Clinical Psychology Commons^™

Are Narcissism And Entitlement Associated With Higher Rates Of Violence And Unsuccessful Treatment Completion?, Melissa Chipollini

PCOM Psychology Dissertations

Following the dimensional-categorical model of personality functioning, this study used archival data to examine the degree to which narcissism and entitlement determined engagement in violent acts and treatment completion. The study reviewed MCMI-III/IV scores, discharge summaries, and violence histories for a sample of 105 individuals who were referred for forensic outpatient services by the court. One-way ANOVAs were used to assess all four of the hypotheses (a) individuals with more than one violent act (vs. one violent act) would have significantly higher mean scores on the MCMI-III/IV entitlement subscale, (b) individuals with more than one violent act would have significantly …

Do Law Enforcement Officers’ Attitudes And Knowledge Impact Their Likelihood Of Administering Naloxone?, Nicole Alexis Gulkis

PCOM Psychology Dissertations

Law enforcement officers (LEOs) are integral public service providers who have been called upon by government personnel across state and local government bodies to aid in combating the opioid epidemic. As LEOs are often the primary front-line workers who encounter opioid overdose scenarios, more states across the nation are training LEOs to administer naloxone. The emergence of Coronavirus (COVID-19) has complicated LEOs’ involvement with naloxone administration because of shifts in policing strategies and occupational safety procedures. Given the current pandemic, concerns about contraction and transmission of COVID-19 must be considered for LEOs working in the frontlines of these concurrent public …

Age As A Moderator Of Health Outcomes And Trust In Physicians And The Healthcare System, Emma Katz M.S.

Graduate Theses, Dissertations, and Problem Reports (ETD)

Trust is an integral part of the healthcare experience. Patient trust is associated with treatment adherence, patient satisfaction, patients engaging in follow-up care, shared decision-making, and positive health-related outcomes (e.g., Gupta et al., 2014; Mohseni & Lindstrom, 2007; Musa et al., 2009; Tam, 2012; Thom, et al., 2004; Trachtenberg et al., 2005). There are several levels of trust discussed in the literature, including interpersonal trust and institutional trust. The current study examined two levels of trust: interpersonal trust in the form of trust in the physician and institutional trust in the form of trust in the healthcare system. The study …

Association Of Early Life Stressors With Deficits In Child And Adolescent Cognitive Functioning, Emily M. Deming

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this study was to determine whether the ACEs questionnaire could be a viable screener tool for identifying children in need of neuropsychological testing. This study consisted of a sample of child participants aged 8-17 years (N=53) who were divided into a no ACEs group or the ACEs group (1 or more ACEs) depending on parental responses to the ACEs questionnaire. Participants completed a series of virtual neuropsychological tests that assessed overall neurocognitive functioning, memory, and attention. No significant differences between the no ACEs group and the ACEs group in performance of the overall Neurocognitive Index, …

Law Enforcement Officers’ Lived Experiences With Male Victims Of Intimate Partner Violence, Selena Sanchez

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) affects every race, culture, orientation, and sex. However, researchers focus largely on women as victims of IPV by men. Unfortunately, social and gender norms contribute to the focus on women as victims while adult heterosexual men remain underreported, underrepresented, and viewed predominantly as perpetrators. For example, 91% of men were arrested when IPV was reported, and officers responded to the call. This was referred to as gendered stigmatization. This transcendental qualitative phenomenological approach focused on the lived experiences of law enforcement officers who were called to the scene where IPV had occurred or was occurring, and …

Relation Of Child Feeding Behaviors & Caregiver Qualities To Adherence To Nutritional Therapy In Type 1 Diabetes Management, Corrine N. Ahrabi-Nejad

Graduate Theses, Dissertations, and Problem Reports (ETD)

Type 1 diabetes (T1D) is a chronic illness, typically diagnosed within childhood, that affects the ability of the pancreas to produce insulin. Significant daily self-management behaviors are required to maintain metabolic control for patients with T1D. Nutritional therapy, including adequate intake of macronutrients, is one self-management behavior necessary to optimize health. Adherence to such nutritional guidelines is associated with improved glycemic control, decreased instances of acute health complications (e.g., hyperglycemia, hypoglycemia), and can also prevent insulin resistance. Despite the critical importance of nutritional therapy, adherence to these guidelines remains low within pediatric populations. Therefore, it is important and necessary to …

Examining The Utility Of Auditory Processing Tests In Clinical Neuropsychology, Behnaz Sarlak

Walden Dissertations and Doctoral Studies

Memory loss has been a concern in patients with neurodegenerative disease, as it can cause cognitive problems such as speech and language issues. Clinicians need to use reliable, assessable, noninvasive, repeatable, and inexpensive tools to diagnose memory impairment. There is a gap in the literature on whether specific cognitive tests provide valid, reliable, cost and time-effective methods for screening for dementia. The purpose of this quantitative correlational study was to examine if the Seashore, the Speech-Sound Perception Test, the SCAN-A test, Logical Memory, Verbal Paired Associates, and Digit Span Test can predict whether an individual has been diagnosed with Alzheimer’s …

