Clinical Psychology Commons^™

The 23: Racial And Other Demographic Differences In The Assignment Of Risk Factors For Individuals Found Not Guilty By Reason Of Insanity In Virginia, Dominique Raquel Blanchette

Psychology Theses & Dissertations

Not Guilty by Reason of Insanity (NGRI) acquittees uniquely walk the line of involvement in both the criminal justice and mental health systems, both of which have literature indicating the presence of underlying racial biases related to practices and outcomes. The current study examined 366 forensic charts from an inpatient psychiatric hospital in Virginia to examine potential differences in the number of risk factors assigned for NGRI acquittees based on a variety of demographic variables. Information about demographic characteristics, psychiatric history, and criminal history was recorded and analyzed. It was hypothesized that younger age, male gender, a psychotic diagnosis, violent …

Morally Injurious Experiences, Trauma-Related Guilt, And Substance Use Among Iraq And Afghanistan Combat Veterans, Allison T. Battles

Psychology Theses & Dissertations

Exposure to morally injurious experiences (MIEs), or stressors that transgress deeply held moral beliefs, are risk factors for hazardous alcohol use and drug abuse among combat veterans. Guilt following a traumatic event also has a negative impact on veteran’s mental health and is conceptualized as a core symptom of moral injury that may elicit secondary outcomes, including substance use. Significant gaps remain in our understanding of the way MIEs and trauma-related guilt relate to hazardous alcohol use and drug abuse symptoms. Most prior research on MIEs and substance use have been limited to veterans sampled from the general population and …

Investigating A Multimodal Approach To Clinical Diagnosis Of Mild Cognitive Impairment And Alzheimer’S Disease, Sean M. Flannery

Psychology Theses & Dissertations

An estimated 5.8 million Americans suffer from dementia due to Alzheimer’s disease (AD), with that number projected to grow to 13.8 million by mid-century (Alzheimer’s Association, 2019). Mild cognitive impairment (MCI) describes the stage between normal cognitive decline that comes with aging and a dementia diagnosis (Peterson, 1999). Due to a lack of a cure or particularly effective treatment, a major goal of treatment is to focus on improving quality of life (Budson & Solomon, 2016). An early and accurate diagnosis can address this goal in a variety of ways. Despite the high prevalence and immense amount of research in …

Alcohol Use And Drinking-Related Eating Restriction Behaviors Among College Students, Peter Preonas

Psychology Theses & Dissertations

The combination of eating restrictions and alcohol use is a prevalent problem on college campuses. Some students engage in eating restrictions prior to drinking to limit their overall caloric intake or to enhance intoxication effects. To date, limited research suggests that drinking-related eating restriction behaviors are associated with additional and unique health risks relative to high-risk drinking or eating restrictions alone. As such, additional research examining this unique, risky set of behaviors is warranted. Consequently, the present study aimed to address gaps in the literature by further examining the risks associated with drinking-related eating restrictions and testing trait factors related …

Intergenerational Continuity Of Abuse: The Relationship Between Childhood Sexual Abuse History In Adolescent Mothers And Children’S Experiences Of Maltreatment, Karli Kolsut

USC Aiken Psychology Theses

Introduction: Previous research has identified maternal history of child abuse as a predictor of their child’s experiences, otherwise known as an intergenerational continuity of abuse (ICA). Adolescent mothers have been identified as having a higher prevalence of childhood sexual, emotional, and physical abuse histories, placing their children at high risk. A prior study with the current sample found that 66% of adolescent mothers had been a victim of childhood sexual, physical, or emotional abuse and of these, 78.1% of their children reported having a history of abuse at age 18. Method: Utilizing data from the 18-year-long Notre Dame Adolescent Parenting …

Risk Factors Associated With Somatic Symptoms Following Military Sexual Trauma In Members Of The National Guard And Reserves, Chelsea J. Mcmahon

USC Aiken Psychology Theses

Objective: The purpose of the present study is to expand existing literature on risk factors that are associated with poorer physical health outcomes following incidents of Military Sexual Trauma (MST) to include both Military Sexual Harassment and Military Sexual Assault in members of the United States National Guard and Reserve.

Method: The current study used archival data collected by a research team at the Veteran Affairs Boston Healthcare System in order to identify potential factors such as gender, social support, immediate medical treatment, Posttraumatic Stress Disorder, and Depression. Moderation and mediation analyses were performed to examine the association between experiences …

Resiliency As A Moderating Factor For The Impact Of Adverse Childhood Experiences On Substance Use In American Indian And Caucasian College Students, Emily Sargent

Theses and Dissertations

College students engage in frequent substance use behaviors and experience related consequences. Previous research suggests American Indians (AIs) experience higher rates of substance use and related consequences. Further, AIs may experience negative substance use outcomes given higher rates of adverse childhood experiences (ACEs). However, resiliency (i.e., experiencing positive outcomes despite adversity in one’s life) may be one factor that moderates the relationship between ACEs and substance use to in order to reduce use and negative consequences. The current study examined alcohol and drug use/consequences, ACEs, and resiliency among AI (n = 69) and Caucasian (CA; n= 91) university students via …

The Mediating Effects Of Drinking Refusal Self-Efficacy On The Associations Between Alcohol Protective Behavioral Strategies And Alcohol Use Outcomes, Kray Scully

Dissertations

Alcohol use continues to pose a serious public health problem at universities across the U.S., largely due to the extent of consumption and frequency of negative consequences experienced among college students. Alcohol protective behavioral strategies (PBS-A) are an empirically supported repertoire of safe drinking behaviors college students can use to monitor and control their alcohol consumption as well as limit harm while drinking. However, there remains a need to better understand how cognitive mechanisms, such as drinking refusal self-efficacy (DRSE), help explain college student safe alcohol use behaviors to enhance evidenced-based intervention and prevention efforts. Recently, studies that examined the …

The Effects Of Culturally Competent Messaging On Willingness To Engage In Firearm Means Safety, Sarah E. Butterworth

Dissertations

Little is known regarding how to most effectively deliver messaging that promotes safe firearm storage behavior. This study examined the extent to which engagement with firearm means safety messaging is conditional based on type of messaging, political beliefs, past suicidal ideation, and implicit associations of firearms with safety or danger. A sample of 909 American firearm owners recruited from Amazon’s Mechanical Turk (mTurk) was randomized to receive standard or gun culture-friendly firearm suicide prevention messaging at baseline, with 608 completing one-month follow-up. Main effects of messaging condition on means safety openness, intention to change firearm storage practices, and actual changes …

Effects Of Perceived Poverty And Chaotic Living Conditions On Externalizing Problems In At-Risk Adolescents, Margaret Bullerjahn

Master's Theses

Adolescent externalizing behaviors have consistently been related to both poverty and family dysfunction within the psychological literature; however, the distinction between the effects of objective poverty and perceived poverty on adolescent behavior is relatively new. The current study aimed at understanding the relationship between adolescents’ perceived poverty and their engagement in externalizing behaviors. The sample for this study is 194 at-risk youths in a military-style residential program. Participants completed a series of questionnaires addressing perceptions of their family’s financial status, family chaos, the number of daily routines practiced within their home, and history of externalizing behaviors. Additionally, information about participants’ …

Mental Healthcare Providers' Personality And Its Relation To Preferences Of Client Personality, Taylor R. Rodriguez

Master's Theses

The incorporation of personality assessment and client treatment preferences in psychotherapy has implications for therapeutic processes and outcomes (e.g., treatment engagement, retention). While this research has largely focused on client characteristics and traits, mental healthcare providers seem to demonstrate differing perspectives of clients as a function of both their own and their clients’ personalities. However, no prior literature has considered providers’ pretreatment preferences of clients. The current study aimed to examine providers’ unique personality profiles and their associations with preferences for client personality characteristics utilizing a person-centered personality approach (i.e., latent profile analysis). Specifically, the study (1) examined providers’ personality …

Clinical Work With Adult Male Incest Survivors: Therapeutic Themes And Perspectives, Kathryn B. Rosenberg

Doctoral Dissertations

For psychotherapists, encountering clients who have experienced sexual trauma or abuse is inevitable, whether or not the abuse is disclosed to the therapist; however, mental health professionals receive extremely limited (if any) training on how to identify or effectively support adult clients who are survivors of childhood sexual abuse (CSA). Many people who experienced CSA, especially those who identify as male, remain isolated and invisible in their suffering as adults even within therapeutic spaces, facing what feel like insurmountable barriers – both internal and external – to getting help. When sexual abuse is intrafamilial, these barriers are both amplified and …

The Role Of Masculinity In The Development Of Capability For Suicide, Claire Houtsma

Dissertations

Males account for over two-thirds of suicide deaths annually. Additionally, more than 50% of American suicide deaths annually are firearm-related. Suicide risk is elevated within firearm owning households and men are more likely to own firearms, which suggests that male firearm owners are at disproportionate risk for suicide. Prior research has argued that certain stereotypically male traits (e.g., lack of help-seeking) may explain sex differences in suicide death; however, this remains a poorly understood phenomenon. Male gender norms (e.g. physical toughness, self-reliance) may contribute to the development or expression of capability for suicide, primarily through their impact on behavior. The …

Fatalism As A Cultural Influence On Correlates Of Anxiety And Worry In Latino/A Adolescents., Judy Mier-Chairez

Electronic Theses and Dissertations

Evidence that Latino/as in the United States experience lower rates of anxiety disorders as compared to the non-Latino/a White population has not yet led to the identification of the sources of these differences. Higher rates of anxiety disorders among more acculturated Latino/a individuals compared to those lower in acculturation suggest there are influential cultural variables relevant to anxiety, specifically that there is a loss of a protective Latino/a cultural factor in the acculturation process. Fatalism, an often-cited Latino/a cultural characteristic, emerges as an intriguing candidate for exploration in relation to anxiety due to the shared elements of future orientation and …

Hostile Attributions To Ambiguous Situations: A Vignette Study Of The Mediating Role Of Hostile Attributions In The Relationship Between Community Violence Exposure And Youths’ Aggressive Behaviors, Hyun Kim

Student Theses

The effect of exposure to community violence has received increasing attention in recent years, given its prevalence and negative psychological and behavioral consequences on adolescents, including aggression (Lambert et al., 2018). The existing literature links violence exposure to hostile interpretation of situations (Dodge et al., 1990; Huesmann, 1988), and hostile interpretations to aggressive responses (Bradshaw et al., 2009; Crick & Dodge, 1994; Dodge et al., 1990). However, most studies have focused on parenting practices and within home violence. Few studies have examined the possible mediating role of hostile attribution bias in the relationship between community violence exposure and youth aggression, …

The Roles Of Violence Exposure And Gender On The Relationship Between Adolescent Psychopathic And Conduct Disorder Traits And The Capability For Suicide, Tiffany Harrop

Dissertations

Suicide represents one of the leading causes of mortality for adolescents. Externalizing behaviors, such as psychopathic and conduct disorder traits, represent risk factors for adolescent suicide. Investigation of suicide capability is especially important, as it is theorized to distinguish individuals who evince suicide ideation from those who progress to making a suicide attempt. Currently, associations between psychopathic and conduct disorder traits and capability in youth are understudied, as well as factors that may potentiate these associations, such as exposure to violence and gender. The aim of this study was to explore the interactive nature of psychopathic and conduct disorder traits, …

The Role Of Acculturation And Acculturative Stress In The Association Between Generational Status And Factors Related To Suicide Among South Koreans In The United States, Hyejin Jin

Dissertations

Korean Americans have the highest suicide mortality rates among Asian American subgroups (6.84 per 100,000 population; U.S. Census Bureau, 2010). Therefore, it may be important to examine the unique factors that account for the suicide rates of Korean Americans, especially since current knowledge on suicide with Korean Americans is limited. Thus, the present dissertation study sought to examine the role of acculturation and acculturative stress in the association between generational status and factors related to suicide among Korean Americans.

A sample of 150 participants completed a study protocol consisting of various self-report measures on MTurk. The results supported the hypothesis …

Exploring The Maladaptive Cognitions Of Moral Injury, Rachel L. Martin

Dissertations

Moral injury and Post-Traumatic Stress Disorder (PTSD) are two prominent mental health problems that affect military personnel. Moral injury results when the individual is exposed to a situation or event that violates their moral code; however, PTSD results when there is a substantial threat of harm. Moral injury is a relatively new construct within the literature with research starting in the late 2000s. Although distorted cognitions are core components of PTSD symptomatology, there has been no research of cognitions in moral injury. The current study sought to differentiate PTSD and moral injury using the specific maladaptive cognitions associated with trauma …

An Examination Of Parental Locus Of Control, Stress, Social Support, And Depression Among Parents Of Children And Adolescents With Intellectual Disabilities, Brandi Ellis

Dissertations

Caregivers (i.e., mothers and fathers) of youths with ID seem to be at a much higher risk of having symptoms of depression than caregivers of typically developing youths (Cantwell, Muldoon, & Gallagher, 2015; Giallo et al., 2015; Hu et al., 2010; Lee, 2013). A concurrent link has been found between parental locus of control (PLOC) and depression; however, there is a lack of support for a longitudinal association between these constructs among caregivers of youths with ID (Campis, Lyman, & Prentice-Dunn, 1986; Coyne & Thompson, 2011; Freed & Tompson, 2011; Lloyd & Hastings, 2009). Researchers have hypothesized that the lack …

Romantic Relational Aggression Among College Students: A Moderated Mediation Study Of Attachment Style, Romantic Jealousy, Mate Value, And Relationship Investment, Skylar Hicks

Dissertations

Most of the research on intimate partner violence has concentrated on overt physical and verbal aggression, and less is known about relational aggression in the framework of romantic relationships. Relational aggression is more prevalent in college students’ romantic relationships compared to physical aggression and may be a risk factor for intimate partner violence. Additionally, a number of adverse correlates have been associated with romantic relational aggression, suggesting that it is worthy of study independent of its association with intimate partner violence. The present study explored the relationships among adult attachment, romantic jealousy, mate value, relationship investment, and romantic relational aggression …