Clinical Psychology Commons^™

Romantic Relationship Quality, Coparenting, And Parenting: An Actor Partner Interdependence Mediation Model, Jill Caradec

Graduate Research Theses & Dissertations

Family systems theory indicates there is interdependence between family subsystems. Indeed, previous research has found associations between romantic relationship quality, coparenting, and parenting. However, few have actually accounted for the interdependence of mothers and fathers and these constructs. Even fewer have considered how coparenting may serve as an indirect pathway between romantic relationship quality and parenting behaviors. The aim of the current study was to fill these gaps in the literature by utilizing an actor-partner interdependence mediation model. Specifically, mothers’ and fathers’ perception of the coparenting relationship was tested within one model as indirect paths for the actor and partner …

Investigating The Impact Of A Brief Self-Compassion Intervention On Shame And Psychopathology For Women With Histories Of Childhood Emotional Abuse, Sarah Hill

Graduate Research Theses & Dissertations

Background: Childhood emotional abuse, while frequently co-occurring with other types of abuse, is often neglected within the trauma literature, but has been found to be an important independent predictor of adult psychopathology. Shame represents a potentially important and malleable factor that may contribute to the development and maintenance of poor psychological outcomes. As such, interventions focused on increasing self-compassion have been identified as promising methods to decrease experiences of shame, and ultimately symptoms of psychopathology. While literature on brief self-compassion interventions has rapidly increased in recent years, notable gaps remain. Specifically, there is limited research exploring the impact of brief …

Juvenile Arthritis, Body Image, And Disordered Eating: An Exploration Of Experiences, Katelyn Ann Melcher

Graduate Student Theses, Dissertations, & Professional Papers

This qualitative study examined eating and body experiences among youth with juvenile arthritis (JA). JA, an autoimmune condition affecting nearly 300,000 youth in the United States, poses significant challenges including chronic pain, disability, and psychological concerns such as anxiety and depression. Adolescence is a critical developmental time for body image and disordered eating concerns to emerge. However, no qualitative research has explored the interactions of JA, body image, and eating behaviors among youth. Twelve youth with a JA diagnosis participated in a semistructured qualitative interview examining their experiences with JA and their feelings about their bodies and food as they …

Social Cognition And Interaction Training In First Episode Psychosis, David W. Rose Iii

Clinical Psychology Dissertations

Social cognition (SC) involves a suite of neurocognitive and neuropsychological functions that are relevant to and crucial for successful navigation and overall functioning. Within this suite are domains of function such as emotion processing/recognition, attributional style/bias, and theory of mind. In individuals with schizophrenia and first episode psychosis (FEP), these faculties are grossly impaired, and result in difficulties with occupational, social, and basic functioning. Social Cognition and Interaction Training (SCIT) is a treatment intervention that was developed to improve these SC domain impairments in individuals with Schizophrenia, but has not been experimentally applied to FEP populations as thoroughly, where the …

Community Resilience Factors For Gsm Individuals: Considering The Roles Of Transgender Identity And Age, Benny Ilac

Graduate Student Theses, Dissertations, & Professional Papers

Gender and sexual minority (GSM) individuals face a variety of health disparities, including increased rates of depression, anxiety, and substance use. One explanation for the presence of these health disparities is the minority stress model, which suggests that proximal (internal) and distal (external) experiences of minority stressors contribute to poorer health outcomes in GSM populations. An important yet understudied component of this model is resilience, which acts as buffer against the negative impacts of minority stressors. Focus on community resilience factors, as opposed to individual resilience factors, may be particularly important in GSM populations in reducing the onus placed on …

Therapy In The Age Of Ai: How Young Adults Seek Help, Support, And Solutions, Faith Maeba, Isabella Quilon, Abigail Adade

UROP Posters

Therapy has long been a foundational approach for addressing mental health, but advances in digital technology have led many young adults, especially Generation Z, to increasingly turn to AI tools for support. Rising costs, limited access to providers, and long wait times have further boosted the appeal of AI-based mental-health solutions. Despite this growing interest, the use of AI for emotional and psychological support raises important questions about trust, empathy, safety, and the ethical responsibilities of mental-health providers and developers. We conducted a brief scoping review of research on AI-based mental-health tools and student help-seeking behaviors. Searches were performed on …

Anxiety And Adaptive Functioning In Young Adults: The Moderating Role Of Psychological Flexibility, Makenzie L. Kennedy, Jeffrey E. Cassisi

Honors Undergraduate Theses

Anxiety is highly prevalent among emerging adults and is associated with impairments in academic, social, and daily functioning. While previous research has documented strong associations between anxiety and adaptive functioning, the present study uniquely tested psychological flexibility as a potential moderator that may foster resilience and adaptive coping.

