Clinical Psychology Commons^™

Adverse Childhood Experiences And Changing Levels Of Psychosocial Distress Scores Across Pregnancy In Kenyan Women, Pauline Samia, Shahirose Premji, Farideh Tavangar, Ilona S. Yim, Sikolia Wanyonyi, Mohamoud Merali, Wangira Musana, Geoffrey Omuse, Ntonghanwah Forcheh, Aliyah Dosani, Nicole Letourneau, The Maternal Infant Global Health Team (Might) Collaborators In Research

Paediatrics and Child Health, East Africa

Background: Adverse childhood experiences (ACEs) have been associated with deleterious effects on mental health in pregnancy.

Methods: The ACE International Questionnaire (ACE-IQ) was used to measure neglect, abuse, and household dysfunction. Longitudinal mixed effect modelling was used to test the effect of ACEs on pregnancy-related anxiety, depressive symptoms, and perceived stress at two time points (12–19 and 22–29 weeks) during pregnancy.

Results: A total of 215 women who were predominantly married (81%) and had attained tertiary education (96%) were enrolled. Total ACEs were significantly associated with depressive symptoms (r = 0.23, p < 0.05) and perceived stress (r = 0.18, p < 0.05). As depressive symptoms decreased, t (167) = −8.44, p < 0.001, perceived stress increased, t (167) = 4.60, p < 0.001, and pregnancy-related anxiety remained unchanged as pregnancy progressed. Contact sexual abuse (p < 0.01) and parental death or divorce (p = 0.01) were significantly associated with depression over time (p < 0.01). Total ACEs in this study were associated with depressive symptoms early but not late in pregnancy.

Conclusions: Higher total ACEs were positively associated with …

Animal Assisted Therapy On Law Enforcement Mental Health: A Therapy Dog Implementation Guide, Melena Purvis

Honors Projects

The mental health of law enforcement officers is an ever increasing problem, with our nation’s police officers seeing a constant increase in things like PTSD, depression, and other mental illnesses. However, mental health is already a highly stigmatized topic that is not commonly addressed, and a police subculture of strength and toughness just reinforces that stigma and makes it that much harder for police officers struggling with these issues to get help. This project combines innovation with research to come up with a way to try and improve the mental health of those officers struggling. It provides a manual for …

A Quantitative Approach And A Qualitative Approach Towards Intersectionality Among Individuals With Lgbtq+ Identities, Viet (Mason) Trinh

Honors Projects

This is a two-parted project that integrates a quantitative approach and a qualitative approach toward the concept of intersectionality. Research about intersectionality has shown the advantages and disadvantages of both approaches. Therefore, I decided to explore the concept using both approaches. The quantitative section of this project investigates the relationship between victimization experiences due to race/ ethnicity and/ or LGBTQ+ identities and emotional well-being. The sample for this section consisted of college students from all states in the United States who identified as LGBTQ+ and were between 18 and 24 years old. The qualitative section examines salient identities, identity gaps, …

Women’S Sexual Satisfaction In The Context Of Midlife Relationships: Examining An Ecological Model And Intergenerational Caregiving, Katherine M. Arenella

Dissertations

This study examined an ecological model of sexual satisfaction in midlife women in relationships, and paid particular attention to the role of intergenerational caregiving in predicting satisfaction. Participants were 1,411 midlife women in relationships who participated in the Midlife in the United States (MIDUS) national study. Using split samples for replication purposes, data from this survey were examined to test the hypothesis that an ecological model - including the macrosystem level variable of religiosity, the exosystem level variables of SES, social support, and parenthood, the mesosystem level variables of relationship satisfaction, affectual solidarity, relationship length, and sexual functioning, and the …

The Effects Of Childhood Trauma On Romantic Support And Adult Problem Behavior, Keiva R. Brannigan

Senior Honors Projects, 2020-current

Adverse childhood experiences (ACEs) are a common topic in research investigating outcomes of abused or traumatized children. Previous literature on ACEs have established that high levels of ACEs are associated with both higher levels of problem behaviors in adulthood and lower quality of support in romantic relationships in adolescence/early adulthood. However, the potential for high levels of romantic support and other healthy relationship qualities to act as a buffer against the negative effects of ACEs on later problem behaviors has yet to be addressed in the literature. Thus, the present study utilizes data from an ongoing longitudinal study on social …

Naming The Pain: A Model And Method For Therapeutically Assessing The Psychological Impact Of Racism, Connesia Handford

Dissertations, 2020-current

This study is an exploratory applied research project piloting a therapeutic assessment model and method for addressing racial trauma. Therapeutic Assessment for the Psychological Impact of Racial Encounters (TAPIRE) hopes to illuminate the impact of racial trauma, process racial identity and experience, and explore effective intervention techniques to address a client’s particular relationship with racial identity and distress. Four measures, in addition to a clinical interview, were used to assess different aspects of one’s identity structure, racist experiences, and self-treatment. The four-session process concluded with each participant receiving an assessment report that included information gathered as well as an individualized …