An Analysis Of Military Service Academies Sexual Harassment And Sexual Assault Through Reports, Research, And Media Coverage, Lisa “Tana” Youn Kyung Sharp

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Military Sexual Trauma (MST) at the United States Military Services Academies (MSA) remains at a concerning rate despite the MSAs’ proactive educational steps towards addressing this issue. One of the most influential factors is the very culture of the MSAs. This paper analyzes publicly-accessible governmental research and reports, peer reviewed articles, a legal publication, and media coverage. The analysis shows that there remain significant barriers to change which continue to play a role in the high frequency of MST. These barriers are low rates of accountability, difficulty in access to cadets/midshipmen by outside researchers, and the overall MSA cultural trends …

Validity Evidence For The Male Depression Risk Scale-22 (Mdrs-22) In Younger And Older Adult Males, Montgomery T. Owsiany

Graduate Theses, Dissertations, and Problem Reports (ETD)

Men are two times less likely to be diagnosed with major depressive disorder than women. However, suicide rates are nearly four times higher in men than women, increasing to six times when comparing older men to older women. Given that affective disorders are present in most individuals who die by suicide, investigators have begun researching the possibility that depression presents differently in individuals who adhere to traditional masculine norms, leading to the conceptualization of masculine depression. Presently, one assessment for masculine depression shows strong reliability and validity evidence: the Male Depression Risk Scale-22 (MDRS-22). Despite burgeoning validity evidence for the …

Five Spiritually Based Tools For Clinical Practice During Challenging, Stressful, And Apocalyptic Times, Thomas G. Plante

Psychology

Stress in America and across the globe is high with so many ongoing societal problems. The COVID-19 global pandemic along with accelerating climate change, increasing economic instability and inequality, divisive politics and an increase in authoritarianism, racism, and discrimination against those who are oppressed and marginalized are just a few current examples. Evidence suggests that mental health problems and demand for services have exploded as well. Psychotherapists who are well versed in spiritual and religious integration in their clinical work can help. While therapists cannot solve the country’s and world’s numerous problems, they can help their clientele better cope and …

Primary Care Behavioral Health In The Time Of Covid-19, Michael Vriesman

Master's Theses and Doctoral Dissertations

People are commonly receiving mental health treatment from primary care providers rather than from behavioral health providers. To address this issue, the healthcare system has begun to integrate behavioral health providers into primary care clinics, known as integrated primary care (IPC). Research suggests that IPC can lead to a number of benefits, including increased likelihood of patients receiving the appropriate standard of care, as well as reduction in healthcare costs due to medical cost offset. While IPC is a promising method of healthcare delivery, additional research is needed to optimize this system. Additionally, the onset of the COVID-19 pandemic has …

Implementing Trauma-Informed Care Through A Multi-Agency Learning Collaborative: A Theory-Driven Analysis Of Outcomes And Sustainability, Mira D H Snider M.S.

Graduate Theses, Dissertations, and Problem Reports (ETD)

Learning collaboratives (LCs) are often used in large-scale implementation initiatives to promote evidence-based practice across provider networks. Although the outcomes and stakeholder perspectives of many LCs have been documented, support for the effectiveness of LCs is equivocal, and the means by which LCs achieve long-term improvements in clinical care are not understood. The current study investigated outcomes and sustainability of a multi-agency LC for implementing trauma-informed care in 23 rural Pennsylvania counties. Changes in outcomes (i.e., trauma symptom screening, trauma-informed care training attendance, clinician confidence with using trauma informed-care, utilization of trauma-related diagnostic codes, retention in service, service unit density) …

Self-Reported And Behavioral Perseverance Associated With The Maintenance Of Health Behaviors, Alivia Kay Frazier

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research has shown that positive psychological traits, such as perseverance, may be associated with the maintenance of health behaviors aimed to prevent commonly fatal diseases (e.g., cardiovascular disease, stroke). Although there is limited research in this area, the current study examined whether there was an association between self-reported perseverance, behavioral perseverance, and distress tolerance with various health behaviors (e.g., sleep, physical activity, nutrition, vaping, alcohol use, general health status, and COVID-19 behaviors). A novel methodology was implemented for this study that employed using the online mirror tracing task as a measure of behavioral perseverance.

