention, sexual violence refers to a situation in which sexual activity occurs and consent is not obtained or freely given. Sexual violence is a worldwide epidemic that impacts individuals of all communities, genders, ages, and sexual orientations. When considering the impact of sexual violence, the use or misuse of language is fundamental. Furthermore, the recovery process following a sexual assault is directly related to the presence or absence of resiliency factors. The purpose of this study was to explore and understand the effects of euphemized language on the identity development of individuals …

Pediatric Anxiety Disorders: Therapy Process Predictors Of Response To Cbt, Samantha Baker

PCOM Psychology Dissertations

CBT is moderately effective in the treatment of youth anxiety, yet there remains a sizeable number of youth who remain nonresponsive at posttreatment, and less than half achieve remission. Various patient-level variables have been examined concerning differential treatment outcomes for anxious youth, but fewer studies have examined therapy process variables. Using archival data, this study aimed to identify predictors of treatment response in youth with primary anxiety disorders who completed 16-weeks of CBT at a university-based clinic. Four samples of anxious youth, aged 7-17 were included in the analysis. Regression analyses revealed that increased skill acquisition and greater change in …

An Examination Of Adverse Childhood Experiences (Aces) And Post-Traumatic Growth (Ptg): A Quantitative Analysis Of The Variability Of Growth In Adulthood, Tasanya Rowe

Master's Theses or Doctor of Nursing Practice

ABSTRACT

This study examined the relationship between childhood and adolescent trauma, specifically Adverse Childhood Experiences (ACEs), and posttraumatic growth (PTG) in adulthood. Particular attention was given to the role of demographic variables, including race, gender, and socioeconomic status, in shaping trauma responses and recovery outcomes. A quantitative, cross-sectional, correlational, quasi-experimental design was employed. Participants (N = 132; aged 18–65 years) were recruited from general education classes at Fort Hays State University and the surrounding community. Participants completed a survey comprising the Juvenile Victimization Questionnaire–Reduced Item Version and the Posttraumatic Growth Inventory. Data were analyzed using bivariate correlations, ANOVAs, and multiple …

Not Strong Enough? The Role Of Resilience In The Development Of Big Five Personality In Adult Survivors Of Childhood Trauma, Erica Treto

Master's Theses or Doctor of Nursing Practice

Childhood trauma is a significant and increasing problem in the United States, with research showing that two-thirds of children have experienced at least one traumatic event before reaching the age of sixteen (SAMHSA, 2023). These events can have severe consequences in adulthood, including impacts on personality. However, there are protective factors, such as resilience, that can help mitigate the negative effects of childhood trauma. Extensive research and discussion have focused on the relationship between childhood trauma and personality, particularly in terms of mental health. However, research has been limited to investigating all Big Five personality traits and childhood traumas along …

Exploring The Connection Between Subclinical Autistic Traits And Dysfunction In The General Population, Victoria J. Carter

Master's Theses or Doctor of Nursing Practice

Autism Spectrum Disorder (ASD) has been a disorder of increased interest in research and diagnostic referrals in recent years, especially within higher functioning populations. However, little is still known about subclinical presentations of ASD and subclinical autistic symptoms. Due to the lack of symptoms to meet a diagnostic level, individuals experiencing subclinical autistic symptoms often do not have access to services and are overlooked in clinical settings. It is often assumed that because an individual is not diagnosable that they are not suffering because of the same symptoms that caused them to be at a subclinical level. This study aimed …

Burnout, Employee Satisfaction, Organizational Commitment, And The Big Five: A Healthcare Analysis, Courtney Molleker

Master's Theses or Doctor of Nursing Practice

Previous research has demonstrated connections between job satisfaction, organizational commitment, burnout, and personality traits in healthcare workers. Understanding these relationships can allow for greater insight into the healthcare worker shortage. The current study is aimed to further assess these relationships in addition to targeting subdomains within these variables. A total of 67 participants employed in a combined long-term care and assisted living facility completed measures regarding their employee satisfaction, attitudes towards organizational commitment and burnout, and questions related to their personality. It was hypothesized that employee satisfaction would significantly predict organizational commitment and burnout. The subdomains of burnout were also …

An Exploratory Approach To Understanding Assessment Errors On Measures Of Executive Functioning, Gurjot Mondair

PCOM Psychology Dissertations

The global risk of dementia due to longer lifespans and increased medical interventions necessitates accurate diagnosis of cognitive decline. Thus, the utilization of neuropsychological testing to diagnose disorders of cognitive decline should seek to ascertain multiple data, including success/failure of cognitive tasks and evaluation of error patterns. The purpose of this study was to examine the frequency of executive function (EF) errors across diagnoses of cognitive decline (age-related cognitive decline [ARCD], mild cognitive impairment [MCI], vascular dementia [VaD], frontotemporal dementia [FTD], Lewy body dementia [LBD], and Alzheimer’s disease [AD]) and to examine whether the specific types of EF errors (intrusion, …