The Impact Of Anxiety On College Students' Academic Lives, Alex Connolly

Senior Honors Projects, 2020-current

Anxiety appears to be a problem facing many college students. The literature on anxiety in college students is expansive, but there is very little research on how students are able to balance their anxiety with academics. The researches in this study conducted semi-structured interviews with five students, four males and one female, at James Madison University on how their anxiety impacts their academics and what they do to succeed. The students came from a limited sample size but were varied in their mental health diagnoses. The results of the study showed many different techniques that students used to combat anxiety. …

Navigating "Technoference" In The Family System, Kathlynn Sergent

Educational Specialist, 2020-current

This integrative literature review explores the increase of technology use in families, with a focus on how technology is disrupting in-person social interactions within the family system. Many studies have been conducted on how technology impacts a couple’s romantic relationship, and only a few have examined the relationship between the parent and child. This review is one of the first to examine how technology may affect the entire family unit from before children to raising adolescents. Each section of the family unit is examined, beginning with before children, followed by the early bonding and attachment associated with infant/childhood, and then …

Assessing The Utility Of A Brief Abstinence Test To Reduce Smartphone And Social Media Use, Taylor B. Stanley

Masters Theses, 2020-current

The purpose of the current study is to investigate the efficacy of implementing a Brief Abstinence Test (BAT) for reducing smartphone and social media (SM) use among college students. A BAT is a temporally condensed version of contingency management (CM), a reinforcement-based behavioral intervention. Participants (N = 32, males = 6) self-reported using an iPhone updated to iOS 12 and using SM on their iPhones for at least two hours per day. Once enrolled, participants completed an online battery of health-related questionnaires and learned how to capture electronically their smartphone-use data. Participants experienced a BAT for one week, during …

Cognitive Behavioral Therapy For Comorbid Posttraumatic Stress Disorder, Traumatic Brain Injury, And Associated Sleep Disturbances, Aubretia D. Snyder

Intuition: The BYU Undergraduate Journal of Psychology

With an increasing number of veterans returning from combat with significant head injuries, research interests have begun to turn to the neuropsychological relationship between traumatic brain injury and posttraumatic stress disorder. Research has found that these dysfunctions often occur together and that both disorders may cause an exacerbation of symptoms in one another. This relationship may be negatively affected further by the presence of sleep disturbances. The complexity of this relationship requires extra consideration in regards to treatment, and cognitive behavioral therapy may be effective in treating this comorbid condition. This paper discusses the functional relationship of posttraumatic stress disorder …

The Spectral Nature Of Anxiety Disorders: Examining Similarities In Clinical And Subclinical Populations, Alexandra M. Muir

Intuition: The BYU Undergraduate Journal of Psychology

Generalized Anxiety Disorder (GAD) is one of the leading mental illnesses in the United States today (Alvarez et al., 2012). However, a large number of individuals have their lives disrupted by the symptoms of anxiety, but their symptoms are not severe enough to be diagnosed with GAD. These individuals, much like individuals with GAD, have high trait anxiety, differential brain structure and function, and hypervigilant performance monitoring. Further understanding the neural correlates related to subclinical generalized anxiety disorder and how the neural mechanisms involved relate to daily functioning is of utmost importance. Since there are individuals suffering from subclinical anxiety …

Drawing Out Trauma: Visual Art Therapy For Child Sexual Abuse Victims, Katelynn K. Mckinnon

Intuition: The BYU Undergraduate Journal of Psychology

Child sexual abuse (CSA) is a global problem that can have lasting effects cognitively, physiologically, and emotionally for the victim. If the psychological damage from CSA goes untreated, it can lead to unstable conditions within one’s self, and in relationships. When children are affected by sexual abuse, it can be difficult for them to verbalize the traumatic incident. This inability to express can lead to problems in viewing and experiencing the self, and may lead to dissociation. Many aspects of trauma symptoms are difficult for individuals and especially children to express verbally. Visual arts therapy offers an alternative to verbal-based …

Mindfulness-Based Dance/Movement Therapy For Obsessive-Compulsive Disorder And Health Anxiety: Development Of A Method, Katherine Stahl

Expressive Therapies Capstone Theses

Despite the development of effective interventions such as Exposure and Response Prevention, the literature on Obsessive-Compulsive Disorder (OCD) demonstrates a large proportion of individuals whose symptoms do not improve with behavioral therapies alone. Supplemental therapies such as Mindfulness have been studied in order to address this issue, demonstrating partial success. The current thesis focuses on individuals diagnosed with Obsessive-Compulsive Disorder who present with health anxiety symptomology. Dance/Movement Therapy is a modality which addresses the mind/body connection, especially important those who have body-based triggers. In order to address the need for supplemental treatment modalities for individuals suffering from OCD, a mindfulness-based …

