Counseling Psychology Commons^™

A Cross Cultural Comparison Of Asian College Students' Well-Being : Exploring The Impact Of Cultural Factors In A Social Cognitive Framework, Jennifer Joy Bordon

Legacy Theses & Dissertations (2009 - 2024)

This study tested the cross-cultural validity of a modified version of Lent and Brown’s (2006, 2008) satisfaction model. Hypothesized predictors and mediators included social-cognitive variables (supports, self-efficacy, outcome expectations, and goal progress), personality variables (extraversion and emotional stability), self-construal variables (interdependence and independence), as well as a variable that is specifically rooted in Asian culture (i.e., academic family shame). Data of 315 Asian American and 260 Singaporean college students were collected using an online survey in English. Data were analyzed using structural equation modeling (SEM) techniques, showing satisfactory fit of the modified model for both samples. For the Asian American …

Doctor Recommendations Are Related To Patient Interest And Use Of Behavioral Treatment For Chronic Pain And Addiction, Lisa M. Mcandrew, Alexandria Brunkow, Margeaux Cannon, Fiona S. Graff, Jessica L. Martin, Leslie R.M. Hausmann

Educational & Counseling Psychology Faculty Scholarship

The opioid crisis has highlighted the importance of improving patients’ access to behavioral treatments for chronic pain and addiction. What is not known is if patients are interested in receiving these treatments. In this cross-sectional study, over 1000 participants with chronic pain were surveyed using an anonymous online questionnaire on Amazon Mechanical Turk (Mturk) to investigate participants’ use of and interest in pharmacological and behavioral treatments for chronic pain and addiction. Participants also indicated whether their doctor had recommended these treatments. The majority of participants reported using medication for their pain (83.19%) and that their doctor recommended medication (85.05%), whereas …

The Influence Of Ethnic Identity Commitment, Discrimination, And Sexism On Sexual Risk Behaviors Among Latina College Students, Melissa M. Ertl

Legacy Theses & Dissertations (2009 - 2024)

According to intersectionality theory, exposure to experiences of oppression predispose individuals from disadvantaged groups to experience disparities in health. Such disparities are evident in the sexual health outcomes among college student-age Latina women living in the US, who tend to report significantly worse sexual health outcomes than their peers. Guided by intersectionality frameworks, the present study examined Latina college students’ sexual risk behaviors in relation to ethnic identity and experiences of discrimination and sexism. Commitment to ethnic identity was expected to negatively relate with sexual risk, and experiences of discrimination and sexism were hypothesized to moderate the association between commitment …

Cross-Cultural Validation Of The Korean Version Of The Multicultural Counseling Self-Efficacy Scale-Racial Diversity Form (K-Mcse-Rd) For Korean Counselors, Sung Yong Park

Legacy Theses & Dissertations (2009 - 2024)

Faced with growing racial and ethnic diversity in South Korea, the demand for culturally competent counseling services by multicultural clients has increased. The current study aims to contribute to the research of multicultural counseling and multicultural counselor training by examining psychometric properties of the culturally adapted Multicultural Counseling Self-Efficacy Scale-Racial Diversity form for use in South Korea. The purposes of the study were threefold: (a) establish content validity during the translation and cross-cultural adaptation stage for the MCSE-RD to the context of multicultural counseling in South Korea; (b) test plausible underlying factor structures and report internal consistency reliability estimates of …

Adjustment To College And Alcohol-Related Problems Among Student Veterans : Is Social Support A Buffer?, Lindsay Claire Buckner

Legacy Theses & Dissertations (2009 - 2024)

U.S. Military veterans are increasingly represented on college campuses nationwide and, like their civilian peers, appear to be at risk for heavy alcohol use and its related problems. Qualitative research indicates that the college experience is fraught for many student veterans, owing to difficulty with adjustment to the social, academic, or emotional challenges unique to a higher education setting. Adjustment to college appears to be a risk factor for alcohol-related problems in civilian college students, but the extent to which this relation generalizes to student veterans is unknown. The current study sought to (1) determine the unique effects of alcohol …

Big, Black, And Strong : Does Identification With The Strong Black Woman Archetype Strengthen The Association Between Racism-Related Stress And Emotional Eating?, Shantel Lorraine Powell

Legacy Theses & Dissertations (2009 - 2024)

Despite extensive research on the adverse impact of racism-related stressors on the health and well-being of people of color (Broman, Mavaddat, & Hsu, 2000; Carter, 2007; Klonoff, Landrine, & Ullman, 1999; Noh & Kaspar, 2003; Pieterse, Carter, & Ray, 2013; Utsey & Payne, 2000), little is known about the influence of racism-related stressors on the eating behaviors of Black women. The present study extended the limited literature on this topic by examining the possible contribution of cultural attitudes associated with the Strong Black Women archetype on the relation between racism-related stressors and emotional eating behaviors.