Undergraduate students (N = 522) from the University of Central Florida completed measures of anxiety (PROMIS-A, GAD-7, STAI-S), adaptive functioning (WHODAS 2.0), and psychological flexibility (COMPACT-23). Confirmatory factor analyses supported distinct but correlated latent constructs of anxiety and adaptive functioning. Due to poor subscale intercorrelations, the COMPACT-23 total score was modeled as …

Resilience After Prenatal Substance Exposure: Exploring The Role Of Cumulative And Specific Protective Factors In Predicting Toddlerhood Temperament Profiles, Anjeli Elkins

Theses and Dissertations--Psychology

Objective

Prenatal exposure to common substances, including nicotine, marijuana, cocaine, methamphetamine, opiates, and alcohol, has been linked to a wide range of psychiatric disorders and neurodevelopmental impairments. Identifying protective factors that may improve temperament profiles in toddlers who have experienced prenatal substance exposure may protect against these adverse outcomes and is crucial for developing targeted early interventions.

Methods

Participants (n=92; Mage = 28.7 years; 47.0% White) were biological mothers of toddlers (Mage = 22.6 months) with prenatal substance exposure. Mothers responded to an online survey that gathered information on substance use during pregnancy, proposed perinatal protective factors, and child temperament. …

Responses To Tobacco Use Screening And Tobacco Cessation Assistance Offers Among Rural And Ubran Cancer Survivors At An Nci-Designated Comprehensive Cancer, Abigayle Feather

Theses and Dissertations--Psychology

Smoking after cancer diagnosis is associated with poor outcomes while smoking cessation can improve quality of life and promote survival. Although there are calls for equitable tobacco treatment delivery in cancer and other healthcare settings, disparities in tobacco-related disease burden persist. In the context of an outpatient cancer center’s population-based tobacco treatment program, this study examines the association between cancer survivors’ rural and Appalachian residence and 1) current tobacco use status, 2) decision to decline cessation assistance, and 3) reason for declining assistance. A cross-sectional, retrospective analysis was conducted using electronic health record data from 16,839 adults (64.04% female, 88.49% …

Associations Between Queer Parent Family Socialization And Adolescent Outcomes Among Diverse Lgbtq+ Parent Families In The U.S., Nita U. Kulkarni

Theses and Dissertations--Psychology

Queer parent family socialization refers to the way LGBTQ+ parents talk with their children about what it means to be queer in society, how to handle discrimination, and ways to have pride in their family’s identity. This construct has been linked with positive well-being outcomes in children, and this study used a strengths-based, mixed- methods framework informed by Minority Stress Theory and intersectionality to examine how queer parent family socialization related to several adolescent well-being outcomes, namely internalizing behaviors, social competence, and adaptive coping. Participants recruited across two projects were 191 queer parents with an adolescent and 114 adolescents with …

Weighted Family History Density Of Substance Use: Influence On Participant Substance Use Onset, Escalation, And Duration, Carleigh A. Litteral

Theses and Dissertations--Psychology

Substance use disorders impose a staggering toll on the United States (U.S.), straining healthcare systems, destabilizing communities, and profoundly impacting both individuals and families. Approximately one in six Americans aged 12 and older had a past-year substance use disorder in 2022 (Key Substance Use, 2022), and nearly one-third of adults experience a substance use disorder in their lifetime (Wu, 2010), contributing to an economic burden exceeding $400 billion annually (National Drug Threat Assessment, 2011). Family history of substance use disorders is a key predictor of vulnerability, with individuals who have affected relatives being 2–8 times more …

Exploring The Effects Of Transcranial Direct Current Stimulation Of The Right Inferior Frontal Gyrus On Inhibitory Control In Posttraumatic Stress Disorder, Colton Rippey

