Clinical Psychology Commons^™

Student Veterans: Factors Impacting Campus Adjustment, Allyssa Lynn Borak

Theses and Dissertations

Veterans represent a growing part of the student body on college campuses. Yet, retention rates continue to remain lower among student veterans in comparison to their civilian peers. A majority of research regarding the student veteran population focuses solely on the physical and mental challenges they face as they transition into student life. However, limited research has explored the relationship experiential avoidance and student engagement has on psychosocial functioning and reintegration difficulties, leaving a gap in universities empirical knowledge about how to successfully meet student veteran needs. Therefore, the current study examined the relationships between factors such as traumatic exposure, …

The Relationship Between Familism And Social Distancing Behaviors During The Covid-19 Pandemic, Thien-An Le

Electronic Theses and Dissertations, 2020-2023

Transmission of Coronavirus 2019 (COVID-19) occurs efficiently and from symptomatic and asymptomatic individuals, therefore making it highly infectious. As such, social distancing is generally recommended to mitigate the speed of transmission and decrease incidence, hospitalization, and mortality rates. Consistent with other chronic medical conditions, COVID-19 is disproportionately affecting Hispanic/Latinx and black populations. One inherent cultural concept, familism, might also serve to inhibit adherence to social distancing guidelines. Thus, the current study contributes to the growing literature on COVID-19, specifically examining barriers underscoring health disparities. This study evaluated Attitudinal Familism (AFS) and Behavioral Familism (BFS) as predictors of adherence of social …

Why Are They Wrong? Exploring Surrogates’ Accuracy When Predicting Patient Treatment Preferences, Rachael Lynn Spalding

Graduate Theses, Dissertations, and Problem Reports (ETD)

Surrogate decision making is common in medical settings, particularly regarding treatment decisions for patients at end-of-life. When making decisions on behalf of patients, surrogates are most often encouraged to use the substituted judgment standard and make the decision that the patient would make if he or she were able to express a choice. A significant body of research, using patient-surrogate pairs and hypothetical vignettes, has documented that surrogates tend to inaccurately predict patient preferences when making these decisions (Shalowitz et al., 2006). This results in treatment decisions that do not match what the patient would have selected. Various factors that …

Mnemonic Discrimination And Social Anxiety: The Role Of State Anxiety, Gabriella T. Ponzini

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Mnemonic Similarity Task (MST) measures mnemonic discrimination, or the ability to correctly identify new stimuli from highly similar, old stimuli. Neuroscientific and theoretical suppositions suggest that poor mnemonic discrimination may represent a potential risk or maintenance factor for anxious individuals. However, state affect appears to moderate the relation between mnemonic discrimination abilities and trait anxiety. The current study aimed to elucidate the nascent research on mnemonic discrimination and anxiety by evaluating the MST in a specific subtype of anxiety (i.e., social anxiety) and utilizing a clinically relevant stressor task (i.e., knowledge of a future speech). Participants (N = …

The Importance Of Mindfulness And Self-Compassion In Clinical Training: Outcomes Related To Self-Assessed Competency And Self-Efficacy In Psychologists-In-Training, Chelsea Latorre

Graduate Theses, Dissertations, and Problem Reports (ETD)

The release of the APA (2011) Revised Competency Benchmarks used for evaluation of doctoral-level psychology trainees calls for literature to examine competencies in this population with use of appropriate instrumentation. The recent publication and validation of the Professional Competencies Scale-Revised (Taylor, 2015) allows for researchers to explore factors associated with trainee competencies as it relates to the benchmark system. Previous literature suggests a strong relationship between counselor self-efficacy and professional competency (e.g., Constantine, 2002), suggesting that interventions that can foster these constructs may lead to enhanced counseling performance. This study examined the predictive value of mindfulness and self-compassion for self-assessed …

Social Support And Mental Health Outcomes Of Lgb People Of Color, Jessica Ruiz

Electronic Theses and Dissertations, 2020-2023

Lesbian, gay, and bisexual people of color (LGB PoC) continue to remain an understudied population. Research supports that LGB PoC may experience greater negative health consequences compared to LGB racial/ethnic majority populations. Social support, including family and peer support, is often associated with positive health outcomes for sexual minorities of all backgrounds. The present study sought to evaluate differences between types of social support, including what occurs when one is faced with significant loss of support (i.e., family support). Comparisons between groups sought to determine whether alternative systems of support (i.e., peer social support) buffers against the negative impact of …

Creating Positive, Negative, And Neutral Primes And Testing Their Impact On Scrupulosity Relevant Tasks And Symptoms, Kelsey Jean Evey

Graduate Theses, Dissertations, and Problem Reports (ETD)