Does Common-Sense Communication And The Interpersonal Relationship Predict Oral Health Self-Management?, Kieran J. Maestro

Legacy Theses & Dissertations (2009 - 2024)

This study sought to understand how patients’ perceptions of the nature and manner of communication with dental health professionals may impact their health self-management quality and habits in the context of preventable illness. Specifically, this study investigated the distinct and overlapping impacts of (a) communication based in the Common Sense Self-Regulation Model (CSM; Leventhal et al., 1980), and (b) the interpersonal relationship between the patient and the dental health professional provider on patients’ oral hygiene quality and habits. It was hypothesized that the interpersonal relationship would positively moderate a positive relation between CSM-based communication and patients' oral health self-management and …

Coping With Medically Unexplained Physical Symptoms: The Role Of Illness Beliefs And Behaviors, Lisa M. Mcandrew, Nicole Sullivan, L. Alison Phillips, Wilfred R. Pigeon, Karen S. Quigley, Fiona Graff, David R. Litke, Drew A. Helmer, Joseph F. Rath

Educational & Counseling Psychology Faculty Scholarship

Background: Medically unexplained syndromes (MUS) are both prevalent and disabling. While illness beliefs and behaviors are thought to maintain MUS-related disability, little is known about which specific behavioral responses to MUS are related to disability or the way in which beliefs and behaviors interact to impact functioning. The purpose of the present study was to examine the relationship between illness beliefs and disability among patients with MUS, and assess the extent to which behaviors mediate this relationship. Methods: The study examined data from the baseline assessment of a multi-site randomized controlled trial (RCT). Participants were 248 veterans with MUS. Illness …

Examining How Lesbian, Gay, And Bisexual Christian Clients' Perceptions Of Therapists' Cultural Humility Contribute To Psychotherapy Outcomes, Kelsey Anne Kangos

Legacy Theses & Dissertations (2009 - 2024)

Understanding the intersection between sexual and religious identity has important implications for mental health. The lesbian, gay, and bisexual (LGB) community is at high risk for major depression, generalized anxiety disorder, panic disorder, eating disorders, substance abuse issues, and poor self-esteem. Religious culture can further these risks when they create homophobic environments, resulting in LGB individuals‘ struggle to integrate religious and sexual identities (Sherry, Adelman, Whilde, & Quick, 2010).

The Contribution Of Acculturative Stress To Body Dissatisfaction Among Latina College Women : Testing The Moderating Effects Of Ethnic Identity And Differentiation Of Self, Julien Alexandra Almonte

Legacy Theses & Dissertations (2009 - 2024)

Despite extensive research on the high prevalence of body dissatisfaction and eating disorders among white college women, minimal research has been conducted on Latina college women’s experience of body dissatisfaction. Recent research indicates that Latina college women have a high prevalence of body dissatisfaction and eating disorder pathology. The purpose of the present study was to extend this line of study by investigating the role of acculturative stress as a predictor of body dissatisfaction in Latina college women. Additionally, the study examined the potential buffering effects of ethnic identity and differentiation of self as moderators of the relation between acculturative …

Adult Children Of Divorce : How Do Attachment Insecurity And Interparental Conflict Contribute To Romantic Relationship Satisfaction?, Hannah Muetzelfeld

Legacy Theses & Dissertations (2009 - 2024)

Research has shown that children of divorce who are exposed to high levels of interparental conflict tend to have worse adult outcomes than individuals not so exposed (e.g., Gager, Yabiku, & Linver, 2016), including damage to their romantic relationships (Cui, Fincham, & Durtschi, 2011; Feeney, 2006). The present study investigated the contributing role of adult attachment insecurity (i.e., attachment avoidance and attachment anxiety) to the relation between recollections of interparental conflict during childhood and adult romantic relationship satisfaction. A convenience sample of 678 U.S. participants (319 men, 345 women) whose parents had divorced prior to their reaching age 18 completed …

Stress And Support In Health Service Psychology Students : Predictors Of Burnout And Vigor, Dylan Alexander Corp

Legacy Theses & Dissertations (2009 - 2024)

