Clinical Psychology Commons^™

Maladaptive Personality Traits And Health Behaviors, Health Perceptions, And Inflammatory Biomarkers In Older Adults, Joshua R. Oltmanns

Theses and Dissertations--Psychology

Traits from dimensional models of normal-range personality have been shown to predict physical health outcomes including health behaviors, health perceptions, disease, and mortality. Maladaptive traits of personality disorders may predict even more variance in physical health indicators. Dimensional models of maladaptive personality traits are replacing categorical models of personality disorder, and the five-factor model of personality disorder (FFMPD) has been shown to be a useful dimensional model of maladaptive traits. However, there has been little work investigating the criterion validity of the FFMPD for predicting physical health indicators. The present study examines FFMPD scales in the prediction of health behaviors, …

Intentional Personality Change: Toward The Prevention Of Problem Drinking, Elizabeth N. Riley

Theses and Dissertations--Psychology

Personality stability across the lifespan has been well documented, but within that overall stability there is also evidence of meaningful change. There is both theoretical and empirical evidence to suggest that personality change can occur at the volition of the individual, through behavioral processes. The current study tested whether an emotion modulation intervention that promoted behavior change could be applied to reduce a related, high-risk personality trait (negative urgency) and a high-risk behavior (heavy alcohol consumption) using a three-week long, mixed laboratory design. Participants (n=23) were a sample of heavy drinking but otherwise healthy volunteers who were randomly assigned to …

Influences Among Affect Based Risk Factors And Problem Drinking In College Students, Emily Atkinson

Theses and Dissertations--Psychology

Broad negative affect has been consistently shown to predict problematic alcohol use. More specific affect-based constructs, though, have been shown to predict problem drinking above and beyond broad negative affectivity. The current study aims to investigate transactions among and predictive roles of broad negative affectivity and specific affective-based factors in relation to problem drinking among a sample of 358 students assessed twice during their first year of college. Participants were assessed for negative urgency (the tendency to act rashly when highly emotional), affective lability (the tendency to experience rapid and intense shifts in mood), negative affectivity, and problem drinking via …

Advancing The Measurement Of Trauma-Related Shame Among Women With Histories Of Interpersonal Violence, Alyssa Jones

Theses and Dissertations--Psychology

Shame is a predominant emotion for some trauma-exposed individuals—particularly survivors of interpersonal violence (IPV)—that is associated with more severe symptoms of posttraumatic stress disorder (PTSD; see Saraiya & Lopez-Castro, 2016). Despite growing evidence of shame’s importance in recovery from trauma and PTSD, measurement challenges have played a large role in difficulties understanding and comparing the impact of shame across studies. These challenges include: 1) the use of measures that assess trait shame as opposed to trauma-related shame, 2) inconsistent use of established shame measures across studies, and 3) failure to acknowledge the co-occurrence of shame and guilt. These limitations are …

Structure And Demographic Correlates Of Individual Trait Responses To Emotions, Anita Adams

Theses and Dissertations--Psychology

From a functionalist perspective, emotions inform people of their needs and influence responses to the environment. Responses to emotion encompass more than emotion regulation strategies. Individual differences emerge from the consistent way that people cope with their emotions, called trait responses to emotion (TRE). We hypothesized approach/avoidance and control/dyscontrol would characterize the dimensional structure of TRE and that dimensions would correlate with age, gender, and early life experiences. The present study developed a multidimensional model to explore TRE from a TurkPrime sample (N = 284). Participants completed a web-based battery of surveys with demographic, early life experience, and TRE questionnaires. …

Dietary Intake And Executive Function In Youth And Emerging Adulthood: Environmental Correlates And Developmental Considerations, Amy Michelle Egbert

Dissertations

Obesity is a major public health concern impacting one in five young people in the U.S., and research suggests that consumption of high calorie, low nutrient foods may play a role in weight gain. Executive function (EF) has emerged as a factor that may play a role in dietary intake across youth development. Although biopsychosocial models of obesity emphasize the importance of identifying individual and environmental influences that may be associated with poor dietary intake, empirical research in this area is lacking. Therefore, the current set of studies seeks to 1) systematically review the literature on the association between EF …

Neuropsychological Correlates Of Chronic Pain: The Influence Of Anxious Arousal On Cognitive Control, Kelly L. Polnaszek

Dissertations

The present set of studies assessed the relation between neural, psychological, and cognitive mechanisms that have been shown to influence the experience of chronic pain. Specifically, Studies One and Two advanced our understanding of chronic pain by illustrating its unique relationship with anxious arousal and frontal neural activity on inhibitory control difficulties. Study Three focuses on targeting how anxious arousal is distinctly associated with neural correlates of inhibitory control in order to provide a framework that can be applied to individuals experiencing chronic pain. Together, these studies aim to inform the development of evidenced-based interventions that target anxious arousal in …

