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Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer 2023 Walden University

Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer

Walden Dissertations and Doctoral Studies

The inability to display social reciprocity is a hallmark criterion of autism spectrum disorder (ASD). This lack of proper social skills (i.e., eye contact, cooperative play, and reciprocal interaction) indicates the importance of purposeful interaction, about which a research gap exists. The theoretical framework for this study was social learning theory, by which Bandura (1977) posited that learning occurs by observing the behavior of others. The current study involved examining the effectiveness of an intervention conducted with children who have ASD. The purpose of the intervention was to increase children’s playground social skills by having them watch themselves at play …


An Evaluation Of Community-Based Juvenile Firesetting Programs Through The Custodial Lens, Peter William Blaich 2023 Walden University

An Evaluation Of Community-Based Juvenile Firesetting Programs Through The Custodial Lens, Peter William Blaich

Walden Dissertations and Doctoral Studies

Using general strain theory and social learning theory as the foundation, this generic qualitative study addressed whether interventions and prevention services for juvenile firesetters in the City of Charlotte–Mecklenberg County met needs from the perspectives of critical stakeholders. Data were collected through in-depth interviews with 12 parents/guardians of justice-involved adolescent fire offenders. Interviews were transcribed and analyzed using a six-step procedure for thematic analysis by Braun and Clarke. The study's results revealed that the current juvenile firesetters intervention and prevention program is perceived as inadequate when applied without input from the adolescent’s parent or guardian. The participants perceived the need …


Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White 2023 Walden University

Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White

Walden Dissertations and Doctoral Studies

This case study addressed how to best use health coaches in the field of behavioral health to improve the accessibility and outreach of a new program launched by the target organization that emphasizes coaching as an intervention for improving well-being and mental fitness. The purpose of this qualitative case study was to investigate the potential influence of coaching within the behavioral health field and explore how health coaches could partner with clinicians or behavioral health leaders to allow for more collaboration and accessibility to services. The RQs centered on how health coaches might support the treatment of those who have …


Effects Of Supermax On Inmate Mental Health: Phenomenological Experiences Of Knowledgeable Professionals, Lea Michelle Miller 2023 Walden University

Effects Of Supermax On Inmate Mental Health: Phenomenological Experiences Of Knowledgeable Professionals, Lea Michelle Miller

Walden Dissertations and Doctoral Studies

It may or may not be true that the conditions and practices associated with supermax sentencing are both creating and exacerbating psychological harm for the inmates who are exposed to them. To date, there is evidence that both supports and refutes the contention that supermax sentencing is psychologically harmful; thus, the literature necessitates additional research into this phenomenon. This qualitative study was conducted to add to the extant body of knowledge relevant to supermax prisons and populations by exploring the lived experiences of professionals who have worked with them. This research was conceptually based in the current understanding of social …


Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham 2023 Walden University

Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham

Walden Dissertations and Doctoral Studies

Little research has been conducted exploring contributing stressors from the COVID-19 pandemic that may have led to alcohol relapse among individuals diagnosed with alcohol use disorders (AUDs). Prior to the pandemic, alcohol use was at an all-time high; during the pandemic, the rates of substance use rose significantly more. AUDs are a leading mental health problem with over 32.6 million meeting diagnostic criteria in the United States. This study was conducted to explore self-identified factors leading up to relapse during the COVID-19 pandemic among individuals diagnosed with AUDs, with a focus on the circumstances and events leading up to relapse. …


Relationship Between Length Of Nicu Stay And Mothers’ Trauma And Self-Efficacy For Childcare Post-Nicu Discharge, Suzanne Switzer 2023 Walden University

Relationship Between Length Of Nicu Stay And Mothers’ Trauma And Self-Efficacy For Childcare Post-Nicu Discharge, Suzanne Switzer