Students in health service psychology (HSP) training programs (i.e., doctoral programs in clinical, counseling, or school psychology) have reported experiencing greater burnout (i.e., energetic exhaustion) and lower vigor (i.e., energetic arousal) than typical workers. Given that greater burnout and lower vigor are associated with negative outcomes like poor health and client care, the purpose of the present study was to understand burnout and vigor in HSP students. Specifically, the present study sought to test the Conservations of Resources theory of stress (CORT) by replicating previous findings that threatening work-related stress and the supervisory working alliance (SWA) predicted HSP students’ burnout …

Female College Students' Experiences With Coercive Control : A Qualitative Investigation, Larissa Barbaro-Kukade

Legacy Theses & Dissertations (2009 - 2024)

The current qualitative study was designed to provide a phenomenological understanding of how coercive control in a romantic relationship is experienced by college women, whose experiences have not been studied. Previous surveys of intimate partner violence (IPV) on college campuses as well as in the community have assessed prevalence rates and types of abuse (e.g. ACHA, 2015; Black et al., 2011; Buhi et al., 2009; Fass et al., 2008; Straus, 2008; Straus & Gozjolko, 2014), rather than survivors’ lived experience of the relationship. To extend this literature, the present study focused on coercive control, a cycle of psychological tactics including …

Development Of The Sexual Minority Affirmative Practice Scale, Ryan Craig Ebersole

Legacy Theses & Dissertations (2009 - 2024)

Literature on the practice of affirmative psychotherapy with sexual minority (SM) clients has steadily increased over the past two decades in recognition of the unique experiences and mental health needs of this marginalized population. SM-affirmative psychotherapy is an approach to psychotherapy that is culturally-responsive, actively affirms the validity of SM identities and experiences, and promotes the resilience of SM clients in the face of stigma. To date, much of the extant research on SM-affirmative psychotherapy has focused on therapist factors and perspectives. Further, most previous research on SM clients’ experiences in therapy has been qualitative, due in part to the …

Longitudinal Relationship Between Onset Of Physical Symptoms And Functional Impairment, Lisa M. Mcandrew, Drew A. Helmer, Shou-En Lu, Helena K. Chandler, Sarah Slotkin, Karen S. Quigley

Educational & Counseling Psychology Faculty Scholarship

Patients with chronic physical symptoms (e.g., chronic pain) often have significant functional impairment (i.e., disability). The fear avoidance model is the dominant theoretical model of how the relationship between chronic physical symptoms and functional impairment develops and proposes a cyclical/bidirectional relationship. There has never been a definitive test of the proposed bi-directional relationship. The current study followed 767 Operation Enduring Freedom/Operation Iraqi Freedom soldiers from pre-deployment, when they were relatively healthy, to one year after deployment, when it was anticipated that symptoms would increase or develop. Over the four assessment time points, physical symptom severity consistently predicted worse functional impairment …

Concordance Of Illness Representations: The Key To Improving Care Of Medically Unexplained Symptoms, Lisa M. Mcandrew, Myrna L. Friedlander, L. Alison Phillips, Susan L. Santos, Drew A. Helmer

Educational & Counseling Psychology Faculty Scholarship

How can effective patient-provider relationships be developed when the underlying cause of the health condition is not well understood and becomes a point of controversy between patient and provider? This problem underlies the difficulty in treating medically unexplained symptoms and syndromes (MUS; e.g., fibromyalgia, chronic fatigue syndrome), which primary care providers consider to be among the most difficult conditions to treat.¹ This difficulty extends to the patient-provider relationship which is characterized by discord over MUS.¹ In this article, we argue that the key to improving the patient provider relationship is for the patient and provider to develop congruent …

Ethnic Identity Development Among 1.5 And 2nd Generation Immigrants Across Ten Years : A Discriminant Analysis, Hirah Mir

Legacy Theses & Dissertations (2009 - 2024)

Ethnic identity is a major component of the psychological development and well-being of adolescents and adults. In the United States, immigrants are often tasked with balancing their minority culture and a dominant White American culture. This study used the two-dimensional Racial/Cultural Identity Development (R/CID) Model to illustrate progression toward an integrated ethnic identity, in which individuals identify with and integrate their minority ethnic group and the dominant group. An integrated identity is achieved at the Integrative Awareness status of the R/CID Model. Individuals at this status are found to possess more psychological resources to cope with psychosocial crises as compared …

Marianismo Beliefs, Ethnic Identity Commitment, And Acculturative Stress Among Recent Latina Young Adult Immigrants, Lauren E. Dasen

Legacy Theses & Dissertations (2009 - 2024)

Because young adult, Latina/o immigrants encompass a rapidly growing minority group in the U.S., there is need for empirical literature focusing on their mental health and the ways in which it relates with identity and culture. The primary aim of the present study was to examine the relations among dimensions of marianismo beliefs and indices of acculturative stress as moderated by ethnic identity commitment among recent Latina young adult immigrants.

