Predicting Medication Adherence Patterns During The Maintenance Phase Of Treatment For Pediatric Leukemia And Lymphoma: A Model Of Individual- And Family-Level Factors,
2022
Virginia Commonwealth University
Predicting Medication Adherence Patterns During The Maintenance Phase Of Treatment For Pediatric Leukemia And Lymphoma: A Model Of Individual- And Family-Level Factors, Stephanie M. Romo
Theses and Dissertations
Adherence during the maintenance phase of pediatric cancer treatment is critical to prevent relapse and ensure long-term, event-free survival. Yet, little research has been done to examine individual- and family-level factors that may relate to adherence during the maintenance phase of treatment, particularly among Latinx patients. This is surprising given findings demonstrating that children who miss more than 5% of their prescribed oral chemotherapy medicine, most commonly 6-mercaptopurine (6MP), are 2.5-2.7 times more likely to relapse than children who take 95% or more of their prescribed 6MP. Pediatric cancer patients face unique adherence challenges given the importance of family involvement …
Sleep Self-Efficacy, Loneliness, And Physical Activity: Assessing The Pathways Between Sleep Quality And Mental Health Using Structural Equation Modeling,
2022
Virginia Commonwealth University
Sleep Self-Efficacy, Loneliness, And Physical Activity: Assessing The Pathways Between Sleep Quality And Mental Health Using Structural Equation Modeling, Amber M. Fox
Theses and Dissertations
Although there is robust empirical support that poor sleep contributes to declines in mental health, explanations of this relationship remain unclear. The purpose of the present study was to examine the pattern of associations between sleep quality, sleep self-efficacy, loneliness, physical activity, and mental health among U.S. adults across the lifespan, and whether they differed by gender or age group. A structural equation model with invariance analysis was developed and examined data from 2,300 adults (Mage = 44.1, SD = 16.78) participating in the online study Investigating Sleep Longitudinally Across Normal Development (ISLAND). Sleep quality was measured by …
A Risk-Averse Mechanism For Suicidality Assessment On Social Media,
2022
University of South Carolina - Columbia
A Risk-Averse Mechanism For Suicidality Assessment On Social Media, Ramit Sawhney, Atula Tejaswi Neerkaje, Manas Gaur
Publications
Recent studies have shown that social media has increasingly become a platform for users to express suicidal thoughts outside traditional clinical settings. With advances in Natural Language Processing strategies, it is now possible to design automated systems to assess suicide risk. However, such systems may generate uncertain predictions, leading to severe consequences. We hence reformulate suicide risk assessment as a selective prioritized prediction problem over the Columbia Suicide Severity Risk Scale (C-SSRS). We propose SASI, a risk-averse and self-aware transformer-based hierarchical attention classifier, augmented to refrain from making uncertain predictions. We show that SASI is able to refrain from 83% …
Bipolar Disorder & Substance Use Treatment In Adults: A Tool For Recovery,
2022
University of Denver
Bipolar Disorder & Substance Use Treatment In Adults: A Tool For Recovery, Kaitlin Vieweg Parker
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Bipolar Disorder is an affective disorder characterized by moderate to extreme lability in emotional states where individuals experience symptoms of mania, hypomania, mixed mood and/or depression. Individuals may be diagnosed with bipolar I disorder, which is hallmarked by extreme mood lability between mood states of mania and depression. Alternatively, bipolar II disorder is distinguished by fluctuating hypomanic and depressive episodes (DSM-V, 2014). Cyclothymia is defined by shifting mood states that are less severe than bipolar I or II. According to the National Alliance on Mental Illness (NAMI, 2017), 2.8% of adults in the United States are diagnosed with a type …
No Time For That: Graduate Psychology Student Perspectives On Self-Care Culture,
2022
Antioch New England Graduate School
No Time For That: Graduate Psychology Student Perspectives On Self-Care Culture, Anthony Primavera
Antioch University Dissertations & Theses
Graduate psychology students face numerous stressors that can hinder their performance both academically and clinically as they move through their education and into the professional world (Pakenham & Stafford-Brown, 2012; Shen-Miller, 2011). Engagement with regular self-care not only can enhance a sense of well-being, but also plays a crucial role in shielding an individual from some of the most harmful effects of stress (Wise et al., 2012). Graduate level psychology programs are inherently positioned to teach graduate trainees about the importance of self-care practices and to help them develop self-care habits that they can take into future careers. It appears …
Managing Expectations After Expecting: A Phenomenological Study Of Anger And Societal Expectations In New Motherhood,
2022
Antioch University Seattle
Managing Expectations After Expecting: A Phenomenological Study Of Anger And Societal Expectations In New Motherhood, Jennifer Monahan Demella
Antioch University Dissertations & Theses
The literature on motherhood is dominated by topics on the roles of attachment, prenatal care, and childrearing. Research on the negative effects of motherhood is typically described in terms of postpartum depression (PPD) or postpartum mood disorder (PPMD). However, anger is a prominent component in motherhood, which may not be seen through the criteria of PPD or PPMD. Additionally, angry mothers conflict with the mythos of the Good Mother. In this phenomenological study, the thematic structure of mothers’ experience within the first year of their newborns’ life are examined. Data from interviews with seven women who were four to ten …
A Proposed Grief Support Group Intervention For College Students At A University Counseling Center,
2022
University of Denver
A Proposed Grief Support Group Intervention For College Students At A University Counseling Center, Kyle Cacoyannis
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