Walden Dissertations and Doctoral Studies

Recent research has shown that having an infant admitted to the neonatal intensive care unit (NICU) can be a traumatic experience for parents. However, less is known about whether this trauma is related to later parenting self-efficacy for childcare after NICU discharge and whether that relationship is affected by the length of NICU stay. This quantitative study, guided by Bandura’s self-efficacy theory and Ehlers and Clark’s cognitive model of post-traumatic stress disorder (PTSD), examined the relationship between mothers’ trauma of having had a child in the NICU and maternal parenting self-efficacy related to childcare post-NICU discharge, with length of NICU …


Deconstructing Orthorexia In An Age Of Healthism And Social Media, Maddison Paul 2023 Antioch University Seattle

Deconstructing Orthorexia In An Age Of Healthism And Social Media, Maddison Paul

Antioch University Dissertations & Theses

Orthorexia, a pathological fixation with healthy eating, has recently emerged as a construct of interest in the field of clinical psychology. Despite its growing recognition, the origin of this construct remains unclear. This dissertation aims to contribute to the understanding of orthorexia by examining its emergence and contextual factors through a constructivist lens. The study found that the cultural, economic, and moralistic landscape of healthism and social medially have played a role in the development of orthorexia. The dominant clinical perspective of orthorexia was also deconstructed, revealing potential biases that may lead to pathologizing the experiences of those who demonstrate …


"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon 2023 [email protected]

"The Power To Heal And Cure": Adaptations Of Western Therapy By American Indian And Alaska Native Therapists, Calleaghn B. Kinnamon

Antioch University Dissertations & Theses

The legacy of colonialism has created a modern-day reality where Indigenous populations of the United States (US) experience mental, physical, and emotional distress at disproportionately higher rates than other cultural groups in the country. Increased distress translates to an increased need for supportive services. Because the field of Western Psychology is based in colonialistic EuroWestern worldviews which positions that worldview as superior, Indigenous clients and communities have often experienced further harm in their encounters with mental health services. In recent decades, there has been increasing attention to adapting research, training, academic and clinical work in ways that are culturally appropriate …


Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker 2023 Antioch University of New England

Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker

Antioch University Dissertations & Theses

Autistic populations experience significant mental health challenges. A growing body of research supports addressing autistic mental health problems using the framework of minority stress theory, the social model of disability, and the neurodiversity paradigm (e.g., Botha & Frost, 2018; Cage et al., 2018). This quantitative study explored how identification with the neurodiversity paradigm versus the pathology paradigm related to mental well-being in autistic adults. Participants (N = 135) completed an online survey in which they rated their identification with autism descriptions representing both paradigms. Participants also completed measures of psychological distress, self-esteem, personal autism acceptance, and internalized autism stigma. Most …


How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner 2023 Antioch University Seattle

How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner

Antioch University Dissertations & Theses

This phenomenological study explored Black women’s lived experiences with racial trauma stemming from direct and indirect encounters with police brutality. A total of nine participants living in Washington state participated in this study. They identified as Black, ciswomen, fluent in English, and at least 21-years-old. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences with police. Transcripts were analyzed using interpretative phenomenological analysis. The results consisted of the following five themes: (a) forms of police encounters, (b) influence of identity, (c) perceived reason for police brutality, (d) emotions stemming from police brutality, and (e) tactics to survive police interactions. …


A Theoretical Basis For Understanding And Researching The Relationship Between Music, Stress, And Biofeedback, Frederick Wang 2023 Antioch University Seattle

A Theoretical Basis For Understanding And Researching The Relationship Between Music, Stress, And Biofeedback, Frederick Wang

Antioch University Dissertations & Theses

Music’s ability to influence emotional states and physical arousal has become an increasingly popular area of study. The wealth of literature around music and stress suggests a significant amount of interest in leveraging music to manage stress. However, as attention increases, the robustness of research becomes an increasing concern. This study investigates the current literature and proposes recommendations for the future studying of the psychological and physiological impacts of music as it relates to stress reduction. Existing literature was reviewed with a focus on the operationalization of key concepts of music and stress. The analysis showed considerable discrepancies in research …


Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows 2023 Antioch University - PhD Program in Leadership and Change

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …


The Role Of Maladaptive Emotion Socialization In Risk For Urgency And Problem Drinking In Adolescents, Emily Atkinson 2023 University of Kentucky