Theses and Dissertations--Psychology

Background: The right inferior frontal gyrus (rIFG) is implicated in stop signal reaction time (SSRT) performance – a common measure of inhibitory control – and emotional expression and control. Individuals with posttraumatic stress disorder (PTSD) exhibit poorer stop SSRT performance, which is associated with rIFG hypoactivity. Neuromodulation of the rIFG with transcranial direct current stimulation (tDCS) can significantly improve inhibitory control and reduce fearful responding to threatening stimuli. Research has yet to test the effects of multifocal tDCS targeting the rIFG on inhibitory control or emotional reactivity in individuals with PTSD.

Methods: The current study aims to examine the impact …

Global Sleep Quality, Emotion Regulation Difficulties, And Ptsd Symptom Severity In Trauma-Exposed College Women, Grace M. Seymour

Theses and Dissertations--Psychology

Sleep problems are common among college women and may contribute to PTSD symptoms. Those with emotion regulation difficulties may have increased difficulty managing distress worsened by poor sleep, though it is unclear which specific facets of emotion regulation are most relevant. This study examined interactions between sleep quality and facets of emotion regulation difficulties on PTSD symptoms among college women (N = 1,037) using self-report measures: the Pittsburgh Sleep Quality Index (PSQI), PTSD Checklist for DSM-5 (PCL-5), and Difficulties in Emotion Regulation Scale (DERS-18). Two significant interactions emerged. Sleep disturbance interacted with difficulties engaging in goal-directed behavior (b …

Putative Mechanisms Of Personality Change In Treatment, Hannah Croom

Theses and Dissertations--Psychology

BPD Compass was designed to engage the BPD-relevant traits from the Alternative Model of Personality Disorders in the DSM-5 by targeting putative mechanisms associated with these personality domains: aversive reactivity to engage negative affectivity, attachment insecurity to engage antagonism, and self-efficacy to engage disinhibition. The goal of the present study was to test the associations between putative mechanisms and respective personality traits. We used multilevel structural equation modeling to test if personality domains and putative mechanisms changed in treatment, if changes in putative mechanism were associated with changes in respective personality domain, and if within-person changes in putative mechanisms predicted …

Examining Values In The Treatment Of Borderline Personality Disorder: A Single-Case Experimental Design, Nicole Stumpp

Theses and Dissertations--Psychology

Borderline personality disorder impacts roughly 1.6% of the general population yet only a quarter of people with BPD are able to access treatment. Understanding the mechanisms that promote behavior change in treatment is crucial for improving care for this population. Experiential avoidance has been linked to risky behaviors, a prevalent and debilitating symptom observed in BPD. Values identification may be a fruitful avenue for engaging experiential avoidance in treatment. The goal of the present study is to understand the unique and combined effects of values identification and behavior change skills (i.e., opposite actions, exposure) on experiential avoidance (target), maladaptive behavior …

Randomized Controlled Trial Of A Single-Session Mechanism-Focused Intervention For Suicidal Thoughts And Behaviors, Martina Fruhbauerova

Theses and Dissertations--Psychology

Suicide remains a critical public health concern, with increasing rates and millions experiencing suicidal ideation annually. Although evidence-based treatments exist, many are time-intensive, underutilized, and often inaccessible to high-risk individuals, especially those recently discharged from inpatient psychiatric care. Brief, scalable interventions targeting core psychological mechanisms implicated in suicidal thoughts and behaviors (STBs) are needed. This study evaluated a novel Single Session Mechanism-Focused Intervention (SSMFI) designed to reduce hopelessness and negative perceptions of social relatedness among adults hospitalized for STBs. In a randomized controlled trial (N = 38) conducted on two inpatient psychiatric units, participants were assigned to either the SSMFI …

Systematic Review Examining How Black Youth In The United States Cope With Stressful And Traumatic Experiences, Marcus Aaron Flax

Dissertations

Coping is an important behavioral skillset that youth use to emotionally regulate after experiencing stress or trauma. Research has repeatedly highlighted the stressors that Black youth experience, often finding that Black youth face higher levels of stress and trauma than their White peers. However, there has been a lack of research in understanding how Black youth cope with these higher levels of stress. This systematic review includes 72 studies (N = 16,205 participants) examining the frequency and effectiveness of coping strategies used by Black youth in response to a trauma or stressor, along with the associations between utilized coping strategies …