The current paper draws upon previous literature, along with the author's experience facilitating grief support groups to introduce a proposed grief support group intervention that could be implemented with college students at university counseling centers in the United States and potentially abroad. The author discusses literature on grief, grief support groups at university counseling centers and in other settings, and presenting problems related to grief among college students and young adults which help inform the design of the proposed intervention. The group intervention design is outlined in detail in the Appendix section, however the Method section gives a brief synopsis …
Entitlement, Psychological Vulnerability, And Criminality: An Expansion On Grubbs And Exline's (2016) Model,
2022
Antioch New England Graduate School
Entitlement, Psychological Vulnerability, And Criminality: An Expansion On Grubbs And Exline's (2016) Model, Allison Dart
Antioch University Dissertations & Theses
The current study examines the predictive relationships among Entitlement, criminal thinking, and psychological vulnerability. Eighty male incarcerated individuals participated in this research and four measures were administered to each participant: the Adverse Childhood Experiences Questionnaire (ACEs), the Texas Christian University Criminal Thinking Scale (TCU-CTS), the Woodcock Johnson-IV Cognitive Brief Intellectual Abilities scale (WJ-IV COG BIA), and the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF). Results yielded the following findings: Behavioral/Externalizing Dysfunction was the best predictor of Entitlement. Behavioral/Externalizing Dysfunction and Thought Dysfunction were the best predictors of each of the other aspects of criminogenic thinking. Emotional/Internalizing Dysfunction did not reliably …
Youth Leadership Through Adventure: Alums' Perspectives On The Experience Of Leadership,
2022
Antioch New England Graduate School
Youth Leadership Through Adventure: Alums' Perspectives On The Experience Of Leadership, Raynalde Schagen
Antioch University Dissertations & Theses
In this study, I examined the perspectives that emerging adult alums of a program called Youth Leadership Through Adventure (YLTA) have of their adolescent experiences of being a leader. Eight YLTA alums engaged in semi-structured interviews focusing on the research questions: What are the lived experiences of leadership in emerging adult alums of YLTA? What factors of their adolescent involvement were most influential in their emerging adult lives? As a youth development program, YLTA is supported by Adapt and the North Country Health Consortium (NCHC), two nonprofit organizations devoted to improving health conditions and habits of individuals residing in the …
A Genuine Artifice, A Specific Vagueness: Psychotherapy, Performance, And The Practitioner,
2022
Antioch University of New England
A Genuine Artifice, A Specific Vagueness: Psychotherapy, Performance, And The Practitioner, Chris M. Defossez
Antioch University Dissertations & Theses
The following is a literature review and research project aimed at examining the performative choices psychologists make when interacting with their patients. The goal for this research is to begin to understand the “essence” of a psychologist‘s experience as they present themselves in their work. Drawing from published literature on the therapeutic alliance, social constructionism, postmodern feminism, art, and aesthetics, the author argues that the therapeutic frame taken by a particular therapist can be understood as a performative act. This author examines the implications of this idea and what can be learned from conceptualizing the therapeutic alliance through a performative …
Therapist Self-Reported Attachment Organization And Countertransference Responses To Psychotherapy Clients,
2022
Antioch University of New England
Therapist Self-Reported Attachment Organization And Countertransference Responses To Psychotherapy Clients, Morgan Janay Pell
Antioch University Dissertations & Theses
Therapists experience thoughts, feelings, and behaviors in response to their clients, which are sometimes referred to as countertransference. Such responses may be influenced by the therapist’s personal history, including the quality of their attachment experiences. Research has demonstrated that adult attachment organizations influence a person’s cognitive, behavioral, and affective responses toward close others, thus providing a useful framework for understanding some countertransference experiences of therapists. This quantitative study sought to add to the existing literature by examining the relationship between therapist self-reported attachment organization and countertransference responses to clients. Seventy-three therapists participated in this study, including licensed psychologists, doctorate-level psychologists, …
Narrative Enhancement And Cognitive Therapy With Correctional Psychiatric Patients: A Pilot Study,
2022
Antioch University of New England
Narrative Enhancement And Cognitive Therapy With Correctional Psychiatric Patients: A Pilot Study, Richelene Cesar
Antioch University Dissertations & Theses
Narrative Enhancement and Cognitive Therapy (NECT) is a manualized, group-based intervention that was originally developed to treat self-stigma among individuals who present with severe and persistent mental illnesses (SPMIs; Roe, Lysaker, & Yanos, 2013). NECT has been shown to effectively reduce these individuals’ experience of self-stigma, and diminish its negative effects on their hope, self-esteem, self-efficacy, and quality of life (Yanos, Roe, & Lysaker, 2011). Supportive literature is scarce regarding NECT’s efficacy with people who have multiple stigmatized identities. For the purposes of this pilot study, NECT was implemented with a correctional psychiatric population. Research supports this population is doubly, …
The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs,
2022
Antioch University Seattle
The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn
Antioch University Dissertations & Theses
