Clinical Psychology Commons^™

Beyond Symptoms: Examining Perinatal Mental Health Care Among Black, Indigenous And People Of Color With Polyendocrine Metabolic Ovarian Syndrome, Vinaya Thomas

Electronic Theses and Dissertations

Perinatal mood and anxiety disorders (PMADs) are as a public health concern in the United States. Individuals from minoritized racial/ethnic groups face a significantly elevated risk of maternal morbidity, mortality, mental health disorders, and associated adverse outcomes. Emerging studies also reveal a higher likelihood of experiencing perinatal mental health concerns in individuals with polycystic ovarian syndrome (PCOS), currently known as polyendocrine metabolic ovarian syndrome (PMOS). People who identify as Black, Indigenous, or a person of color (BIPOC) face unique healthcare challenges given the added structural and social burdens. This online survey study aimed to 1) understand the relationship between PMOS …

The Hypnagogic State And Hypnagogic Constraint Modulation In Ocd, Ari Rad

Academic Leadership Journal in Student Research

The past few decades of scholarly inquiries on the topic of the hypnagogic state and N1 sleep onset have introduced a new understanding of human general mentation. The underlying phenomenological, psychological, and neurological aspects of the hypnagogic state have been explored in depth by researchers. Hypnagogia and N1 sleep onset have been associated with creativity, spontaneous access to insights, symbolic representation of cognitive processes, and visual and auditory perceptions. The default mode network (DMN) has been largely associated with creativity and spontaneous thinking during N1 sleep onset. This paper reviews the basics of the neurology and phenomenology of N1 and …

Alzheimer’S Disease And Related Dementias Risk Profiles And Health Literacy Among South Asian Seniors, Sandra A. Kennedy

Dissertations, Theses, and Capstone Projects

Alzheimer’s Disease and Related Dementias (ADRD) pose significant health challenges globally, with South Asian seniors in the United States facing elevated risks due to high rates of cardiovascular disease, diabetes, and limited health literacy. This study assessed dementia literacy and the prevalence of cardiovascular, psychosocial, and lifestyle risk factors among South Asian seniors in New York City, utilizing community-based participatory research (CBPR) principles in collaboration with India Home, a community-based organization. Fifty-six (N=56) South Asian seniors aged 55 and older (M = 69.05, SD = 6.36), primarily of Indian or Bangladeshi origin, participated in the study. Data collection involved a …

The Relationship Between Adverse Childhood Experiences, Protective And Compensatory Experiences, And Parenting Attitudes Among Fathers, Kylie Schmidt

Dissertations

Adverse childhood experiences (ACEs) are defined as potentially traumatic events that occur in childhood particularly between the ages of 0 and 17 years that negatively influence long-term health, relational functioning, and parenting practices (Centers for Disease Control and Prevention, 2026; Felitti et al., 1998; Merrick et al., 2019). Conversely, protective and compensatory experiences (PACEs) have emerged as protective factors that foster resilience and possibly buffer against the adverse outcomes of ACEs (Narayan et al., 2018). As the existing research has greatly focused on mothers, little is known about how men’s early life experiences shape their parenting attitudes, particularly during the …

Cognitive-Affective And Somatic Depressive Symptom Domains Related To Psychological Mechanisms And Sociodemographic Factors, Danielle B. Hazeltine

Dissertations, Theses, and Capstone Projects

Major depressive disorder is prevalent, chronic, and heterogeneous, including cognitive- affective (e.g., maladaptive beliefs or thinking patterns and sad mood) and somatic (e.g., fatigue, appetite, or sleep changes) symptom domains. While depression domains have been long theorized, research examining psychological mechanisms underlying this distinction is limited. Preliminary research suggests cognitive-affective symptoms relate more strongly to cognitive mechanisms (cognitive bias, perseverative thought), somatic symptoms relate more strongly to behavioral mechanisms (behavioral inhibition/activation), and gender, race, and ethnicity moderate these relationships. This study examined whether cognitive-affective and somatic symptom domains differentially relate to cognitive and behavioral mechanisms, and whether these relationships are …

Distinguishing Between Complex Post-Traumatic Stress Disorder And Post-Traumatic Stress Disorder: The Role Of Childhood Maltreatment, Catherine Harris

Dissertations, Theses, and Capstone Projects

The current study examined whether court-substantiated childhood maltreatment may be associated with increased risk for Complex PTSD (CPTSD) and whether individuals with CPTSD and individuals with PTSD could be distinguished in terms of complex trauma exposure. Children with documented cases of abuse and neglect prior to age 11 were matched on age, race, sex, and approximate family socioeconomic status with children without documented histories of maltreatment (controls) and both groups were followed prospectively into adulthood. Participants (N = 1,196) were assessed using a DSM-III-R based structured interview of PTSD symptoms and other self-report measures of psychiatric symptoms at mean age …

Intimate Partner Violence And Emotion Regulation Among Emerging Adults: Investigating The Roles Of Dispositional Mindfulness And Executive Function In The Context Of A Laboratory-Induced Stress Paradigm, Mikell Bursky