An Ecological Model Of Transmission Of Depression: Risk And Protective Factors For Mexican Immigrant Mothers And Children Living In Poverty, Anna Maria Ros

Dissertations

Family poverty has been found to predict a number of negative outcomes across a multitude of domains of child development, including health, education, language and cognitive development (Reiss, 2013; Yoshikawa, Aber & Beardslee, 2012). Furthermore, studies examining differing prevalence rates of mental illness depending on socioeconomic status have found that children liv-ing in poverty in the United States are between two and three times as likely to meet criteria for a psychiatric disorder when compared to their higher SES counterparts (McLaughlin et al, 2011; Reiss, 2013). Family poverty has been found to predict internalizing psychopathology risk across childhood and adolescence, …

The Longitudinal Relationship Between Callous-Unemotional Traits And Exposure To Community Violence: Examining Primary And Secondary Psychopathy In Serious Adolescent Offenders, Elizabeth Sargent

Master's Theses

in youth, psychopathy is often represented by callous-unemotional traits, characterized by a lack of guilt and empathy. While justice-involved youth can exhibit such traits, less research has been done in adolescents than has been with adults in the justice system. Still, previous research supports that callous-unemotional traits in particular can predict higher risk for adverse outcomes and violent behavior in youth. Various vulnerabilities and experiences contribute to the development of callous-unemotional traits, and while some individuals with psychopathic traits are thought to have been born with an innate inability to feel empathy (primary psychopathy), others may experience psychological distress in …

Trajectories Of Adaptive Functioning Among Youth With Spina Bifida: The Influence Of Neurocognitive Functioning And Parental Scaffolding, Adrien Winning

Master's Theses

Youth with spina bifida (SB), a congenital birth defect affecting the central nervous system, are at risk of experiencing an array of psychosocial and functional deficits (Copp et al., 2015; Holmbeck et al., 2003). Indeed, previous research has documented difficulties across the three adaptive functioning domains outlined by the American Association on Intellectual and Developmental Disabilities (AAIDD): conceptual (e.g., communication, self-direction, functional academics), social (e.g., interpersonal skills), and practical (e.g., self-care, navigating health-care; Copp et al., 2015). Despite this evidence, whether or not children with SB typically acquire skills across development is largely unknown. Additionally, little is known about risk …

A Chronic Route?: Examining The Path Between Community Violence Exposure, Posttraumatic Stress & Juvenile Delinquency In Low-Income, Urban, African-American Youth, Kaleigh Valencia Wilkins

Master's Theses

Background: Exposure to community violence (ECV; direct victimization and witnessing) can predict negative outcomes for youth such as posttraumatic stress (PTSS) and juvenile delinquent behavior (JDB). Psychosocial reactions to violence can be different based on gender. Predictors of ECV in youth is less understood. This study aims to explore potential chronic pathways between initial ECV and continued ECV for early adolescents. The relationship between ECV as a predictor and ECV as an outcome is hypothesized to be mediated by both PTSS and JDB and moderated by gender. Method: A total of 266 African-American, sixth grade students in high crime, high …

Beyond Family: Patterns Of Kin And Fictive Kin Caregivers Among Children And Youth In The Child Welfare System, Jennifer Osborne

Master's Theses

Children and youth in the child welfare system experience significant benefits from placement with custodial kin caregivers in psychological, social, relational, and educational domains (Winokur, Holtan, & Batchelder, 2018; Vasileva & Petermann, 2018). Additionally, the extant literature suggests that non-custodial kin and non-custodial fictive kin, or individuals unrelated by blood or marriage though afforded the same unofficial status as family (Taylor, Chatters, Woodward, & Brown, 2013), also contribute positive outcomes (Smetana, Campione-Barr, & Metzger, 2006). However, little research has examined the ways in which custodial kin, non-custodial kin, and non-custodial fictive kin work together to provide social support to children …

Influence Of Work Values On Rural-Practice Intentions Among American Students Attending A Rural University, Nicholas Best

Murray State Theses and Dissertations

Rural areas in the United States frequently face difficulties regarding the prevalence of healthcare-related professionals. To better address this issue, it is important to understand how various demographic factors as well as individual work values influence the workplace setting decisions of future "helping" professionals. Previous research has studied the impact of various work values and how they relate to working with underserved populations (Aviram & Katan, 1991; Krous & Nauta, 2005). The current study aimed to compare various demographic factors and work value's ability to predict intentions to work in rural areas among students attending Murray State University (N …