Evidence suggests that clinical psychology trainees may be vulnerable to stress, vicarious traumatization, secondary traumatic stress, compassion fatigue, and burnout. Research also indicates that engaging in self-care may help to protect clinical psychology trainees against those experiences and enhance their well-being. However, best available research suggests self-care education is not consistently incorporated into clinical psychology training or prioritized by program directors. This study provided a systematic review of existing literature on self-care for clinical psychology trainees, utilizing reflexive thematic analysis to identify the essential skills, knowledge, and attitudes of self-care which should be taught to trainees, and how to operationalize …
Both Sides Of The Coin: Sexual Minority Perspectives On Relationships,
2022
Antioch New England Graduate School
Both Sides Of The Coin: Sexual Minority Perspectives On Relationships, Quynh Tran
Antioch University Dissertations & Theses
This dissertation aimed to better understand sexual minority individuals’ perceptions of how various minority stressors affect their interpersonal connections. In this study, sexual minority identity was defined as a sexual identity that was not the heterosexual, and was defined to include lesbian, gay, bisexual, asexual, pansexual, and queer. Gender identity was not a criterion for either inclusion or exclusion in this study. This phenomenological study used semistructured interviews to explore the perspective of six participants who identify with sexual minority identities. Interpretative Phenomenological Analysis (IPA) of the data resulted in five main themes: (a) Growth-fostering relationships promote well-being, (b) Perceived …
Caregiver Experience Of Voice And Choice In Wraparound Systems Of Care,
2022
Antioch New England Graduate School
Caregiver Experience Of Voice And Choice In Wraparound Systems Of Care, Kathryn O'Neil
Antioch University Dissertations & Theses
The following is a qualitative study of the caregiver’s experience of having voice and choice in the New Hampshire wraparound program, conducted through Keene State College’s Behavioral Health Improvement Institute (BHII). Wraparound systems of care emphasize the family’s role in directing the generation of a network of supports for intervening with a youth with Severe Emotional Disturbances (SED). Indeed, caregiver voice and choice are key principles of this service delivery model. There are many established benefits to encouraging family involvement in systems of care, but little research to date on the subjective caregiver experience. A review of literature covers the …
Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples,
2022
Antioch New England Graduate School
Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah
Antioch University Dissertations & Theses
As the number of intercultural couples increases in North America, the impact of perceived marginalization of these relationships on the mental health of individuals is an area that requires continued clinical understanding. This quantitative study sought to explore how anxiety and depression levels in intercultural and monocultural couples are associated with levels of perceived marginalization. Qualitative follow-up questions were used to understand the varying reasons for marginalization and support between couples. One hundred twenty-four individual participants in romantic relationships took part in this study; of this, 64 were in monocultural relationships and 60 were in intercultural relationships. This study found …
The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome,
2022
Antioch New England Graduate School
The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene
Antioch University Dissertations & Theses
As the rate of Lyme disease diagnoses increases in the United States, it can be assumed that the frequency at which post-treatment Lyme disease syndrome (PTLDS) is diagnosed will also increase. While research has been published on the experience of caregivers of other chronic illnesses, no studies have examined the experience of the PTLDS caregiver. This quantitative study sought to discover the most significant burdens, mental health status (levels of anxiety and depression), and level of invalidation experienced by the PTLDS caregiver. Thirty individual participants took part in this study. This study found that mental burden is a significant area …
Psychological Impact On Probation Officers Supervising Individuals With Mental Illness,
2022
Antioch New England Graduate School
Psychological Impact On Probation Officers Supervising Individuals With Mental Illness, Janelle Hickey
Antioch University Dissertations & Theses
Every year, millions of adults in the United States are ordered to participate in supervised community probation and parole (Bureau of Justice Statistics, 2021). Probation and parole supervisees with serious and persistent mental illness (SPMI) are overrepresented in the criminal justice system and, therefore, probation and parole officers (PPOs) can expect to work with supervisees with mental illness. While there is extensive research on the impact of working with individuals with SPMI on community support professionals, there is little research focusing specifically on PPOs (Whitehead, 1985). The limited research that exists suggests PPOs who supervise individuals with SPMI endorse symptoms …
Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance,
2022
Antioch University Seattle
Examining Face-To-Face And Online Supervisee Disclosure Within The Supervisory Alliance, Letitia D'Aria Unger Johnson
Antioch University Dissertations & Theses
The purpose of this research was to examine face-to-face and online supervisee disclosure within the supervisory alliance. Just as client care pivoted to online platforms, as a result of the COVID-19 pandemic, so did clinical supervision, which was uncharted territory for many, including those familiar with online counseling. The methodology used was consensual qualitative research (CSR). Eight participants were recruited as a sample of convenience, and semistructured interviews were conducted via Zoom. Results indicated domains such as important characteristics of the supervisory relationship, importance of communication, supervisor characteristics related to self-disclosure, positive aspects and negative aspects of online supervision, and …
The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults,
2022
Antioch University Seattle
The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole
Antioch University Dissertations & Theses
In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …
