Clinical Psychology Commons^™

Engaging Youth And Families Within The Context Of Evidence-Based Treatment (Ebt) Implementation: Examining Integrity Of Engagement Practices To Different Ebt Information Sources, Eleanor Wu

Theses and Dissertations

Promoting and maintaining client engagement has proven to be a significant challenge across community mental health settings, including within the context of implementing evidence-based treatments (EBTs) (De Haan et al., 2013). Few efforts have been made to equip providers with empirically-sourced engagement strategies outside of the limited set of engagement procedures covered in EBT protocols. To inform efforts for improving EBT accessibility, the current study characterizes the delivery of engagement practices from the literature within the context of EBT implementation, and examines provider integrity of engagement practice use according to two information sources (i.e., the provider’s EBT training history and …

Engaging Youth And Families Within The Context Of Evidence-Based Treatment (Ebt) Implementation: Examining Integrity Of Engagement Practices To Different Ebt Information Sources, Eleanor Wu

Theses and Dissertations

Promoting and maintaining client engagement has proven to be a significant challenge across community mental health settings, including within the context of implementing evidence-based treatments (EBTs) (De Haan et al., 2013). Few efforts have been made to equip providers with empirically-sourced engagement strategies outside of the limited set of engagement procedures covered in EBT protocols. To inform efforts for improving EBT accessibility, the current study characterizes the delivery of engagement practices from the literature within the context of EBT implementation, and examines provider integrity of engagement practice use according to two information sources (i.e., the provider’s EBT training history and …

Chronic Disease And Its Relationship With Elder Mistreatment, Ryan Wong

Loma Linda University Electronic Theses, Dissertations & Projects

The relationship between chronic disease and elder mistreatment was investigated using a meta-analytic approach, where 48 studies were utilized for the random effects analysis of 178 effect size data. Twelve risk markers were combined into four categories: endocrine disease, heart disease, neurological disease, and other chronic diseases for comparative analysis of elder mistreatment. Neurological disease (OR = 1.51) was found to have a significantly stronger association with elder mistreatment when compared to the heart disease category (OR = 1.17) and the other chronic disease category (OR = 1.26). When specifically investigating emotional abuse, there was a significantly stronger association with …

Development And Initial Validation Of The Adult Coping Inventory, Kristen Hollas

LSU Master's Theses

There are few psychometrically sound measures for assessing coping in adults. For example, a widely used measure of coping, the COPE, has highly unstable sub-scale analyses (Lyne & Roger, 2000). The scarcity of instruments developed using evidence based “best practice” is concerning as coping skills are linked to a variety of positive and negative outcomes. For example, positive coping skills have been linked to better health outcomes among various populations (Garnefski & Kraaij, 2006; Littleton, Horsley, John & Nelson, 2007). This study aimed to address the lack of psychometrically sound measures of coping for an adult population. The current study …

Introduction To The Issue: Evaluating The Psychological Impact Of Covid 19, Saera R. Khan, Christine J. Yeh

Journal of Interdisciplinary Perspectives and Scholarship

Evaluating COVID 19 in its entirety is an enormous undertaking--one which will take many years and many scholars from every academic discipline to fully convey the impact of this disaster. In this three-part Special Issue of the Journal of Interdisciplinary Perspectives and Scholarship, we present current understandings of the immediate impact of COVID 19. The authors of these contributions participated in a webinar series produced by the University of San Francisco’s Center for Teaching Excellence and Center for Research, Artistic, and Scholarly Excellence in March through May 2020. Scholars from various academic sub-disciplines were invited to discuss the impact of …

The Roles Of Social Support And Personal Mastery In The Health Behaviors Of Adults With Cancer: A Survey Study, Kristen Marie Pasko

Theses and Dissertations

Cancer remains one of the leading causes of death in the United States. The majority of individuals struggle to adhere to recommended dietary and physical activity guidelines. Specifically, older adults with cancer struggle to meet health behavior recommendations, and tend to have additional risk factors, such as poor social support. Following the Transactional Theory of Stress and Coping, an individual's response to a stressful situation (cancer diagnosis) would be influenced by the interaction between their internal resources (personal mastery) and external resources (social support). Using archival data from the New Jersey Institute for Successful Aging, 725 older adults were surveyed …

Traumatic Experiences And Mental Health In College Students, Samantha Sanchez

2020 McNair Scholar Collection

Because most college students have experienced one or more traumatic experiences before reaching college, they may be at increased risk of experiencing a mental health disorder, such as depression, anxiety or post-traumatic stress disorder (PTSD). The current study examined the relationship between a history of traumatic events and mental health disorders among college students. There were direct correlations between traumatic experiences and symptoms of anxiety, depression, and PTSD. In addition, after dividing respondents into “low,” “middle,” and “high” levels of trauma, the high group scored significantly higher on symptoms of anxiety, depression, and PTSD. Women reported more symptoms of anxiety …

