Clinical Psychology Commons^™

Examining The Utility Of Hope Interventions To Mitigate The Effect Of Discrimination On Distress In African Americans, Sunia H. Choudhury

College of Graduate Studies: Theses & Dissertations

Hope is a positive psychology resource that utilizes one’s perceptions of strengths to create clear goals, produce multiple pathways to reach goals, overcome barriers, and generate the energy needed to pursue goals by increasing positive affect and satisfaction, while reducing negative problem orientations (Magyar-Moe, 2014). Hope interventions also significantly reduce psychological distress (Rustøen, Cooper, & Miaskowski, 2011). Discrimination is a significant barrier to quality of life for African Americans (Bilkins, Allen, Davey, & Davey, 2016). Discriminatory experiences increase levels of distress (Brown, et al., 2000). However, it is unknown if hope interventions can protect African Americans against distress caused by …

Capitalizing On Stress: Improving Affect And Self-Efficacy Through An Arousal Reappraisal Intervention, Angel Long

College of Graduate Studies: Theses & Dissertations

Stress is a non-specific reaction to the body (Jamieson et al., 2018), defined as a feeling of tension when one’s personal resources are taxed or exceeded (Folkman & Lazarus, 1985). Coping mechanisms for stress often focus on reducing associated features (Connor-Smith & Flachsbart, 2007). However, stress can produce challenge states, mindsets where individuals perceive personal resources as greater than situational demands (Jamieson et al., 2013). Challenge states are more likely to elicit positive behavior (Jamieson et al., 2018) and improved cognitive performance (Jamieson et al., 2010). One prospective mechanism to foster challenge states is arousal reappraisal, a cognitive mechanism …

Coping Self-Efficacy As A Moderator In The Relationship Between Trauma And Disordered Eating, Bethany Owens Raymond

College of Graduate Studies: Theses & Dissertations

Disordered eating behaviors are associated with a myriad of detrimental health and mental health consequences (Ackard et al., 2003; Bryla, 2003; Karkkainen et al., 2018; Quick & Byrd-Bredbenner, 2013). Previous research identifies trauma as a risk factor for disordered eating behaviors and eating disorders (Brewerton, 2007). For instance, individuals with eating disorders are more likely to report trauma than individuals with no such history (Lejonclou et al., 2014). However, because not all individuals with a history of trauma exhibit disordered eating, it is important to identify what factors might moderate this relationship. The current study aims to investigate coping-self efficacy …

Examining Perceived Stigma, Disclosure, Self-Compassion, And Health-Related Quality Of Life In College Students With Cystic Fibrosis, Anna R. Hangge

Electronic Theses and Dissertations

Cystic Fibrosis (CF) is a life-limiting genetic disorder that affects the lungs, pancreas, and other organs. Recent advances in CF-related healthcare have improved the life expectancy of individuals with CF from childhood to approximately 50 years old (CFF, 2020). Therefore, more individuals with CF are attending college and facing challenges within this new stage of life. This study examined perceived stigma, disease disclosure, self-compassion, and health-related quality of life (HRQoL) in a sample of current and former college students with CF to understand their psychosocial experience of managing their illness while in college. Results indicated that perceived stigma and HRQoL …

“I Knew These Marvelous People”: Gay Men’S Experiences Of Long-Term Hiv/Aids Survival, Ilana J. Sichel

Dissertations and Theses

The gay and bisexual men who were diagnosed with HIV/AIDS before the pharmaceutical breakthroughs of the mid-1990s were given what was expected to be a death sentence. Instead, the majority of those who began the newly available treatments outlived not just their initial prognoses but their lovers, friends, and community members who had already perished. This study used grounded theory analysis of semi-structured interviews with a sample of 10 self-identified gay men who are long-term HIV/AIDS survivors to explore experiences of trauma, loss, and mourning in relation to current psychological wellbeing. Qualitative thematic analysis indicated that despite demographic variance among …

Early Risk Factors For School-Age Adhd And Irritability: The Roles Of Prenatal Risk, Intrusive Parenting Style During Preschool And Caregiver-Child Attachment Quality., Ashley M. Rainford

Dissertations and Theses

ADHD is a highly impairing neurodevelopmental disorder and the family context provides a critical early environment where children’s risk for the disorder may be heightened or reduced. A parent’s style, that is their approach to interacting and guiding the child may provide children with warmth and security, or elicit fear, distrust and disappointment, both of which in turn impact behavior. However, the parent-child relationship is not unidirectional; it is dynamic. Children with high ADHD-like behaviors have greater difficulty relating to and interacting with their caregivers, while caregivers become increasingly stressed and show greater hostility and less warmth in their parenting. …

Loneliness, Interpersonal Sensitivity And The Mechanisms Through Which The Dimensions Of Trait Emotional Intelligence May Protect Against Clinical Depression, Eva H. Leighton

Dissertations and Theses

Reducing the prevalence of loneliness and depression are important public health objectives. This dissertation aims to contribute to these objectives by improving our understanding of the relationship between loneliness and depression. Specifically, we assessed three additional constructs known to be strongly associated with loneliness and depression –-perceived social support, emotional intelligence, and interpersonal sensitivity –- with the aim of showing how these three constructs influence the relationship between loneliness and depression. Previous research that jointly examines all five constructs has not been identified by the author in an extensive search of prior literature.