A series of three studies was conducted to develop and validate primes to activate negative, positive, or neutral beliefs about God and to determine how these activated beliefs impact scrupulosity signs and symptoms. Scrupulosity is a specific presentation of obsessive-compulsive disorder (OCD) in which individuals become preoccupied and distressed by intrusive thoughts and images related to religious issues. Individuals with more severe scrupulosity often have more negative beliefs about God. Christianity conceptualizes God in both positive (e.g., loving, caring, and helpful) and negative (e.g., angry, judgmental, and wrathful) terms. It is therefore important to determine how more positive, negative, or …

Understanding The Relationship Between Dental Fear, Behavior Management Problems, And Caregiver-Child Interactions During Young Child Dental Appointments, Christopher Kyle Owen

Graduate Theses, Dissertations, and Problem Reports (ETD)

Positive oral health practices should begin early in life (AAPD; 2013; 2014; 2015); however, dental care-related fear and anxiety and behavior management problems are prevalent among young children in oral health (Klingberg & Broberg, 2007). The study explored caregiver and child dental care-related fear and anxiety, child behavior, and caregiver-child interactions during early childhood dental appointments. Caregiver-child dyad participants (N = 140) were collected from dental practices in West Virginia, Ohio, and Tennessee. Children (n = 139) in the sample were largely White (69.8%) and male (54.0%), with an average age of 3.05 years. Video-taped dental appointments for children under …

Effects Of Appalachian Culture And Pregnancy Status On Pain-Related Fear, Cecelia Irene Nelson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Fear of pain during pregnancy is an understudied phenomenon with important implications for prenatal and postpartum functioning. The aim of the current study was to understand the role of pregnancy and culture on pain-related fear in Appalachia. Archival datasets, and a new sample of women recruited via Amazon’s Mechanical Turk, were sources of data. Participants completed the Fear of Pain Questionnaire-9 and responded to demographic questions in order to ascertain whether they were pregnant at the time of the study as well as the number and nature of prior pregnancies. In support of hypotheses, results indicated that pregnant women reported …

A Video Decision Aid For The West Virginia Post: A Randomized, Controlled Trial, Jarred Vicente Gallegos

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Physician Orders for Life Sustaining Treatment (POLST) allows patients to express preferences for end-of-life medical decisions. Although POLST forms are used throughout the United States, evidence is lacking about the quality of the decision-making process of individuals completing these forms. The use of a decision aid developed for the POLST could ensure that patients completing these forms are informed, confident, and certain of their treatment decisions. The purpose of the study was to develop and evaluate a video decision aid for the West Virginia POST. 64 English-speaking, community-dwelling adults (50+), with no evidence of cognitive impairment, were recruited to …

Relation Between Depression Symptoms And Suicide Risk In Adults And Older Adults, Ruifeng Cui

Graduate Theses, Dissertations, and Problem Reports (ETD)

Suicide consistently ranks among the top 10 leading causes of death in the United States. Depressive disorders as well as depression symptoms are risk factors for suicide. Depression symptoms typically fall under a cognitive affective domain and a somatic domain. Males and older adults may have a more somatic presentation of depression. Among those with physical health problems, these somatic symptoms may be confounded with symptoms of physical conditions. Not all symptoms of depression are equally useful for predicting suicide risk. The types of depression symptoms that are risk factors may vary depending on the characteristics of the sample and …

Associations Between The Adult Adhd Self-Report Rating Scale And The Test Of Differential Inhibition And Attention, Andrew Benton Darling

Graduate Theses, Dissertations, and Problem Reports (ETD)

Attention-Deficit/Hyperactivity Disorder (ADHD) ranks among the most common mental health disorders in adults (APA, 2013). ADHD assessment is complicated by heterogenous symptoms, gender and age differences in diagnosis, variability in symptom manifestation across the lifespan, and comorbidity with other psychiatric disorders and medical conditions (Asherson, 2016; Willcut, 2012; Williamson & Johnston, 2015). The stop-signal task (SST) identifies ADHD clinical groups in children and adults (Lifffijt et al., 2005), yet it remains unclear whether SST performance reflects general deficits in attention (Alderson et al., 2007) or a selective deficit in motor response inhibition (Aron & Poldrack, 2005). Studies of SST often …

Be Kind To Your Mind: A Randomized Controlled Trial Comparing The Benefits Of Mindfulness And Self-Compassion Vs. Social Skills Training Among Children And Adolescents, Lindsey Feltis

Theses and Dissertations (Comprehensive)

Childhood and adolescence can be difficult for young people as they navigate a variety of significant transitions. Thus, it is imperative that researchers focus on programs that support children and adolescents during this time. Mindfulness and self-compassion are two such programs that may promote positive youth development. Mindfulness and self-compassion have been explored in the adolescent context, and mindfulness has been explored with young children, however research on self-compassion for children is currently lacking. The present studies were designed to examine the feasibility, acceptability and potential benefits of a combined mindfulness + self-compassion program for children and adolescents in the …