Intraethnic Discrimination And Psychological Distress : The Moderating Role Of Collective Self-Esteem Among Black Young Adults, Abigail Ingrid Nicolas

Legacy Theses & Dissertations (2009 - 2024)

The predominant focus of research examining the relation between ethnic discrimination and psychological distress among Black individuals has been on between-group, or interethnic, discrimination. Little is known about the impact of within-group, or intraethnic, discrimination. This study sought to serve as an initial investigation of the relation between intraethnic discrimination and psychological distress. Using social identity theory as a framework, it was posited that intraethnic discrimination experiences would result in psychological distress due to experience of in-group (Black) rejection and absence of in-group support for self-enhancement. Additionally, the study assessed the extent to which ethnicity-related identity collective self-esteem and private …

Making Sense Of The Mix : Understanding The Role Of Family Dynamics In The Racial Identity Experiences Of Black-White Emerging Adults, Crystal Austin

Legacy Theses & Dissertations (2009 - 2024)

As a population, Black-White (B-W) biracial individuals have been relatively overlooked and underserved in the psychological literature. Although some theoretical attention has been paid to the racial identity development of biracial individuals, research is lacking on the psychological processes influencing the identity experiences of these individuals (Rockquemore et al., 2009). Specifically, little is known about how adults’ family-of-origin dynamics influence the racial identity construction process of B-W individuals.

Help-Seeking Attitudes Of Black College Students : The Effects Of Racism, Cultural Mistrust, And Campus Racial Climate, Megan Cusick Brix

Legacy Theses & Dissertations (2009 - 2024)

Black college students utilize mental health services less often than other racial groups, despite experiencing psychological distress (Kearney, Draper, & Baron, 2005; Sontag-Padilla et al., 2016). Black students face a number of unique barriers including experiences with racism, poorer adjustment, and cultural mistrust, which have been linked to poor retention outcomes (Iacovino & James, 2016), particularly at predominantly White institutions (PWIs). While there is a need for mental health service utilization among this population, a number of factors impact students' willingness to seek services. The current study examined the role of race-related stress, cultural mistrust, and campus racial climate in …

High Healthcare Utilization At The Onset Of Medically Unexplained Symptoms, Lisa M. Mcandrew, L. Alison Phillips, Drew A. Helmer, Kieran J. Maestro, Charles C. Engel, Lauren M. Greenberg, Nicole Anastasides, Karen S. Quigley

Educational & Counseling Psychology Faculty Scholarship

Objective: Patients with medically unexplained syndromes (MUS) often do not receive appropriate healthcare. A critical time for effective healthcare is the inception of MUS. The current study examined data from a prospective longitudinal study of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans to understand the relationship of increasing physical symptom burden to healthcare utilization.

Methods: Data was examined from a prospective study of OEF/OIF veterans assessed before and one year after deployment (n=335). Physical symptom burden was measured with the Patient Health Questionnaire (PHQ-15). Analyses were conducted with polynomial regression and response surface analysis (RSA).

Results: Increases in physical symptom …

Telephone-Based Versus In-Person Delivery Of Cognitive Behavioral Treatment For Veterans With Chronic Multisymptom Illness: A Controlled, Randomized Trial, Lisa M. Mcandrew, Lauren M. Greenberg, Donald S. Ciccone, Drew A. Helmer, Helena K. Chandler

Educational & Counseling Psychology Faculty Scholarship

Background:The goal of this randomized clinical trial was to examine the efficacy of a cognitive behavioral stress reduction treatment for reducing disability among veterans with chronic multisymptom illness (CMI).Method: Veterans (N=128) who endorsed symptoms of CMI were randomized to: usual care (n=43), in-person (n=42) or telephone-delivered cognitive behavioral stress management (n=43). Assessments were conducted at baseline, three months, and twelve months. The primary outcome was limitation in roles at work and home (i.e., ‘role physical’). Reductions in catastrophizing cognitions were evaluated as a mechanism of action. Results: Intent-to-treat analyses showed …

The Common Sense Of Counseling Psychology: Introducing, Lisa M. Mcandrew, Jessica L. Martin, Myrna L. Friedlander, Katherine Shaffer, Jessica Y. Breland, Sarah Slotkin, Howard Leventhal