Dissertations, Theses, and Capstone Projects

Intimate Partner Violence (IPV) is a major public health concern that impacts an estimated 10 million men and women in the United States annually. IPV refers to a range of physical, sexual or psychological forms of aggression committed against a current or former romantic partner in the context of a relationship. The highest rates of IPV are observed in emerging adulthood, a developmental period between the ages of 18 to 25 that is significant for the transition from adolescence into adulthood, and the establishment of first meaningful intimate relationships. Although distal risk factors for IPV such as violence in the …

Social Media-Based Social Comparisons Among Socially Anxious Young Adults: The Role Of Cognitive Reappraisal, Jennifer L. De Rutte

Dissertations, Theses, and Capstone Projects

Social media is a central context for social interaction and self-evaluation among young adults. For those with elevated social anxiety, these environments may be especially salient because they provide frequent opportunities for social comparison. Although upward social comparison on social media has been linked to poorer emotional outcomes, less is known about its experimental effects among socially anxious young adults or whether upward and downward comparison have distinct effects that extend to later socially evaluative situations. The present study examined these questions in 84 socially anxious young adults randomly assigned to view simulated Instagram feeds eliciting upward comparison, downward comparison, …

Psychological Adaptation In Colorectal Cancer Survivors: Pilot Study Findings, Anuja L. Sarode, Emily M. Su, Amber Kerstetter-Fogle, Steve Paciorek, Erica L. Laipply

HCA Healthcare Journal of Medicine

Background

In this pilot study, we examined psychological impacts of colorectal cancer (CRC), focusing on cancer-related posttraumatic stress disorder (CR-PTSD) symptoms, posttraumatic growth (PTG), and their relationship with coping strategies in surgically treated CRC patients.

Methods

This prospective pre- and postoperative pilot study assessed CRC patients at 2 time points, pre- and postoperative. Psychological symptoms were evaluated using the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) and the PTG Inventory Short Form (PTGI-SF). Coping strategies were assessed using the Brief Coping Orientation to Problems Experienced (COPE) instrument. Changes in CR-PTSD, PTG, and coping …

Effects Of A Shame-Focused Self-Compassion Writing Intervention In Individuals With Social Anxiety, Selen Amado

Graduate Doctoral Dissertations

The present study examined the efficacy of a brief, shame-focused self-compassion (SF-SC) writing intervention in reducing shame, social anxiety and related cognitive maintenance processes among individuals with elevated social anxiety. Shame is a core feature and maintaining factor of Social Anxiety Disorder (SAD), closely linked to self-focused attention, post-event processing, and self-criticism. Additionally, self-compassion demonstrates a robust inverse association with shame. However, few interventions have explicitly targeted shame as a primary mechanism of change using self-compassion strategies in socially anxious populations. Using a randomized controlled design, 94 participants with elevated levels of social anxiety and shame were assigned to either …

Redefined: Understanding The Experience Of Black Joy Among Black Youth, Kaela A. Yamini

Graduate Doctoral Dissertations

The study of Black joy is a newer concept and, therefore, reflected in a small but growing body of literature. Many scholars have reflected on the theoretical nature of Black joy and how it can appear across settings, e.g., academically, occupationally, communally, and internally, but very few studies have examined this phenomenon empirically. Several definitions of Black joy have emerged in connection to history and suffering; however, there is still a notable lack of agreement among researchers. Despite that, all conceptualizations acknowledge how this emotional experience is much greater than the pain associated with it and highlight its ability …

Effect Of Vocational Training Programs On The Mental Health Of Indian Women Living In Contexts Of Urban Poverty (Or Urban Slums), Sriramya Potluri

Graduate Doctoral Dissertations

Women living in contexts of urban poverty (IWLCUP) experience disproportionately high rates of psychological distress, yet their mental health needs remain largely underrecognized. Beyond individualized explanations, broader ecological perspectives situate these women’s distress within previously underemphasized macrolevel forces and acknowledge the role of inequity and related structural disparities (e.g., economic, sociocultural, political etc.) in their oppression and disempowerment, thereby contributing to increased psychological vulnerability. Such frameworks call for intervention efforts that reduce individual psychological risk by addressing structural determinants proximally and distally impacting the lives of IWLCUP. Specifically, targeting poverty and economic insecurity might drive positive downstream effects that ultimately …

Cultural Responsiveness: Examining Assessments Of Therapists For Ethical And Clinical Outcomes (Create Clout), Tsotso T. Ablorh

Graduate Doctoral Dissertations

The Multicultural Counseling Competencies (MCC) and Multicultural and Social Justice Counseling Competencies (MSJCC) are well-researched and supported counseling practices for decreasing microaggressions in therapy and consequent attrition, lack of satisfaction, and maltreatment (Ratts et al., 2016; Sue et al., 1982). However, scholars critique existing methods for measuring therapists’ cultural responsiveness for being disconnected from therapeutic process and outcomes (Hays, 2020; Wilcox et al., 2020). This study examined which MSJCC measures associated with variables clinically and ethically relevant to better treatment outcomes and lower microaggressive, neglectful, and stereotypical treatment for hypothetical Black, female clients by White therapists. 62 White psychologists in …

