Clinical Psychology Commons^™

Adolescent Healthcare Contacts In The Year Before Suicide: A Case Control Study, Ana Lanier, Jordan Braciszewski, Hsueh-Han Yeh, Gregory Simon, Rebecca Rossom, Frances Lynch, Stephen Waring, Christine Lu, Ashli Owen-Smith, Arbe Beck, Brian Ahmedani

Medical Student Research Symposium

Introduction: Suicide rates among adolescents have risen steadily since 2007, creating a dire need to expand prevention protocols. Healthcare systems have been identified as a key avenue for identification and intervention. To date, no comprehensive analysis has been done to understand adolescent-specific characteristics and healthcare utilization prior to suicide death.

Methods: A case-control study was conducted using records from eight healthcare systems nationwide. Data from 450 subjects aged 10-24 who died by suicide between the years 2000-2013 was matched with 4500 controls based on health system and time period of membership. We examined past-year health diagnoses and patterns of visit …

The Oq-45: The Structure Of Mental Health Symptoms During Psychotherapy, Lindsay Arader

Theses and Dissertations

The structure of the Outcome Questionnaire-45 (OQ-45; Lambert et al., 2004b) was examined across three time points in a sample of 199 psychotherapy clients at an outpatient community clinic in the greater New York area. Five models—a one-factor model, two-factor (oblique) model, three-factor (oblique) model, two sub-factor bifactor model, and three sub-factor bifactor model—were tested at baseline, 8 weeks, and 16 weeks. The two sub-factor bifactor model fit the data best at baseline, and the three sub-factor bifactor model fit the data best at 8 weeks and 16 weeks. These results demonstrate that the OQ-45 items load onto one general …

Reflective Processing And Intimate Partner Violence, Rachel Zukerman

Theses and Dissertations

Intimate Partner Violence (IPV) is a prevalent problem, especially among college students. The serious physical and psychological consequences of IPV highlight the need to better understand its correlates. Individuals tend to process information and make decisions in different ways; these styles of thinking and decision likely hold important implications for intimate partnerships. Using a sample of undergraduate students, the current study aims to better understand the thinking processes of those who engage in IPV. Furthering our understanding of the cognitive processes that predict IPV may hold important treatment implications, both from a preventive and therapeutic standpoint. Previous studies show that …

Effectiveness Of E-Health Interventions For Externalizing Behaviors: A Meta-Analysis, Celeste Sangiorgio

Theses and Dissertations

eHealth treatments vary widely from automated treatment protocols to professional-led treatment tools that are integrated into treatment protocols with therapists. This dissertation organized, coded, and submitted 33 eHealth treatment trials to meta-analytic study to assess eHealth treatment study effectiveness overall and for each type of eHealth treatment type. Systematic review and descriptive analyses revealed that eHealth treatments that target externalizing behaviors varied widely in study, sample, and design characteristics. eHealth treatments most frequently targeted externalizing behaviors in adolescent samples (n = 22), adapted cognitive behavior therapy (CBT) to digital platforms (n = 11), and integrated digital tools into traditional treatment …

Food For Thought: An Exploration Of The Interplay Between Eating Disorder Recovery And Recovery Instagram Accounts, Allison Dashow

Selected Full Text Dissertations, 2011-

Social media use is more widespread than ever, with over 800 million monthly active users on Instagram alone (Anderson & Jiang, 2018). The literature suggests an association between social media usage and mental health issues, specifically that it increases body image concerns, body comparisons, and disordered eating (Saunders & Eaton, 2018; Tiggemann & Slater, 2013). While multiple studies have investigated the type of content present and individuals’ experiences within pro-eating disorder (ED) communities, few studies to date have examined Instagram’s (IG) ED recovery communities. The aim of the current study was to explore the interplay between individuals’ ED recovery and …

A Multifaceted Approach To Understanding Schizoid Personality Across Behavioral, Intrapsychic, And Interpersonal Domains, Soo Hyun Cho Lee

Selected Full-Text Dissertations 2020-

The aim of the present study was to gain a comprehensive understanding of the interaction amongst the behavioral, intrapsychic, and interpersonal domains of schizoid personality. A sample of 227 Massively Multiplayer Online Role-Playing Games (MMORPG) players, ages 18 to 30, completed online self-report measures concerning maladaptive personality traits and several aspects of interpersonal functioning. The sample also provided narratives for Thematic Apperception Test (TAT) cards that were coded by the Mutuality of Autonomy Scale for the TAT (MOA-TAT) to measure schizoid self-other representations. Results showed that schizoid personality could be understood as a dimensional construct, specifically as a constellation of …

Who’S Afraid Of Whiteness? White Privilege, White Racial Identity And The Motivated Defense Of White Supremacy, Michael Strupp-Levitsky