Specifically, this dissertation tested the following hypotheses: …

Identification Of Adhd And Comorbid Disorders In Children: The Potential Role Of Minority Group Membership, Rachel H. Tayler

Dissertations and Theses

Identification of ADHD and Comorbid Disorders in Children: The potential role of minority group membership

by

Rachel Tayler, MSc, MA

Advisor: Sarah O’Neill, PhD

Attention-Deficit/Hyperactivity Disorder (ADHD) affects six million US children. Females, Latinx, and possibly Black children have lower rates of diagnosis than their Male and White non-Latinx peers. ADHD is behaviorally defined, and as such, clinicians' perceptions of symptoms and determination of diagnoses may be influenced by demographic factors such as race, ethnicity and sex.

This vignette study examined whether clinicians' implicit ethnic, racial, and sex biases affect diagnosis of ADHD and comorbid conditions. Psychiatry trainees and pediatricians …

Being Black & Blue: Sex As A Moderator Between Adverse Childhood Experiences And Depressive Symptoms Among Black Emerging Adults, Wynta C. Alexander

Dissertations and Theses

Adverse Childhood Experiences (ACEs) have been linked to adult mental health consequences (e.g., depressive symptoms). Black people are disproportionately affected by ACEs, and factors related to ethnic subgroups and/or sex may produce differential depressive outcomes. The current study examined the moderating role of sex in the association between adverse childhood experiences and depression symptoms using a life course of health approach among a sample of Black emerging adults. Participants (n = 159) of the current study were Black (e.g., African – American) and Black Caribbean (e.g., Jamaican) undergraduate students (18 – 59 years old; 72.3% female) attending a large, public …

Joint Laughter Between Patient And Therapist: Exploring The Function Of These Moments And Their Relationship To The Working Alliance In Short-Term Psychotherapy, Molly Rappaport

Dissertations and Theses

Laughter emerges in infancy and reflects mutually aroused and regulated positive affect within the caregiver-infant relationship and repeated cycles of shared, co-regulated positive arousal have been shown to play a critical role in fueling secure attachment bond formation and laying the groundwork for the infant’s capacity for affect regulation (Schore, 2003). Throughout life, laughter continues to function as an attachment behavior with the possibility of promoting interpersonal closeness or creating distance. Attitudes toward the role of laughter in psychotherapy vary among psychodynamically-oriented clinicians and research has mostly focused on the kinds of humor and interventions that provoke laughter rather than …

Using Individual Determinants To Predict Behavioral Health Service Use In Integrated Pediatric Primary Care, Alfonso L. Floyd Jr.

Theses and Dissertations

Mental health problems (e.g., attention, externalizing, internalizing) are commonly observed in youth and are often associated with significant impairment and an increased need for mental health services. Conceptual frameworks, such as Andersen’s Behavioral Model of Health Service Utilization, have proposed that several individual determinants (e.g., predisposing, enabling, and need factors) may influence service use for mental health problems among youth. Despite the glaring need for mental health treatment among youth with mental health problems, studies indicate that many affected youths do not receive mental health care. Integrated pediatric primary care (IPPC) settings provide an ideal setting for youth and families …

Role Of Feedback And Social Anxiety In Dating Situations, Kanika Singh

Masters Theses

Social anxiety has been linked to both the Fear of Negative Evaluation (FNE) and the Fear of Positive Evaluation, suggesting that receiving feedback (whether positive or negative) is difficult for persons with social anxiety. However, little research has examined whether receiving feedback in an evaluative setting (e.g., dating) can directly affect social anxiety levels. Thus, this study examined whether varying types of feedback (negative, positive, and neutral) can affect the levels of social anxiety for individuals in a dating scenario. Feedback was provided to participants and examined in relation to their levels of FNE and FPE. Participants consisted of undergraduate …

Efficacy And Possible Mechanisms Of Change In Written Exposure Therapy In Undergraduates With Ptss: A Randomized Trial Of Wet Compared To Trauma-Focused Expressive Writing, Robyn Alyssa Ellis

Graduate Research Theses & Dissertations

Trauma exposure is common, with a 90% lifetime endorsement rate in adults in the United States and a majority of first year students reporting exposure to trauma prior to college. A minority of individuals go on to develop PTSD, with higher rates on college campuses (9-12.4%) than lifetime estimates (7%). Existing evidence-based practices for PTSD have demonstrated efficacy in reducing PTSD symptoms (PTSS), but critiques of evidence-based psychotherapies (EBPs) for PTSD include high levels of drop-out and barriers to access. Written exposure therapy (WET) is a brief promising intervention for PTSS with a growing literature of evidence suggesting efficacy with …