Ptsd Symptom Interaction Among Victims Of Interpersonal Violence: A Network Analysis, Robert Graziano

Dissertations

Along with numerous combinations of symptoms, posttraumatic stress disorder (PTSD) is linked to high dropout and non-response rates in treatment. Poor treatment response may be due to an inaccurate conceptualization of PTSD. One newer approach to the conceptualization of psychopathology is network theory. Network theory posits that symptoms both directly and indirectly reinforce each other, with connections between symptoms varying in strength. Previous studies of network theory and PTSD have found intrusive symptoms to be highly central, but have not included samples of individuals traumatized by interpersonal violence. Because trauma type has been shown to predict symptom presentations, this represents …

Off-Topic Verbosity And Sustained Attention Among Young Adult And Older Adult Age Cohorts, Jessica H. Helphrey

Psychology and Counseling Theses

Off-topic verbosity (OTV) is tangential discourse with excessive and irrelevant information. Older adults have been historically labeled as having high OTV, and research has suggested that high OTV in older adults may be linked with cognitive decline. While past studies have utilized brief cognitive measures to further expound upon the links between cognition and OTV, studies have lacked consistency and lengthy measures. This study sought to elucidate the relationship between OTV and cognition in both older adult and young adult age cohorts utilizing a sustained attention measure. Young adults (n = 61; age range: 18-28, M = 20.57, SD = …

How Resilience-Building Interventions Impact Parenting Stress And Cortisol Reactivity In Mothers With Adverse Childhood Experiences, Victoria Jones

Undergraduate Honors Theses

Research has found that adverse childhood experiences (ACEs) are associated with changes in both parenting stress and cortisol. Resilience-building interventions may be able to help diminish the effects of ACEs, thus impacting parenting stress and cortisol reactivity. This study aims to examine how two resilience-building interventions (emotion-based and behavior-based) will impact parenting stress and cortisol reactivity in mothers with ACEs. This project is in the preliminary stages of data collection; as such, this honors thesis will review the relevant literature, describe current methodology and proposed analyses, and discuss possible implications and future directions. Participants (goal N=100) undergo a pre-assessment where …

Maternal Stress And Child Internalizing Symptoms: Parent-Child Co-Regulation As A Proposed Mediator, Tatum Harvey

Undergraduate Honors Theses

The effects of maternal stress on child behavior, especially externalizing problems such as aggression, defiance, and lack of self-control, are well-established within psychological literature. Few studies, however, have examined the effects of maternal stress on child internalizing problems, such as loneliness, withdrawal, and symptoms of anxiety and depression. Moreover, there is much research within developmental psychology to support the notion that parent-child co-regulation, sometimes called dyadic synchrony, can predict child behavioral outcomes. Currently, researchers lack an understanding of how this process can interact with maternal stress to predict child internalizing symptoms. The following thesis details a multi-method assessment which is …

Self-Care Domains, Benefits Of Self-Care In Graduate-Level Training Programs, And Ways To Incorporate Self-Care Education And Practices In Graduate-Level Training Programs, Krystel Segovia

Dissertations

A literature review was conducted to examine the concept of self-care as a proactive means to manage the stressors of life, enhance professional competency, and live a well-balanced lifestyle, particularly for graduate-level psychology students. Different levels of distress, including stress, compassion fatigue, and burnout, were researched and discussed. The various domains of self-care were discussed as were the benefits of engaging in regular self-care practices. Finally, various ways to incorporate self-care into already established graduate-level training programs at universities and practicum training sites were discussed to enhance the training experience as well as mitigate burnout in the novel clinician.

Examining Entitlement And Antagonism As Distinguishing Features Of Narcissism, Zane M. Repp

USC Aiken Psychology Theses

Objective: In this study, I worked to examine possible core features in narcissism. Researchers largely accept that there are at least two main dimensions of narcissism, grandiosity and vulnerability. However, these two dimensions have very different presentations in individuals, with very different personality factors, interpersonal traits, and relationships to other psychopathology. This raises the question of whether grandiosity and vulnerability are two versions of the same disorder, or if they would be better understood as different pathologies. This study examines whether the features of entitlement and antagonism can be used to distinguish grandiosity and vulnerability as both unique versions of …

The Effects Of Self-Regulation Depletion And Race On The Willingness To Interact With Individuals With Mental Illness, Kenocha K. Epperson

Electronic Theses and Dissertations

Although the discrimination that Black individuals encounter is unique, it is similar in some ways to the discrimination experienced by individuals with mental illness (Corrigan & Wassel, 2008; Follmer & Jones, 2018; Jackson & Stewart, 2003). Research has found that these kinds of stigma can be overridden (Baumeister et al., 1998), but doing so requires self-regulation, which can be depleted (Gailliot et al., 2007). Because stigma exists against both Black individuals and those with mental illness, and because self-regulation is necessary to override those stigmas, the purpose of this project was to examine the relationships to which Black participants would …