American Indian Survivors Of Domestic Violence And Self-Perceived Mental Health After Seeking Domestic Violence Services, Arial Swallow

Dissertations and Theses

Domestic violence has long-term impacts on women’s emotional, psychological, and physical health, with American Indian women experiencing disproportionately high rates of violence and face unique barriers in overcoming challenges of healing. As part of a larger study, this research aimed to better understand the healing process of American Indian women domestic violence survivors in rural areas. This study examined findings from a mixed methods approach, which investigated the significance of identifying co-occurring mental health needs and providing support, education, and resources to address these needs. The research utilized a quantitative method of descriptive statistics, identifying survivors who endorsed mental health …

Sexual Education, Sexual Self-Concept, And Behavior Of Adolescents: A Retrospective Study, Rachel Albanese

PCOM Psychology Dissertations

Adolescence is a period within the lifespan of a human where sexuality is a key component of development; therefore, it is appropriate that adolescents are provided sexual education during this time. There continues to be a debate regarding sexual education; while some studies consider specific ways to provide sexual education, they do not compare the effect of differing sexual education (i.e., how and who provided sexual education) or lack of sexual education on risky sexual behavior and sexual selfconcept during adolescence. This study retrospectively examined the impact of sexual education on risky sexual behavior and sexual self-concept. It also explored …

Exploring The Relationship Among Postpartum Depression, Cognitive Distortions, And Relationship Satisfaction, Kylie A. Hastings

PCOM Psychology Dissertations

Postpartum depression is the most prevalent psychological disorder experienced following childbirth, impairs daily functioning, negatively impacts child growth and development, and is linked to maladaptive parent-child interactions. Previous research also suggests a link among distorted thinking, depression symptoms, and interpersonal tension. The current study explores the interplay among postpartum depression symptoms, cognitive distortions, and relationship satisfaction among postpartum individuals. Researchers examined how specific thinking errors, including catastrophizing, mindreading, and labeling, are associated with depression symptoms and relational experiences in the postpartum period. Using a quantitative survey design, data were collected from 90 participants using validated instruments: the …

Intimate Partner Violence Victims' Experiences With Civil Legal Interventions, Jessica Brooke Pomerantz

Theses and Dissertations

The court system has become a central part of the societal response to intimate partner violence (IPV) and is a frequently used as a source of help for victims (Cattaneo et al., 2013). Despite the importance of a justice system response to IPV, it is not always accessible or helpful to victims. Past research has demonstrated barriers to IPV victims seeking legal intervention including mistrust of the court system generally, extensive and confusing legal processes and procedures, and failure of the courts to assess more invisible forms of abuse (Calton et al., 2017; Cerulli et al., 2015; Cuomo & Dolci, …

Examining Effects Of A Cultural And Family Resilience Program On Improving Physical Activity And Eating Behaviors Among Overweight Black Adolescents, Mary Quattlebaum

Theses and Dissertations

Black adolescents have higher rates of physical inactivity, lower quality dietary intake, and fewer family meals compared to their White peers. These health inequities place Black adolescents at greater risk for overweight and obesity, as well as long-term health consequences, including chronic disease and early mortality. However, few health promotion programs have been successful in improving health behaviors among Black adolescents and families. Elevated rates of chronic stress, namely racial stress, among Black families may be a prominent obstacle for engagement in and effectiveness of health promotion initiatives. Limited family-based health promotion programs with Black families have incorporated cultural and …

Facing The Tension: A Grounded Theory Of Perceptions Of Bias, Cultural Responsiveness, And Social Justice Advocacy Among Forensic Evaluators, Magen M. Hauser

Antioch University Dissertations & Theses

Forensic psychologists are held to culturally responsive standards by the American Psychological Association, which reflect the latest research calling for professionals to acknowledge and reflect on power, privilege, and biases within themselves, their practice, and other elements of their work. However, forensic psychology has not kept pace with this movement. Additionally, the credibility and livelihood of forensic evaluators and their professional judgments rely on their ability to be as objective and unbiased as possible. Often, the idea of focusing on one’s own identities and biases as the evaluator is conflated with a lack of objectivity. This perceived conflict of expectations …