A sample of young adult participants …

Effects Of Depression And Stress On Oral Self-Care Among Perinatal Women In Appalachia: A Longitudinal Study, Jeongwi An

Graduate Theses, Dissertations, and Problem Reports (ETD)

Oral health during the perinatal period has an impact on the health of women and their offspring. Oral self-care behaviors are preventive methods that can be employed to maintain or improve oral health but may be compromised during the perinatal period. Identifying factors affecting oral self-care behaviors might provide direction on how to intervene in oral health during and after pregnancy. The purpose of this study was to investigate independent and interactive effects of depression and stress on oral self-care behaviors of perinatal women in Appalachia, given the burden of oral disease in this region. A total of 1,172 women …

Zonulin As A Mediator Of Psychological Stress And Periodontal Disease, Casey D. Wright

Graduate Theses, Dissertations, and Problem Reports (ETD)

The prevalence of chronic inflammatory diseases is on the rise. Some have posited the permeability of tight junctions in gastrointestinal epithelium tissues as a potential mechanism for precipitating inflammatory processes throughout the body. Zonulin is the only known modulator of tight junction permeability and has been implicated in numerous chronic inflammatory processes (e.g., proinflammatory cytokine production) and diseases, more generally. The role of zonulin in oral inflammation, however, has yet to be explored. Periodontal disease is the most common oral inflammatory condition and primary perpetrator of tooth loss. Periodontal disease also is associated with a number of other health problems …

Covid-19: Examining Adherence Through The Health Belief Model, Leah Ashton Brown

Graduate Theses, Dissertations, and Problem Reports (ETD)

Over 6.4 million individuals have died due to COVID-19. Although the vaccine has been distributed and made more accessible, it is important for individuals to continue adhering to guidelines that prevent the spread of this deadly virus. The current study explored adherence to COVID-19-related health behaviors (wearing a mask, social distancing, properly washing hands, and receiving the COVID-19 vaccine) in a U.S. sample (recruited through Amazon MTurk) and examined the role of interactions among various identities. The study was informed by the Health Belief Model (HBM) and participants completed questionnaires that assessed COVID-19 health behaviors, constructs comprising the HBM (perceived …

Freeze! The Impact Of A Guided Imagery Intervention On Looming Vulnerability And Subclinical Contamination-Ocd Symptoms, Amber Lynn Billingsley

Graduate Theses, Dissertations, and Problem Reports (ETD)

Looming vulnerability (LV) refers to the tendency to appraise and perceive potential threats as dynamic and increasing in risk. Research suggests that contamination-fearful individuals may have an increased tendency to interpret contamination as growing or spreading (i.e., “looming”), which may hinder habituation to contamination and play a role in the maintenance of contamination-OCD symptoms. Studies have shown that engaging in imagery in which one mentally freezes contamination in place decreases state levels of fear, though little is known about its longer-term effects (e.g., after one week). The present study aimed to experimentally manipulate LV using freeze imagery in a subclinical …

Integrative Meaning, Mindfulness, And Traumatic Grief Among Bereaved Adults, Brandy Tidwell

Clinical Psychology Dissertations

Traumatic Grief (TG) entails clinically significant expressions of grief and posttraumatic stress following bereavement. TG experiences are more likely following violent, sudden, or accidental losses, which has been largely explained by integrative meaning-making processes. In this study, I aimed to explore relationships between integrative meaning, mindfulness, and TG among a sample of adults (N = 237) bereaved by various circumstances. First, I sought to contribute to findings regarding the negative association between integrative meaning and TG experiences by investigating whether this relationship persists among individuals bereaved by varied circumstances. Second, I sought to explore the role of mindfulness in …

Alcohol And Other Addictive Behaviors Among Bariatric Surgery Patients, Rachel M. Arnold

Theses and Dissertations

Research has repeatedly highlighted a high rate of comorbidity of addictive behaviors in both clinical and non-clinical samples. While polydrug use has received significant attention in recent years, less is known about rates of comorbidity with behavioral addictions such as eating, work, exercise, or sex. Individuals with a history of bariatric surgery may provide a unique opportunity to examine the potential co-occurrence of addictive behaviors. High rates of food addiction symptoms and changes in alcohol use patterns post-surgically have highlighted a potential gap in our understanding of bariatric patients and their needs post-surgically. Using a composite measure of addictive behaviors, …

Development Of A New Measure To Assess For Poverty-Based Stress: The Poverty-Based Stressor Scale (Pbss), Brianna N. Allen

College of Graduate Studies: Theses & Dissertations

Poverty, typically measured by economic well-being or depravation, is the result of systemic flaws built into the structure of society that adversely impact multiple dimensions of health and well-being. The specific stressors that disproportionately impact low-income individuals are called poverty-based stressors, and they encompass multiple categories of risk including physical, psychosocial, and financial risks. Currently, there is not an adequate measure of poverty-based stressors for low-income adults in the United States (U.S.), which restricts our ability to accurately determine the effects of poverty on important health-related outcomes. The purpose of this dissertation was to develop a psychometrically sound measure of …