Longitudinal Associations Between Parenting Stress, Adolescent Temperament, And Externalizing Behaviors, Kristina Kochanova

Graduate Research Theses & Dissertations

Although there is growing evidence that parenting stress and adolescent externalizing problems are linked cross-sectionally similarly to families of younger children, longitudinal research examining the direction of these associations among families of adolescents is limited. This study examined the direction of the link between parenting stress and adolescent externalizing problems over time and whether the associations differed due to adolescent temperament. Participants were 333 biological mothers (Mage = 40.15, SDage = 6.86; 75.7% White) with a 12- to 17-year-old adolescent. They were recruited through Amazon’s Mechanical Turk and completed psychometrically valid measures through Qualtrics at two time points, six months …

Understanding The Impact Of Collective Efficacy And Race/Ethnicity On Child Internalizing And Externalizing Symptomatology, Demy Alfonso

Graduate Research Theses & Dissertations

Neighborhood collective efficacy has emerged as an important predictor of mental health problems, specifically internalizing and externalizing behaviors, among adolescents. Existing research has shown that the association between collective efficacy and mental health problems may differ according to the child’s racial or ethnic background. The present study used structural equation modeling (SEM) to examine the direct associations between collective efficacy at age 9 and internalizing and externalizing symptoms at age 15, while controlling for several demographic variables. Subsequently, a multigroup SEM approach was utilized to explore whether associations between neighborhood collective efficacy at age 9 and externalizing and internalizing symptoms …

Assessment Of Adolescent Anxiety, Anna E. Martinez-Snyder

Graduate Research Theses & Dissertations

Anxiety disorders are the most prevalent of any group of disorders among adolescents. Further, the prevalence of anxiety disorders has been shown to increase from adolescence to young adulthood, underscoring the importance of researching adolescent anxiety. Screening for anxiety in adolescents is necessary to identify and treat these disorders, which requires measures with good psychometric properties. One aim of the present study was to examine and compare the psychometric properties of the separation anxiety, social anxiety, panic, and generalized anxiety scales of the Screen for Child Anxiety-Related Emotional Disorders (SCARED), the Spence Children’s Anxiety Scale (SCAS), and the Youth Anxiety …

An Observational Study Of Maternal Parenting Behavior And Adolescent Social Anxiety, Cassandra R. Mick

Graduate Research Theses & Dissertations

Parenting behaviors, especially maternal parenting behaviors, have been implicated in the etiology and maintenance of adolescent Social Anxiety Disorder and its symptoms for decades. Following calls from meta-analyses and literature reviews for observational measurement of parenting behaviors and preliminary results from a pilot study reviewed here, this investigation sought to evaluate the utility of the undermining autonomous relatedness (UAR) index of the Autonomy and Relatedness Coding System as a path through which maternal social anxiety symptoms are transmitted to adolescents. A racially and socioeconomically diverse sample of 64 early adolescents (Mage = 12.37; 53.1% White; 64.1% female) and their mothers …

Problematic Social Media Use And Depression In College Students: A Mediation Study, Morgan Hummel

Masters Theses

Recent research has shown a relationship between problematic social media use and depression symptoms in adults in the United States. Social comparison has been identified as a mediator in this relationship in previous studies. Little research has explored the underlying mechanisms in social media use and the onset of depression symptoms in college aged students. The present study examines whether social comparison mediates the relationship between problematic social media use and depression symptoms in 102 college students in the US. The participants completed measures of problematic social media use, social comparison, and depression symptoms. The results indicated a positive relationship …

Ethnic Differences In The Way College Students Cope With Stress, Temavulane N. Motsa

Masters Theses

Stress is one of the key concerns for students and has also been labelled the highest factor impacting students’ academic performance in colleges. A student’s ability to adequately cope with their stressors could determine their academic success or failure. This study examined whether there are any ethnic differences in the way African American and Caucasian American Students cope with stress. Data were collected from Students at Eastern Illinois University which included 45 African American Students and 40 Caucasian American students. The results revealed no significant differences in the way Caucasian American and African American students cope with stress. This paper …

Sexual Satisfaction And Dysfunction In Female Survivors Of Sexual Violence: The Moderating Effect Of Sexual Motivations, Kyla A. Leonard

Graduate Research Theses & Dissertations

One in four women are sexually assaulted at some time during their life, which often results in negative effects including lower levels of sexual satisfaction and higher rates of sexual dysfunction. While sexual violence has been consistently linked to lower levels of sexual satisfaction and higher rates of sexual dysfunction, not all women who experience sexual violence go on to experience these negative effects. This suggests that there may be another factor involved in the development of post-assault sexual problems. Research indicates that one factor may be motivation for sexual intercourse as different motivations have shown predictive value for sexual …