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, …

Pay Attention! A Comparative Analysis Of Psychological Assessments And Neurological Mechanisms For Adhd Within A Pediatric Population, Kristen E. Newberry

Antioch University Dissertations & Theses

This study evaluated the predictiveness of the WISC-V, NEPSY-II, CPT-3, and CATA when compared to each other in a sample of 272 children aged 8–16. Archival data was analyzed using binary and multinomial logistic regression models to assess concurrent validity of specific subtests and indexes. Participants were grouped by ADHD subtype (inattentive, combined/hyperactive, or no diagnosis), with gender and executive functioning measures included in the models. Findings indicated that lower Cognitive Proficiency Index (CPI) and executive functioning scores (e.g., Animal Sorting, Response Set) predicted any ADHD diagnosis compared to the no diagnosis group, whereas higher CATA scores predicted lower Inattentive …

At The Table: Queer Identity And Exploration Through Tabletop Role-Playing Games, Seth Carroll

Antioch University Dissertations & Theses

This study explored the phenomenon of a growing queer subculture within the tabletop role-playing game community. Eight participants, all self-identified members of the LGBTQIA+ community with significant experience playing tabletop role-playing games, were interviewed to better understand their lived experience within this subculture, what draws them to playing tabletop role-playing games, and the personal impacts and meaning they draw from engaging in them. Participants identified as White, between the ages of 23 and 30, and represented a variety of queer identities in both sexuality and gender. Data was analyzed using Interpretative Phenomenological Analysis (IPA) in order to derive six group …

Examining The Addictive Qualities Of Smartphone Usage, Daniel J. Pasquini

Antioch University Dissertations & Theses

Individuals in today’s society, both nationally and globally, have become exceedingly reliant on their smartphones, i.e., cellular devices with the ability to perform many tasks similar to a traditional computer, for both recreational and productivity purposes. As smartphones become increasingly accessible and affordable for the general population, smartphone usage will continue to grow exponentially. As a result, a comprehensive investigation into the possible addictive properties of smartphone usage is warranted. The purpose of this study is to examine and highlight any possible addictive qualities of excessive smartphone usage. The research methodology that will be implemented within the study will be …

Distal Effects Of Teenage Pregnancy And Childbirth, Amy M. Sutherland

Antioch University Dissertations & Theses

While pregnancy during adolescence is declining, research on the topic continues, particularly regarding: the reasons teenagers become pregnant and choose parenthood; their experiences as teen parents; and near-term outcomes for themselves and their children. The focus of this dissertation has received little study: how the experience of having been a birthing parent in adolescence continues to affect the personal experiences of individuals in midlife, if it does at all. Eight individuals between the ages of 30 and 43 who gave birth as teens were interviewed, and interpretative phenomenological analysis (IPA) was used to identify how they interpreted and made meaning …

Psychological Techniques For Athletes With Orthopedic Musculoskeletal Injuries: A Systematic Review, Nicole L. Williams

Antioch University Dissertations & Theses

Musculoskeletal injuries and recovery from them play a vital role in both the physical and psychological wellbeing of the public. Existing research has been conducted primarily within the athlete population with rehabilitation from these injuries having a profound impact on the physical and mental health. One of the most frequent psychological responses related to sports injuries is a trauma response, which has been shown to hinder the rehabilitation process and to increase the likelihood for reinjury upon return to play. Embedded within the many inputs to trauma responses to these injuries are psychological distress reactions, in particular fear connected to …

Memento Mori: A Photo-Elicit Narrative Analysis On Grief, Jared Becknell

Antioch University Dissertations & Theses

Training and education about grief counseling has been stagnant, stalling the creativity and novel practice when working with bereaved individuals. Counselors in Training often receive minimal education and training in grief, even though clients will ultimately experience this phenomenon. Qualitative research findings provide insights into how individuals actively engage in the grieving process, while promoting their own versions of healing and acceptance through the artifacts kept from deceased loved ones. These findings explore the lived experience of individuals who keep artifacts from a deceased loved one. Results show an active participation in reconnecting to the deceased versus addressing grief symptoms …