Selected Full-Text Dissertations 2020-

Racial inequality pervades American society, yet this reality is largely denied or misattributed by many White people (Bonilla-Silva & Dietrich, 2011). Why are White Americans so resistant to acknowledging their privilege as unearned and therefore illegitimate? While some research suggests nominal benefit of raising awareness of White privilege (e.g., decreases in modern racist beliefs), other work indicates outright defensive reactions (e.g., increased hardship claiming). System Justification Theory conceptualizes these defenses as attempts to legitimize the current social order and resist change. In this dissertation, I sought to address the inconsistencies in the literature by identifying factors that affect the type …

Shame And Depression: Psychological And Cultural Factors In A Sample Of Middle Eastern Women, Amira Hanna

Selected Full-Text Dissertations 2020-

Shame is a self-conscious emotion that has been frequently tied to psychopathology; however, despite its deep-rooted influence in the Arab culture, little research has been conducted on its effect on the mental health of this population. Thus, this study investigated the impact of shame proneness on depression severity in a sample of adult Middle Eastern women living in the United States. The study also explored other factors that are highly relevant for this population, including anger suppression, religiosity, interdependent self construal, and Middle Eastern ethnic identity. Specifically, the study investigated the role anger suppression plays in explaining the relationship between …

Alliance, Power Dynamics And Response Styles In The Clinical Supervisory Relationship, Kara Kathleen Norlander

Selected Full-Text Dissertations 2020-

Supervisors provide evaluations, act as professional gatekeepers, and serve a central function to psychotherapy training, yet little is known about the impact of power dynamics on the supervisory relationship and the psychotherapy trainee. The present study offers a closer examination of Bordin’s (1983) concept of supervisory alliance, revealing a largely unappreciated emphasis on defusing tension associated with power. This study is the first to investigate how soft and hard power impact supervisory alliance, while also further validating the recently developed Power Dynamics in Supervision Scale (PDSS; Cook, McKibben & Wind, 2018). The Core Conflictual Relationship Theme (Luborsky & Crits-Christoph, 1998) …

Finding Agency In The Invalidating Environment: Sexism, Control, And Dialectical Behavior Therapy (Dbt), Wyatt D'Emilia

Selected Full-Text Dissertations 2020-

Endorsing an external locus of control, the belief that luck, chance, and/or powerful others determine the outcomes of one’s behaviors, leads to myriad negative outcomes. Young women in the United States have been increasingly endorsing external loci, increasing their risk for psychopathology. Experiencing sexism, an unfortunately persistent stressor, notably decreases women’s sense of agency. There therefore is a clear need to identify means by which women can more effectively cope with sexism and the external locus that often follows. Secondary control (SC), a construct whereby people accept their circumstances and adjust their behavior to fit in with their environments, has …

The Association Of Cultural Orientation With Identity Development And Psychological Adjustment, Madison M. Cooper

Honors Undergraduate Theses

The current study aimed to examine possible relationships between cultural orientation and identity formation. Late adolescent college students (N = 480) completed an anonymous survey online. Measures included the Cultural Orientation Scale, the Ego Identity Process Questionnaire, and the Identity Distress Survey. Contrary to predictions, neither identity exploration nor identity distress were found to be related to cultural orientation. However, identity commitment was significantly correlated with both individualism and collectivism. Further, a ONEWAY ANOVA suggested differences between identity statuses. An LSD post-hoc analyses found that the two committed statuses, Achievement (high in identity commitment after extensive identity exploration) and …

Parental Self-Efficacy, Parenting Stress, And Mental Health Among Latina Mothers Of Young Children, Thania Galvan

Electronic Theses and Dissertations

Parenthood can increase the risk for mental health concerns, especially for Latina mothers. Poor maternal mental health can result in significant negative maternal and child outcomes, particularly if a mother’s mental health needs go unmet. In an attempt to better understand the factors that impact Latina mother’s mental health, this study explored the relations among parental self-efficacy, parenting stress, and mental health. It also explored mother’s self-reported resource availability and sociocultural factors as potential modifiable points of interventions in these relations.

Methods: The study was conducted using data from 132 Latina mothers that participated in a larger project examining stress …

Trainee Attitudes Toward Social Class As Predictors Of Clinical Decision Making: Exploring The Effects Of Classism In Psychotherapy, Jeremy J. Coleman

Electronic Theses and Dissertations

The current study examined the effects of classist beliefs on trainee attitudes toward their client based on perceived social-class status. This study sought to determine whether classist attitudes contribute to meaningful differences in clinical decision making. A sample of mental health trainees (n = 147) attending graduate-level programs in the U.S. were recruited and randomly assigned to one of two clinical vignette conditions. Both vignette conditions included identical data regarding a hypothetical client’s presenting concerns (e.g., sleep disturbance, worry, rumination, loneliness), but differed on indicators of client socioeconomic status (SES). Results showed statistically significant between-group differences on ratings of clinical …

Moderate Effects Of Anxiety And Physical Activities On The Relationship Between Body Image And Covid-19 Fear, Yutong Guo