Experiences Of Latina Single Mothers Raising Children With Autism Spectrum Disorder: A Qualitative Study, Shaila Alvarez

PCOM Psychology Dissertations

Autism spectrum disorder (ASD) is a prevalent neurodevelopmental disorder in children. Although the prevalence of ASD among Latino children and single mother households has increased in recent years, there is limited research that explores the experiences of Latina single mothers raising children with ASD. This qualitative study utilized a phenomenological approach to gain a better understanding of the experiences of Latina single mothers raising children with ASD, using the ecological framework to conceptualize their experiences within their cultural and environmental contexts. Semistructured interviews were conducted individually with nine single Latina mothers. The data collected during these semi-structured interviews were analyzed …

Examining Factors Considered In Autism Specialization Among Early Career Psychologists, Tarie Taylor

PCOM Psychology Dissertations

Families in the United States often face significant delays in accessing autism-related healthcare services. Despite routine autism-specific screenings at 18- and 24-month pediatric visits, there is still, on average, a gap of over two years before families receive an autism diagnosis (Chen et al., 2023). Although the literature cites factors like limited access to specialized providers and a lack of autism-specific services contributing to this delay (Cantor et al., 2020), further research is needed to explore the underlying factors influencing providers' decisions to specialize in an autism-related healthcare service. Thus, the current study used a mixed-methods, internet-based survey to examine …

Exploring Psychological Impacts, Coping, And Conflict Resolution Of Transnationalism On Parent-Child Relationships, Sally Sanchez

PCOM Psychology Dissertations

The number of immigrants migrating to the United States has increased over the past 30 years. Many of these immigrants leave behind their spouses and children, creating transnational families. Researchers have focused on the experiences of transnational families, but there is a need for continued research to further explore the psychological impact of separation and reunification. The purpose of this study was to identify the possible psychological impact of the separation and reunification process experienced by transnational families, and the coping strategies used during the process. This study used a qualitative design to explore the experiences of transnational families who …

Relating To Pain: Attachment As A Framework For Understanding Chronic Pain, Katie H. Brenner

Antioch University Dissertations & Theses

Despite contemporary Western healthcare’s emphasis on the biopsychosocial model of illness, there has been relatively limited attention given to the way that attachment relationships, as part of the social sphere of the model, impact individuals’ chronic pain experiences and management. Attachment influences help-seeking behaviors, sense of self-efficacy, coping skills, and communication abilities, all of which are implicated in pain experience and management. As such, this dissertation examines the question: Do attachment experiences influence how individuals perceive and manage chronic pain? This study expands on the existing research by conceptualizing attachment as a fluid experience that varies across relationships and circumstances, …

Examining Trauma And Substance Use Co-Morbidity In African Americans, Breanne Maray Sande Russell

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Childhood maltreatment (CM) is a profound public health crisis that significantly elevates the risk for substance use disorders (SUDs), including alcohol and opioid misuse. Adolescents exposed to CM are especially vulnerable, often turning to substances as maladaptive coping mechanisms during critical developmental periods. African American youth bear this disproportionate burden, yet research addressing their unique experiences remains strikingly limited. Furthermore, while the co-occurrence of trauma-related disorders and substance use is well documented, racial and ethnic minority groups continue to be underrepresented in this literature. Emotion regulation difficulties are increasingly recognized as a mechanism linking PTSD symptoms with substance use, yet …

Harming To Healing: Exploring Harm Reduction In Non-Suicidal Self-Injury Treatment, Athena Lewin

Scripps Senior Theses

Non-Suicidal Self-Injury (NSSI) is a maladaptive behavior that impacts individuals from all backgrounds, yet existing interventions often neglect harm reduction tactics that may enhance treatment outcomes. This study presents a quasi-experimental design to assess the effectiveness of harm reduction education when combined with a dialectical behavioral therapy (DBT) based and motivational interviewing (MI) based counseling for young women (ages 18-26) who meet the criteria for Non-Suicidal Self-Injury Disorder (NSSID). Participants will be randomly assigned to either a control group receiving only DBT/MI based therapy or an experimental group receiving both the DBT/MI based therapy and harm reduction education, which will …

Talking About Cancer And Tobacco (Tact) Study With Lgbtq Patients And Their Care Providers, William Bowling

Theses and Dissertations--Psychology

Due to multilevel factors, including a high prevalence of tobacco use, the burden of some cancers is disproportionately higher in the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community than the general population. Evidence-based tobacco treatment delivery with high rates of tobacco cessation would be a powerful tool for secondary cancer prevention in the LGBTQ community, yet few studies have explored this issue. The current study aimed to 1) uncover both positive and negative aspects related to the lived experience and treatment of LGBTQ cancer survivors who use tobacco, 2) elucidate barriers and facilitators of tobacco treatment and cessation, and …

Self-As-Context Moderation Of Relationship Fusion: A Comparison Of Intimate And Familial Relationship Impact On Weight Concern, Carly Carrasco-Wyant

Master's Theses and Doctoral Dissertations

This study explored how fusion in important relationships relates to weight concern and whether these effects are moderated by self-as-context perspectives and racial and ethnic background. Grounded in acceptance and commitment therapy (ACT) and relational frame theory (RFT), eight models were constructed to evaluate influence of important others when absent or present and when moderated by self-as-context, racial and ethnic background and in multiple moderation models analyses using data from 1,323 participants. Results indicated that fusion with family was significantly associated with greater weight concern, when family was absent (ß = 0.10, p = .03) and present (ß = 0.12, …

Increasing Nature Connection And Decreasing Climate Change Distress In An Indigenous Population: The Development Of A Traditional Ecological Knowledge Intervention Framework, Olathe Antonio

Graduate Student Theses, Dissertations, & Professional Papers

Research suggests that nature connection is positively correlated with pro-environmental behaviors, concern for the climate, general wellbeing, and subjective levels of climate change distress. Few research studies have examined how to increase nature connectedness without increasing psychological distress. Such research is especially important for those who are disproportionately affected by climate change such as Indigenous Peoples. To address this discrepancy, we developed a culturally-grounded psychological intervention framework based in traditional ecological knowledge (TEK) for Indigenous populations and offered an adapted example for a Navajo population. The intervention was created in collaboration with TEK experts to conceptualize key psychologically-relevant TEK principles, …

“Democracy,” Usa, Marc Edelman

Publications and Research

What does it mean to be an effective citizen in a democracy? Answering this question requires unpacking “democracy” and an analysis of institutions that systematically disempower and alienate citizens. This paper briefly examines the contributions of psychoanalysis to understanding democracy and authoritarianism. It scrutinizes U.S. governance institutions and points to democratic deficits and backsliding present even before Trump 1.0 and 2.0. These range from the Electoral College, the Senate, and the Supreme Court to the Federal Communications Commission. All contributed to institutionalizing minority rule and elite capture. Governance institutions failed to deliver what the American people tell opinion pollsters they …

Using A Dimension Reduction Approach To Parse Heterogeneity In Dietary Restriction, Amanda Makara

Theses and Dissertations

Dietary restriction, the problematic reduction of caloric or macronutrient intake, is a critical eating behavior occurring transdiagnostically across eating disorders and subclinical disordered eating. The definition of dietary restriction is highly heterogeneous, and restriction is often conflated with other distinct constructs, such as dietary restraint. The current practices related to the definition and measurement of dietary restriction have notable flaws, negatively impacting the ability to identify and establish risk, diagnosis, and treatment of eating disorders. There is also limited evidence that commonly-used dietary restriction measures can validly predict food choice and objective intake. These issues raise questions about whether dietary …

The Association Between Parental Bipolar Symptoms And Offspring Identity Formation: The Role Of Parental Attachment And Emotion Regulation, Alexa D. Loonam

Honors Undergraduate Theses

Identity development involves integrating various aspects of oneself into a unified self-concept; however, maladaptive identity formation can lead to negative mental health outcomes (Berman & Weems, 2016). Growing up with a caregiver exhibiting unpredictable behaviors may hinder this process, leaving children vulnerable during this critical stage (Schwartz & Petrova, 2018). The current study evaluated how bipolar symptoms among parents may impact one’s identity. College students (N = 399) completed an anonymous online survey battery for course credit. Results revealed that parental bipolar symptoms were positively correlated with ruminative identity exploration, identity distress, disturbed (unstable) identity, and lack of identity, …

Digital Recess, Screen Time Split: The Impact Of Online Schooling On Recreational Screen Time And Their Dual Impact On Anxiety, Meagan Allender

Honors Undergraduate Theses

This study explores the influence of online schooling, anxiety, and recreational screen time in college aged students. Previous studies have shown a positive correlation between screen usage and anxiety scores, assessing either online school or total screen time on anxiety. However, no study had looked at the correlation between online schooling and recreational screen time, nor had any study assessed both their effects on anxiety at the same time. Using a sample of 71 participants, a bivariate regression was conducted to evaluate the correlation of each type of screen time with one another, then another regression was run to assess …

Resilience As A Protective Factor For Parents Of Young Children With Adverse Childhood Experiences And Socioeconomic Challenges, Hennys Torrealba