Attitudes Towards Self-Harm, Bradi Cislaghi

Murray State Theses and Dissertations

In recent years, research with a concentration on self-harm has begun to surface. Most of this research focuses on methods and functions of self-harm, mental health disorders associated with self-harm, and attitudes towards self-harm from the perspective of others. However, self-harm research that focuses on examining attitudes towards people who self-harm is lacking. More specifically, research is limited on those who self-harm and their attitudes toward someone else who self-harms. The current study sought to fill this gap by examining how the level of familiarity with self-harm affects a person’s attitudes towards self-harm and if there are differences between the …

The Impact Of Credible And Non-Credible Treatment Information On Depression Treatment Preferences In College Students, Sydney Hayden, Dr. Michael Bordieri, Phd

Murray State Theses and Dissertations

Previous research has demonstrated the importance of considering client treatment preference when providing treatment for depression. However, little research has focused on the impact of treatment information on client preference. This study investigated differences in treatment preference between potential clients that read credible treatment information and those that read non-credible treatment information. The study was conducted via an online survey that was administered to undergraduate students. Eighty participants were randomly assigned to either read credible treatment information or non-credible treatment information and treatment preferences was assessed via a free response item before and after information regarding treatments was given. Overall, …

Help-Seeking Behaviors And Coping Styles Related To Sexual Assault Labelling, Shahzor Hashim

Murray State Theses and Dissertations

Sexual Assault is defined as non-consensual sexual activity that includes groping and rape. Based on previous research, a large number of people experience sexual assault, which results in trauma and post-traumatic stress. In order to mediate the stress, people try to cope and seek help to manage the distress and trauma stress. Following the assault, people adopt the identity of or are viewed as victim/survivor. This study investigated the difference between sexual assault label, victim or survivor, in terms of coping strategies, approach or avoidant, and help-seeking behaviors. The study was conducted by administering a survey via Amazon’s Mturk. A …

A Randomized Trial Of Cbt4cbt For Women In Residential Treatment For Substance Use Disorders, Sydney S. Kelpin

Theses and Dissertations

Women with substance use disorders (SUD) face unique barriers to substance use treatment, and as a result, are less likely than their male counterparts to seek treatment for the disorder. Cognitive behavioral therapy (CBT) is an evidence-based treatment known to reduce relapse rates by teaching clients to recognize and respond to their cues for substance use. Recent research suggests CBT may be particularly of benefit to women. Despite the effectiveness of CBT, its dissemination in clinical practice is limited due to a range of barriers (e.g., time, cost). Computer-based training for cognitive behavioral therapy (CBT4CBT) offers an opportunity to improve …

Predictors Of Mental Health Need And Treatment In Safety Net Primary Care, Kristen O'Loughlin

Theses and Dissertations

Many mental health (MH) needs go unidentified in primary care, and certain patients appear to be at higher risk of needs going unidentified and subsequently untreated. Little is known about patterns of detection and treatment in clinics with integrated mental health services. The purpose of this study was to characterize the prevalence of MH needs and evaluate patient characteristics as predictors of both the presence of a MH need and type of MH services received. Subjects were patients receiving care at two safety net primary care clinics with integrated mental health services (N=816; 52.7% Latinx, 15.9% African American), …

A Meta-Analysis Investigating The Correlation Between Treatment Integrity And Youth Client Outcomes, Ruben G. Martinez

Theses and Dissertations

Objective: The relation between treatment integrity and youth client outcomes in psychosocial treatment research has implications for therapist training, study design, and study interpretation. Despite work done in this area, this relation remains unclear. The aim of the current study was to meta-analyze and describe characteristics of investigations of integrity and outcome in youth.

Method and Analytic Plan: A total of N = 30 studies were identified. Conceptual and methodological factors were coded. Pearson’s r represented the magnitude of the integrity-outcome correlation. Robust variance estimation was used to account for dependency of within-study effect sizes. Two models were run with …

Adverse Childhood Experiences In Children Presenting To Integrated Pediatric Primary Care, Irene A. Jacobs

Theses and Dissertations

The prevalence of adverse childhood experiences (ACEs) has created a significant public health concern in the United States. A vast body of literature examining adult populations has displayed a dose-response association between cumulative ACEs and chronic illnesses (Chapman et al., 2004; Felitti et al., 1998). ACEs research conducted with children and adolescents has indicated higher ACE scores associated with learning and behavioral problems (Burke et al., 2011), health risk behaviors (Garrido et al., 2018), and mental health challenges (Mackner et al., 1997). However, ACEs research and subsequent interventions have largely relied upon retrospective data retrieved from adults (Felitti et al., …