Identifying Protective Factors To Early Suicide Markers: The Buffering Effects Of Savoring And Resilience, Matthew Miceli

College of Graduate Studies: Theses & Dissertations

Suicide continues to be one of the leading causes of death in the United States, which highlights the need for researchers to identify protective models through longitudinal designs (Centers for Disease Control and Prevention [CDC], 2019). Importantly, suicide prevention strategies are more efficacious when they target early indicators of suicide and consider risk and protective factors. Desire for death, the combination of thwarted belongingness and perceived burdensomeness proposed by the interpersonal-psychological theory of suicidal behavior (Van Orden et al., 2008), is one such early marker of suicidal behavior. A protect factor is methodologically defined as one that demonstrates an inverse …

Making Implementation Last: Understanding The Sustainability Of An Evidence-Based Treatment, Carrie Beth Jackson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Although advances have been made in facilitating the implementation of evidence-based treatments, little is known about the most effective way to sustain their use over long periods of time. Prior systematic reviews and research have suggested that organizational characteristics and training methods may be strategies that support sustainability, yet this has remained relatively unstudied in the field of behavioral health. The current study examined the sustainability of Parent-Child Interaction Therapy following a statewide implementation trial testing three training methods. Participants included 100 clinicians and 50 administrators from 50 organizations across Pennsylvania. Multi-level path analysis was utilized to examine the role …

Mindfulness Within Relationships: Is Partner Discrepancy Related To Relationship Satisfaction, Chelsea Carson

Psychology Theses and Dissertations

Mindfulness has been linked with positive relationship outcomes; however, there is limited understanding regarding which facets of mindfulness are most related to couples’ relationship satisfaction and the potential role of discrepancy in mindfulness between partners for relationship satisfaction. Additionally, previous studies did not account for individuals’ well-being, a potential confounding variable in the association between mindfulness and relationship satisfaction. The present study examined the relation between each facet of mindfulness using the Five Facets of Mindfulness Questionnaire and relationship satisfaction (Couple Satisfaction Inventory), while controlling for well-being (Compass Assessment System) using Actor Partner Interdependence Models. The relation between discrepancies in …

Towards Collaboration: A Comparative, Longitudinal, Conversation Analysis Of Change In Talk-In-Interaction In Psychotherapy, Kai Bekkeli

Electronic Theses and Dissertations

The study utilizes conversation analysis to describe changes at the level of talk-in-interaction across four points of time (beginning, middle, late, and ending sessions) in four different psychotherapies: two “successful” psychotherapies and two “unsuccessful” ones, with the author of this study conducting the psychotherapies in each case. The analytic domains, practices, and sequence types of interest were not pre-defined at the outset, though the analysis showed alignment to be of principal interest. Patients whose therapies were “successful” progressively aligned with therapeutic activities over time, with a difference revealed in how quickly this alignment occurred according to the ‘type’ of activity …

A Darker Side Of Venus: An Empirical-Phenomenological Study Of Women's Negative Experiences Encountering Pornographic Imagery, Rebecca Gimeno

Electronic Theses and Dissertations

This empirical-phenomenological study explores the psychological dimensions of negatively encountering a pornographic image. The study includes four participants, all adult women who have had an adverse encounter with a pornographic image within the past five years at the time of the data collection. The recollected experiences of the participants were collected through written narratives as well as semi-structured interviews.

The written narratives and recorded audio interviews were transcribed and subsequently analyzed using an empirical-phenomenological analysis, a process that yielded situated structures. From this analysis, thematic elements of each structure were brought to light. Some of the thematic elements that were …

The Role Of Individual Difference In Predicting Psychopathology Following Peer Victimization, Miranda Evans

LSU New Orleans Theses and Dissertations

eer victimization is a common experience that is associated with later psychopathology. However, there is inconsistency in the strength and statistical significance of this effect. The current study used two methods to try to understand this inconsistency. First, co-occurring internalizing and externalizing symptoms were considered dimensionally. Second, the present study considered temperament as a potential moderator to explain the multifinality of outcomes that occur following peer victimization. A community sample (N = 387; 52% female) of early adolescents (11-15) from a longitudinal study of risk and resilience factors for psychopathology was utilized to test hypotheses. Cross-lagged examinations between victimization and …

Sexting Among Adolescents: Examining The Association Between Sexting And Self-Esteem, Hanaah Fannin

Physician Assistant Studies | Student Capstone Presentations

The primary objective of this study is to provide a systematic review of the published literature, examining the association between sexting and self-esteem in adolescents, and to identify gaps in existing knowledge to provide recommendations for future research.