The Role Of Maladaptive Emotion Socialization In Risk For Urgency And Problem Drinking In Adolescents, Emily Atkinson

Theses and Dissertations--Psychology

Negative urgency (NU; the tendency to act rashly when experiencing negative emotions) is a robust risk factor for a number of problem behaviors, including early adolescent drinking. Little is known about the factors that precede the development of NU, and hence the full etiology of this component of risk. The current study aimed to investigate the possibility that childhood maladaptive emotion socialization (MES; the tendency for children’s expressions of emotions to be met with punishment, minimized, or invoke a reaction of distress from their parents/caretakers) increases risk for the development of NU. Secondarily, the study tested whether MES predicts increased …


Bipolarity Of Maladaptive Personality Traits In The Alternative Model Of Personality Disorders, Alexandra Hines 2023 University of Kentucky

Bipolarity Of Maladaptive Personality Traits In The Alternative Model Of Personality Disorders, Alexandra Hines

Theses and Dissertations--Psychology

It has been posited that extremely high or extremely low levels of any personality trait in the Five Factor Model of Personality can be maladaptive. However, the Alternative Model of Personality Disorders (AMPD) in Section III of the DSM-5 is composed almost exclusively of unipolar maladaptive traits. The lack of maladaptively low neuroticism and high extraversion fails to fully cover psychopathy; the lack of maladaptively high extraversion fails to cover histrionic personality disorder (HPD); the lack of maladaptively high agreeableness fails to cover dependent personality disorder (DPD); and the lack of maladaptively high conscientiousness fails to cover obsessive-compulsive personality disorder …


Personalized Longitudinal Network Models Of Alcohol Use: A Mechanistic Approach, Stephen Semcho 2023 University of Kentucky

Personalized Longitudinal Network Models Of Alcohol Use: A Mechanistic Approach, Stephen Semcho

Theses and Dissertations--Psychology

AUD and high-risk drinking are significant public health concerns, and prevailing diagnostic models fail to account for the within-person variability in AUD presentation and the role of functional mechanisms that maintain drinking outcomes. The ETOH Framework highlights the importance of three primary superdomains that maintain and characterize AUD – reward salience, cognitive dyscontrol, and negative emotionality. The current study was the first attempt to investigate the role of the primary ETOH mechanisms, along with positive and negative affect, on alcohol use outcomes, using a novel approach to model individual-level networks of relations over time. This study gathered twice-daily diary data …


The Sport Concussion Assessment Tool: A Multidimensional Symptom Model For Detecting Elevated Post-Concussion Symptoms, Eric Ingram 2023 University of Kentucky

The Sport Concussion Assessment Tool: A Multidimensional Symptom Model For Detecting Elevated Post-Concussion Symptoms, Eric Ingram

Theses and Dissertations--Psychology

Following sport-related concussions, a multidimensional symptom interpretation may identify athletes with domain-specific problems when beginning to return-to-play (RTP). This study investigated whether a four-factor model of post-concussion symptoms (i.e., cognitive, physical, affective, and sleep-arousal) would identify student-athletes with persistent concerns not reflected by their total symptom score. Collegiate student-athletes (N=24,696) from the Concussion Assessment Research and Education consortium completed the Sport Concussion Assessment Tool – 3rd edition Symptom Evaluation at baseline and two post-injury follow-ups (i.e., beginning RTP and 6-month). Confirmatory factor analysis was used to compare one- and four-factor models of post-concussions symptoms. Normative reference data were …


The Condom Use Outcomes And Sexual Functioning Of Young Adult Latinas: The Roles Of Intimate Partner Violence, Posttraumatic Stress Disorder, And Marianismo Beliefs, Jessica Flores 2023 University of Kentucky

The Condom Use Outcomes And Sexual Functioning Of Young Adult Latinas: The Roles Of Intimate Partner Violence, Posttraumatic Stress Disorder, And Marianismo Beliefs, Jessica Flores