Beyond Monolithic Narratives: The Interaction Of Ethnic-Racial Socialization And Resistance In Shaping Mental Health Among Black Immigrants In The U.S., Krystel Francis

Graduate Masters Theses

Black immigrants represent one of the fastest-growing segments of the U.S. Black population, yet their unique racialized and cultural experiences remain understudied within psychological research. This thesis examined how ethnic-racial socialization and resistance and empowerment against racism can influence how race-related stress was associated with psychological distress among Black immigrants in the United States. This study tested a moderated moderation model to determine whether ethnic-racial socialization and resistance and empowerment against racism, independently and jointly, buffered the adverse effects of race-related stress on psychological distress. Using data from a larger IRB-approved study on racism and mental health among people of …

The History And Importance Of Self-Compassion: Lack Of Application In Male Demographics?, Marshall Spilane

Summer Research Showcase

Self-compassion has become an important part of mental health research, though its adoption in male populations has been slower than in others. The objective of this literature review is to expose a lack of implementation of self-compassion practices in male communities. This literature review explores this gap in adoption and provides an example of how research can move forward. The data were collected by analyzing current literature and compiling it. Current research on self-compassion has found evidence that self-compassion can improve emotional regulation and lessen depression symptoms. Many factors could influence the gap in adoption; some research suggests that mental …

Understanding Familicide: Psychosocial, Behavioral, And Mental Health Risk Factors And Implications For Forensic Behavioral Health Professionals, Molly M. Vogl

Master of Arts in Human Services

Familicide is a rare but devastating form of family violence involving the killing of multiple family members by another family member. Although research examining domestic violence, homicide, and homicide-suicide has expanded, familicide remains less understood due to its low occurrence and complex nature. This capstone examined the psychosocial, behavioral, and mental health risk factors commonly associated with familicide perpetrators and explored how forensic behavioral health professionals may use this information to improve violence risk assessment, prevention, and intervention efforts. A review of peer-reviewed research from academic databases and scholarly search engines identified common themes associated with familicide, including relationship conflict, …

Predictive Validity Of Basc-3 Anxiety And Working Memory Scores For Clinically Significant Test Anxiety: Including Case-Level Examination Of Misclassified Profiles, Des'tiana Williams, Luis E. Aguerrevere, Nina Harness

Archives of Assessment Psychology

High school and college students can struggle with test anxiety, which may result in test scores below the capacity of the student. Previous literature suggests that test anxiety is related to general anxiety and limited working memory (WM), yet the extent to which these factors predict test anxiety in commonly used clinical psychoeducational assessments has not been thoroughly examined. In this study, we examined how well scores on the Behavior Assessment System for Children- 3rd edition (BASC-3) Self-Report Anxiety scale and Working Memory Index (WMI) on the Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV), Wechsler Intelligence Scale for Children …

Trauma Processing And Sleep Inconsistencies In Firefighters: A Proposed Program To Bridge Gaps And Set Heroes Up For Success, Megan Griffin

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This doctoral paper presents a comprehensive review of the literature supporting the need for an integrated training program addressing sleep disruption, trauma exposure and processing, and substance use as a self-medication strategy among firefighter populations. Drawing on empirical research, the paper examines the prevalence and interaction of posttraumatic stress disorder (PTSD), moral injury, sleep disturbances, and substance use within this occupational group. The introduction provides operational definitions of PTSD and moral injury and synthesizes existing research on trauma exposure, sleep impairment, and substance use functions among firefighters. The literature review also highlights evidence-based, exposure informed interventions to facilitate adaptive trauma …

A Brief Self-Help Intervention For Anxiety And Depressive Symptoms Utilizing Cognitive Behavioral Therapy And Dialectical Behavior Therapy Within Correctional Settings, Genevieve L. Ray

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Individuals within incarcerated settings are far more likely to experience symptoms that meet criteria for a mental health disorder compared to the general population. This population is often underserved due to various financial and resource constraints. Self-help interventions have grown in popularity due to their proven effectiveness and accessibility for consumers, particularly for anxiety and depression symptoms. A self-help intervention for those in a correctional setting would not require extensive additional personnel amid financial constraints and would increase access to care. Many self-help interventions that are currently published apply to the community population, but readily accessible resources that reside in …

Clinical Considerations For Black Student Athlete Development, Jahnia Margarita Green

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Black student athletes exemplify the complexity of navigating intersecting identities at pivotal points in their development. They are also more likely to make premature commitments to their athletic identity and in turn suffer from psychological distress during times of transition (Beamon, 2012). The focus on Black collegiate athletes is informed by persistent mental health challenges associated with higher levels of competition or transitions (e.g., injury or retirement) within collegiate athletics (Brewer & Petitpas, 2017; Menke & Germany, 2019). This paper aims to develop culturally informed clinical considerations through the analysis of the Black student athlete experience and structural aspects of …