Assessing A Cognitive Model Of Trauma-Related Sleep Disturbance, Rebecca Chesher

Dissertations

Sleep disturbance is a symptom of many mental health disorders that may negatively affect cognition and mood. Trauma-related sleep disturbance is a core reaction of traumatic stress and PTSD, similar to symptoms experienced by individuals with insomnia or other sleep-wake disorders. Although the cause and symptom progression of trauma-related sleep disturbance may be very different, research and clinical practice assess and treat it with measures and interventions designed for general insomnia. Using a cognitive model of insomnia modified for trauma-related sleep disturbance, the current study assessed the relations between select trauma and sleep variables within the proposed constructs of: 1) …

Accurately Diagnosing Autism Spectrum Disorder Among A Comorbid Population, Michelle Okolita

Dissertations

Two of the most common neurodevelopmental disorders, attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), are diagnosed in early childhood. The two disorders share similar impairments across domains, are highly comorbid, and have many overlapping symptoms. Studies have shown that among this comorbid population, children receive an ASD diagnosis a few years after their initial ADHD diagnosis, which leads to many negative consequences, including a delay in treatment. The focus in this study was on the early indicators of ASD that are present prior to the age of 3 years in order to educate others on these symptoms. In an …

A Task Analytic Model Of Tenderness In Emotion-Focused Therapy For Couples: The Discovery Phase, Corie Mcnally

Dissertations

The focus in the present study was to develop a refined model of tenderness events in emotion-focused couples therapy. The model was created in the discovery phase of a task analytic research study through a rational-empirical method. The study was designed to combine empirical and rational data on the expression of tenderness and the display of a tenderness expression within the context of therapy. The rational model was derived from a review of the literature on emotions, couples therapy, and tenderness as an emotion. Empirical data were observed and recorded through reviews of videotapes and transcripts obtained during the York …

The Effects Of A Polyphenol-Rich Diet In A Fruit-Fly Model Of Traumatic Brain Injury, Alexandra D. Trofimova

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) is a leading cause of death in the United States. Inflammation and oxidative stress activated by the TBI can lead to systemic inflammation. Gastrointestinal complications are common secondary injuries to TBI and are associated with elevated levels of common pro-inflammatory cytokines and oxidative stress found across the body. Intestinal permeability after TBI has also been established in the fruit fly, Drosophila melanogaster. Pomegranate polyphenols have strong anti-inflammatory properties that may reduce brain and intestinal inflammation and improve functioning after TBI. This study examined the protective effects of pomegranate polyphenol supplementation in a Drosophila model of TBI. …

Program Evaluation On The Kids First Program, Katherine E. Yamauchi

Loma Linda University Electronic Theses, Dissertations & Projects

This study is a program evaluation of the Kids First program, an eight-week psychoeducation program, on parents and children who have experienced a divorce and/or separation. This study was conducted to assess the usefulness of specific program interventions as it relates to parental insight, co-parenting, and child adjustment. A descriptive analysis was conducted to examine results of the evaluations. Results indicated over 85% of the sample rated program satisfaction as moderately or very valuable, suggesting parents gained some knowledge and saw value in the program. Results also endorsed 95% of parents moderately or highly valued the effectiveness of the program’s …

Stage 2 Outpatient Adolescent Recovery (Soar) Program Family Therapy Manual, Sarah Yelim Nam An

Loma Linda University Electronic Theses, Dissertations & Projects

Rising suicide rates among adolescents is a serious public health concern. The frequency of self-injurious thoughts and behaviors drastically increases in the transition from childhood to adolescence (Nock et al., 2008; Nock et al., 2013). Suicide was the third highest cause of death between 1999-2006 for adolescents between the ages of 12 and 19, following unintentional deaths and homicide (Miniño, 2010). Despite the growing problem of adolescent suicide, treatments that meet Level One criteria, the highest level of research support for therapy as defined by the American Psychological Association (APA, 2006), are lacking. Dialectical Behavioral Therapy for Adolescents (DBT-A), a …

The Development Of A Therapeutic Alliance Focused Intervention, Amanda L. Mendez

Loma Linda University Electronic Theses, Dissertations & Projects

The therapeutic working alliance is defined as the collaborative relationship between the therapist and the patient. This relationship largely determines whether the patient experiences therapy as helpful or unhelpful in reaching their agreed upon goals. The relationship between the therapeutic alliance and psychotherapy outcome has been well documented in the literature. The therapeutic alliance is considered a “main curative component” in the interpersonal process of therapy, and is the foundation necessary for successful therapy outcomes across various orientations of psychotherapy. Still, far less research has examined the relationship between specific therapist personality characteristics and the quality of the therapeutic alliance. …