Educational & Counseling Psychology Faculty Scholarship

The goal of therapy is typically to improve clients’ self-management of their problems, not only during the course of therapy but also after therapy ends. Although it seems obvious that therapists are interested in improving client’s self-management, the psychotherapy literature has little to say on the topic. This article introduces Leventhal’s Common-Sense Model of Self-Regulation, a theoretical model of the self-management of health, and applies the model to the therapeutic process. The Common-Sense Model proposes that people develop illness representations of health threats and these illness representations guide self-management. The model has primarily been used to understand how people self-manage …

Less Engagement In Pleasure Activities Is Associated With Poorer Quality Of Life For Veterans With Comorbid Post-Deployment Conditions, Lisa M. Mcandrew, Held F. Rachel, Abbi Bhavna, Karen S. Quigley, Drew A. Helmer, Radhika V. Pasupuleti, Helena K. Chandler

Educational & Counseling Psychology Faculty Scholarship

Objective: The presence of multiple comorbid conditions is common after combat deployment and complicates treatment. A potential treatment approach is to target shared mechanisms across conditions that maintain poorer health-related quality of life (HRQOL). One such mechanism may be decrements in pleasurable activities. Impairment in pleasurable activities frequently occurs after deployment and may be associated with poorer HRQOL.

Method: In this brief report, we surveyed 126 Veterans who had previously sought an assessment at a Veterans Affairs post-deployment health clinic and assessed pleasurable activities, HRQOL, and post-deployment health symptoms.

Results: Forty-three percent of Veterans met our criteria for all three …

The Lived Experiences Of High-Achieving Adults During Their Middle School And High School Years : A Phenomenological Approach, Maribeth Hope Ballert Potter

Legacy Theses & Dissertations (2009 - 2024)

Abstract

Does Multiracial Identity Integration Moderate The Relation Between Racism And Health?, Michael Gale

Legacy Theses & Dissertations (2009 - 2024)

Current estimates suggest that approximately 9 million U.S. citizens identify as biracial or multiracial (henceforth “multiracial”) and that the multiracial population grew 32% from 2000 to 2010 (Humes et al., 2011). Despite the growth and increased visibility of this population, the psychological research on this group is limited and further research is needed to address the potential unique needs of multiracial individuals with regard to experiences of racial oppression, racial identity, and connections to health (Choi, Harachi, Gillmore, & Catalano, 2006). Past findings have suggested a significant, direct relation between perceived racial discrimination and psychological distress among multiracial individuals and …

The Effect Of Social Media On College Students' Descriptive Norms Of And Intentions To Engage In Risky Sexual Behaviors, Gabrielle Groth Hoover

Legacy Theses & Dissertations (2009 - 2024)

Risky sexual behavior (RSB; i.e., behavior that increases the risk of contracting an STI and/or unplanned pregnancy) is common on college campuses and poses serious health risks to students. Yet, little research has examined the factors impacting students’ engagement in RSB. The current study examined the role of gender and social media in college students’ peer norms of and intentions to engage in RSB. An experimental design was used in which participants were exposed to one of four conditions (i.e., neutral or RSB content, within and without a social media platform) and then asked to report on peer norms of …

Effects Of Brief Mindfulness Practice On Perceptions Of Therapist Empathy, Self-Awareness, And The Real Relationship, Marianne Laura Stone

Legacy Theses & Dissertations (2009 - 2024)

The present study was designed to extend the psychotherapy literature on the benefits of therapist mindfulness practice. Three factors related to the therapist’s way of being (Fife, Whiting, Bradford, & Davis, 2014) were reasoned to be influenced by a mindfulness exercise practiced by the therapist immediately before beginning a therapy session. It was hypothesized that mindfulness practice, compared to no mindfulness, would result in (a) the client rating the therapist as more empathic on the Barrett-Lennard Relationship Inventory Form OS-Emp+ (Barrett-Lennard, 2015); (b) the therapist experiencing less hindering self-awareness during the session, as indicated by scores on the Hindering Self-Awareness …

Supervisee Nondisclosure : Is It Predicted By The Supervisory Working Alliance, Collaborative Supervision, And Relational Behavior?, Andrew Scott Gibson

Legacy Theses & Dissertations (2009 - 2024)

The effectiveness of clinical supervision depends in part on psychotherapy supervisees’ disclosures of clinically relevant information to their supervisors. Unfortunately, however, previous research indicated that supervisees tend to withhold important information related to their clients’ progress and their reactions to the supervisor. Factors associated with the occurrence of supervisee nondisclosure (SND) are not well established, and past research has yielded varying outcomes. The purpose of this study was to investigate the inverse relation of three variables to SND: the supervisory working alliance (SWA; Bordin, 1983), collaborative supervision (CS; Rousmaniere & Ellis, 2013), and relational behaviors in supervision (RB; Shaffer & …