Theses and Dissertations--Psychology

Intimate partner violence (IPV) has been linked to poorer condom use outcomes and sexual functioning in women broadly. Limited studies have examined these associations in Latina samples through a culturally sensitive, trauma-informed lens. A sample of 383 U.S. Latina/Latinx/Hispanic women (Mage = 25.29 years; SD = 4.44) who had a past-year intimate relationship completed a cross-sectional online survey of IPV history, posttraumatic stress disorder (PTSD) symptoms, marianismo beliefs (i.e., traditional Latina gender role expectations), condom use outcomes (i.e., condom use attitudes, efficacy, negotiation efficacy, and behaviors) and sexual functioning. Linear regression models found that past-year IPV was positively related …


Victimization, Symptoms Of Posttraumatic Stress Disorder, And Gender As Predictors Of Long-Term Substance Use Outcomes Of Patients In Community Treatment Programs, Christopher John Penn 2023 University of Kentucky

Victimization, Symptoms Of Posttraumatic Stress Disorder, And Gender As Predictors Of Long-Term Substance Use Outcomes Of Patients In Community Treatment Programs, Christopher John Penn

Theses and Dissertations--Psychology

Violence victimization and posttraumatic stress disorder (PTSD) are prevalent among individuals with substance use disorders (SUDs). Current evidence is mixed regarding the impact they have on substance use-related treatment outcomes and few studies have examined victimization and PTSD symptoms together in the same model. The current study will evaluate whether there is an indirect effect of past year victimization on substance use-related treatment outcomes through the pathway of PTSD symptom severity, among a subsample of 1,613 adult men and women reporting a lifetime history of victimization who participated in the Kentucky Treatment Outcome Study (KTOS), a statewide study evaluating federally- …


Trauma Exposure And Transdiagnostic Distress: Examining Shared And Ptsd-Specific Associations, Michael L. Crowe, Sage E. Hawn, Erika J. Wolf, Terence M. Keane, Brian P. Marx 2023 VA Boston Healthcare Systtem

Trauma Exposure And Transdiagnostic Distress: Examining Shared And Ptsd-Specific Associations, Michael L. Crowe, Sage E. Hawn, Erika J. Wolf, Terence M. Keane, Brian P. Marx

Psychology Faculty Publications

Dimensional models of psychopathology suggest that the causes and consequences of psychopathology are attributable to a combination of syndrome specific and transdiagnostic features. There is considerable evidence that trauma exposure confers risk for a wide range of psychiatric conditions, yet no previous work has specifically examined the higher-order effects of trauma exposure within a structural model. We examined transdiagnostic and PTSD-specific associations with multiple forms of trauma exposure within a nation-wide sample (N = 1,649; 50% female) of military Veterans over-selected for posttraumatic stress disorder (PTSD). A higher-order Distress variable was estimated using PTSD, major depressive disorder (MDD), and generalized …


Ptsd And Alcohol Use Disorders Predict The Pace Of Cellular Aging, Sage E. Hawn, Xiang Zhao, Mark W. Miller, Sara Wallander, Christine Govan, Anjanette Stone, Steven A. Schichman, Mark W. Logue, Erika J. Wolf 2023 Old Dominion University

Ptsd And Alcohol Use Disorders Predict The Pace Of Cellular Aging, Sage E. Hawn, Xiang Zhao, Mark W. Miller, Sara Wallander, Christine Govan, Anjanette Stone, Steven A. Schichman, Mark W. Logue, Erika J. Wolf

Psychology Faculty Publications

Advanced epigenetic age is associated with psychopathology and may help to explain the link between psychopathology and physical health morbidity and mortality. Using a longitudinal sample of 171 trauma-exposed Veterans, we modeled the rate of change in epigenetic age across two time points (averaging 5.58 years apart) using two epigenetic age algorithms (GrimAge and Horvath) and tested associations with posttraumatic stress disorder (PTSD), alcohol use disorder (AUD), and depression. Results showed that PTSD (β = .199) and AUD (β = .186) were associated with a quickened pace of epigenetic aging over time (ps < .021). Results replicate and extend prior work and offer foundational support for identifying interventions that slow the pace of biological aging among those with psychopathology.


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