Electronic Theses and Dissertations

Improving psychological well-being has been a hot topic in counseling psychology research. However, since the COVID-19 pandemic, people’s lifestyle has been changed that caused series mental health problems. Using a sample of 576 participants from different universities. This study examined whether Covid-19 correlated with Body image a) whether anxiety moderated this relationship. b) whether physical activities moderated this relationship. c) how does different kind of body image avoidance being influenced. Pearson’s correlation test and linear regression analyses were conducted. The result indicated that COVID-19 fear has significantly positive relationship with body image. physical activities level has significantly increase the relationship …

Preconception Stress, Affect-Biased Attention, And Negative Affectivity: Assessing Pathways And Early Markers Of Psychopathological Risk In Infancy And Childhood, Danielle A. Swales

Electronic Theses and Dissertations

The developmental origins of mental health likely begin early in life and perhaps even prior to conception. Research is needed to elucidate pathways of risk and resilience in the development of psychopathology. The goal of the current dissertation was to explore how both preconception and postnatal experiences influence negative affectivity, a robust and transdiagnostic risk factor for later psychiatric symptoms. The present dissertation accomplished this goal by completing two independent studies, each of which are presented in the format of standalone journal articles. Study one focused on evaluating how preconception experiences, specifically maternal symptoms of post-traumatic stress disorder (PTSD), impact …

The Social Role Of Gender: How Gender Roles And Gender Stress Impact Dating Violence Attitudes And Outcomes, Jin Lee

Theses and Dissertations

Dating violence is a prevalent problem with many long-term deleterious effects, including difficulties with future relationships. Much of the research regarding beliefs about dating violence focuses on the acceptability of violence. The justification of violence in certain situations, such as self-defense, revenge, or playing around, has been found to be strongly related with dating violence, and even to predict dating violence perpetration, particularly among men. Further research has shown that individuals who adhere to traditional gender role attitudes display greater acceptance of violence against women in particular. Additional research has shown that when gender norms are violated, it leads to …

The Semantic And Acoustic Voice Features Differentiating Neutral And Traumatic Narratives, Yosef Shimon Amrami

Theses and Dissertations

This dissertation is a quantitative and qualitative exploration of how one linguistically communicates emotions through an autobiographical narrative. Psycholinguistic research has affirmed that linguistic features of a narrative, including semantic and acoustic features, indicate a narrator’s emotions and physiological. This study investigated whether these linguistic features could help differentiate between trauma and neutral narratives and if they can predict autobiographical narratives’ subjective trauma ratings (STR). Qualitative analyses of the positive and negative evaluative statements were also conducted, which indicated the narrators’ thought processes during recall. Twenty-two Spanish-English college students participated in this study and narrated both traumatic and neutral narratives. …

Exploring Emotion Regulation And Altruism When Experiencing Compassion Fatigue From Humanitarian Crises, Including Covid- 19., Saniya Tabani

Theses and Dissertations

Despite knowledge of devastating statistics, it has been observed that when hundreds, or even millions are suffering in large-scale crises, including genocides, refugee crises, and more recently, the COVID-19 pandemic, humans seem unable to process and comprehend the magnitude of that suffering on an emotional level. While the expectation is that compassion should increase proportionally with the number of people suffering in catastrophes, prior research has shown a negative relationship such that as need increases, donations decrease. Some factors that may impact this include the identifiable victim effect, use of emotion regulation strategies, specific cognitive processing styles, and compassion fatigue. …

Return To Play And Class For Concussed College Athletes Predicted From Post-Concussion Symptom Domains, Jazmin Nicole Mogavero

Theses and Dissertations

Each year approximately 1.6 to 3.8 million people suffer a sports-related traumatic brain injury (Langlois, Rutland-Brown, & Wald, 2006). Concussions, a common form of mild traumatic brain injury, account for 75% of total brain injuries in the United States (Faul, Xu, Wald, & Coronado, 2010). In sports, concussions account for 1 of every 10 injuries (Marar, McIlvain, Fields, & Comstock, 2012). Overall, concussion symptoms typically remit within one to four weeks from injury (McCrea, 2007); however, conflict exists surrounding the duration of time that would be safe for a concussed student-athlete to return to functioning, both to sport and to …

Predicting Treatment Response In Borderline Personality Disorder: What Can Neuroimaging Tell Us?, Christina Ann Michel

Theses and Dissertations

Borderline personality disorder (BPD) is a severe mental illness affecting over four million individuals in the United States alone. Emotion dysregulation is a core feature underlying BPD; however, the neural underpinnings of emotion dysregulation and how neural correlates relate to treatment response is not well understood. The present study examines BOLD activation during a functional magnetic resonance imaging (fMRI) task of emotion regulation to understand neural correlates of reappraisal and how this neural activity is related to treatment outcomes. Individuals with BPD (N=37) underwent fMRI at baseline and were randomized to 6-months of either dialectical behavioral therapy (DBT; N=17) or …