Neurodevelopmental Mechanisms Of Adverse Trauma Outcomes In Emerging Adulthood, Olena Kleshchova

Dissertations, Theses, and Capstone Projects

Background: Exposure to traumatic stress and adversity during the formative years of development can have adverse effects on mental health, neuroendocrine stress system function, and the brain, that persist into adulthood. One candidate mechanism that might confer vulnerability to enduring adverse outcomes of early life trauma is disruption of normal brain maturation. As the brain matures, functional interactions among brain regions change until the functional brain architecture (i.e., the functional connectome) reaches a mature state in adulthood. Given that different neural circuits have distinct developmental trajectories and sensitive periods, traumatic stress at a given point in development might have …

Attachment, Exploration, And Internalized Homonegativity, Gregory J. Gagnon

Dissertations, Theses, and Capstone Projects

Background: Internalized homonegativity (IH; a.k.a. internalized homophobia), has been implicated in health disparities between lesbian, gay, and bisexual persons (LGBs) and their heterosexual peers. Yet, little available research has explored factors that may increase or decrease IH.

Objective: This dissertation investigates relations between child and adult attachment and IH. It further examines the mediating and moderating roles of exploration and mentalization, respectively, in the attachment–IH relation.

Method: One hundred fifty cisgender LGB adults participated in two waves of an online survey. The first assessed recalled child–maternal and child–paternal attachment and current attachment to the romantic partner. The second, conducted two …

Do Criminal And Successful (Non-Institutionalized) Psychopaths Differ On Internal, Environmental, And Contextual Characteristics?, Ahmed E. Enaitalla

Dissertations, Theses, and Capstone Projects

Psychopathy is a personality disorder characterized by shallow emotions, particularly social emotions such as guilt, remorse, and empathy, as well as an arrogant and impulsive interpersonal style that involves the manipulation and domination of others. Despite the long history of theory and research on psychopathy, there continues to be a disagreement as to whether antisocial tendencies and criminal behaviors are an inherent part of the construct or are one possible byproduct of the aforementioned traits. In an attempt to resolve this disagreement, some researchers have shifted their efforts towards the study of psychopaths who reside beyond the walls of prisons …

Taking It To Heart: Trauma And Cardiovascular Risk In Court-Involved People Of Color, Tanya Erazo

Dissertations, Theses, and Capstone Projects

Research supports that racial disparities in health persist in the United States, with cardiovascular risk and cardiovascular disease remaining particularly high in low-income, communities of color (U.S. Department of Health and Human Services: Centers for Disease Control and Prevention, 2013; Winkleby, Jatulis, Frank, & Fortmann, 1992). Public health literature often focuses on sociodemographic variables when assessing for health disparities without considering trauma or forensic populations. This dissertation provides an overview of literature that examines cardiovascular disease and its relationship to trauma, particularly in low-income, communities of color, and forensic populations. Although the dissertation culminates in providing results for an investigation …

Developmental Predictors Of Adolescent Mental Health Stigma And A Cluster Randomized Controlled Trial Of "Ending The Silence" In New York City, Joseph S. Deluca

Dissertations, Theses, and Capstone Projects

This study explored predictors of mental health stigma among adolescents and the effectiveness of a school-based mental health stigma reduction and health promotion program, “Ending the Silence” (ETS), developed by the National Alliance on Mental Illness. Youth mental health service use is impacted by many factors, but concern about stigma and low mental health knowledge have been consistently identified as leading barriers to help-seeking. Beyond education and contact program components, existing research on how to design a successful adolescent stigma reduction intervention has been inconclusive. A diverse sample of 206 high school students in New York City participated in the …

Intrapersonal And Interpersonal Factors Predicting Distress And End-Of-Life Planning Among Individuals With Advanced Cancers, Aliza A. Panjwani

Dissertations, Theses, and Capstone Projects

The social-cognitive processing model of adaption to cancer posits that both intrapersonal and interpersonal factors influence psychological adjustment (Lepore, 2001). In this dissertation, two intrapersonal factors, intolerance of uncertainty (IU) and experiential avoidance (EA), were examined in relation to emotional distress (psychological outcome) and advanced care planning (behavioral outcome) among patients living with advanced cancer. EA (efforts intended to avoid negative emotions, thoughts, images or memories) was hypothesized to mediate the relationship between IU (the ability to tolerate uncertainty or the unknown) and emotional distress. In line with the social-cognitive model, two interpersonal factors, social support from family and friends …