Honors Undergraduate Theses

The impact of adverse childhood experiences (ACEs) and socioeconomic challenges can be related to mothers’ and fathers’ ability to parent their children effectively. Subsequently, these factors are related to children’s emotional and behavioral functioning. Children from families who have experienced these challenges are more likely to display behavior problems. Another important factor to consider is parents’ resilience, which can equip parents with the ability to better navigate through challenges. Parents who are resilient can provide a nurturing environment for their children despite challenges and use protective factors (e.g., effective coping strategies) more effectively. The current study examined the relationships among …

Navigating Online Dating: Exploring The Intersection Of Attachment Styles, Parental Attachments, And Sociosexuality In Online Dating Among College Students, Jensley Velez-Lozada

Honors Undergraduate Theses

The aim of this thesis is to explore the connection between attachment styles, parental attachment, and sociosexuality as predictors of online dating attitudes among college students. As society navigates this new digital era of online dating, how does it continue to transform young adults as they form romantic and sexual connections? It becomes increasingly important to understand the psychological mechanisms that influence these behaviors. This study examined how anxious and avoidant attachment styles, parental attachment, and sociosexuality may have contributed to online hookup attempts and outcomes behaviors. It also examined how these variables interacted and influenced both the likelihood of …

Stem Vs. Non-Stem Students’ Stimulant Misuse For Academic Advantages, Camille H. Allie

Honors Undergraduate Theses

This study aimed to explore the relationship between academic discipline, caffeine consumption, reported perception of stimulant misuse behaviors, and reported academic stress at the University of Central Florida. Participants were categorized as either STEM or non-STEM majors and reported whether they had misused stimulants in the past 12 months and their daily average caffeine consumption. Due to the low number of participants who reported stimulant misuse, caffeine consumption was incorporated, grouping participants as either “above median” caffeine consumption or “below median” caffeine consumption. Two 2 (Caffeine Consumption: High vs. Low) x 2 (Major: STEM vs. Non-STEM) between-subjects ANOVAs were conducted …

Examining Perception Of Psychedelic Substances And The Role Of Hallucinations Among College Students, Ryann F. Hilts

Honors Undergraduate Theses

Inquiry into psychedelics is undergoing a cultural and scientific revival, driven by their potential application as novel treatments for mood disorders, substance misuse, and end-of life-distress, but continued implementation in clinical and medical contexts necessitates extensive research. The present study utilizes self-reported data to examine psychedelics across three areas: student attitudes, patterns of use, and motives for use. It additionally explores the perceived importance of hallucinations in therapeutic contexts and focuses on psychological experiences of those with lifetime psychedelic use. The study aimed to deepen understanding of current literature surrounding psychedelics, specifically among university students. Participants were asked to complete …

Examining The Social Influences Of Conspiratorial Belief And Endorsement, Phoebe S. Archibald

Honors Undergraduate Theses

The purpose of the present study was to investigate whether social factors such as the need to belong, fear of negative evaluation, and conformity predict belief in conspiracy theories, and whether political orientation and social media use moderate these relationships. Conspiracy theories play a growing role in shaping public opinion, and identifying the social contributors to such beliefs can help explain why individuals adopt them. Ninety-nine undergraduate students completed surveys measuring conspiracy belief, need to belong, conformity, and fear of negative evaluation, along with questions about political orientation and social media use.

Correlational analyses revealed that all three social variables …

Behavior Or Diagnosis? Comparing Explicit And Implicit Biases Of School-Based Professionals Towards Adhd And Asd, Vincent Rutherford

Pomona Senior Theses

Previous research shows bias against people with ADHD and ASD both in and outside of the classroom and demonstrates that access to a diagnosis impacts educator’s beliefs about a child. ADHD and ASD have a high level of diagnostic co-occurrence, as well as symptom overlap beneath the clinical threshold. The current study uses a vignette-length description of a student, an explicit bias questionnaire, and an Implicit Association Test to assess the relationship between implicit and explicit bias, as well as how educator bias is impacted by the diagnosis they have access to. Results suggest no statistically significant differences between explicit …

Examining Mental Health Providers’ Differential Sensitivity To Youth And Caregiver Treatment Engagement Problems By Studying Clinical Decision-Making Behaviors, Wendy Chu

Theses and Dissertations

Clinical decision-making is a systematic process of collecting and using information to guide action regarding client care. Across frameworks of clinical decision-making, there is an emphasis on the assessment of a problem – which involves considering, identifying, and selecting a problem – as it directly informs intervention. In youth mental health services, problems related to treatment engagement or the ability to meaningfully participate in services are important to assess given their association with premature termination and poor outcomes. However, research suggests that assessment of engagement problems may be challenging, and one potential reason pertains to providers’ ability to assess across …