Clinical Psychology Commons^™

Psychometric Evaluation Of The Treatment Integrity Instrument For Elementary School Classrooms - Observer Report: Preliminary Evidence For Construct And Discriminative Validity, Cristian J. Rivera Nales

Theses and Dissertations

Treatment integrity is the degree to which a program and its practices are delivered as intended. Treatment integrity measures are critical for evaluating the effectiveness of evidence-based programs (EBPs) in effectiveness research, but few are designed for research conducted in community settings, such as schools. The Treatment Integrity Instrument for Elementary School Classrooms – Observer Report (TIES-O) is an observational measure used to assess the treatment integrity of teachers implementing EBPs in their classrooms. This study evaluated the psychometric properties of the TIES-O, which captures Adherence (frequency and thoroughness of delivery) Competence (skillfulness of delivery), and Differentiation (the extent to …

Internalizing Symptoms In Lgbtq+ Young Adults: Understanding The Roles Of Social Support And Resilience To Social Stigma, Chloe M. Sobolewski

Theses and Dissertations

LGBTQ+ young adults are at increased risk of adverse mental health outcomes including internalizing symptoms. The current study seeks to better incorporate strengths when modeling internalizing symptoms outcomes in LGBTQ+ young adults. The present study is secondary analysis of data collected as part of a three-wave longitudinal study. LGBTQ+ young adults (N = 250) completed baseline questionnaires assessing resilience to social stigma, types of perceived social support (i.e., family, friend, significant other), and internalizing symptoms. Moderation models were not practically or statistically significant; however, covariates (i.e., age, socioeconomic standing, and childhood basic needs) stood out in their significant contribution in …

Examining Youth Ethnic Identity And Parental Familismo As Protective Factors Against Bicultural Stress And Internalizing Symptoms In Latino Youth, Daniella Olivares

Theses and Dissertations

Adolescence is a critical developmental period marked by increased vulnerability to mental health challenges. For Latino adolescents living in the U.S., experiences of bicultural stress may heighten the risk for adverse mental health outcomes. However, cultural strengths–such as youth ethnic identity and parental familismo–may serve as protective factors. The current study examined whether youth ethnic identity and parental familismo moderated the relationship between bicultural stress and internalizing symptoms among a diverse sample of Latino youth in central Virginia. Latino adolescents (n = 60) completed measures assessing bicultural stress, ethnic identity, and internalizing symptoms, while parents (n = 60) reported on …

Conceptual Concerns Regarding The Content Validity Of The Construct Of Gender Dysphoria In The Diagnostic And Statistical Manual Of Mental Disorders, Fifth Edition, Text Revision, Waverley Vesely

Theses and Dissertations

The diagnostic classification of gender dysphoria in the DSM-5-TR elicits a number of clinical, political, and philosophical concerns, ranging from those that are diagnostic and taxonomical in nature to those that fall within the domains of ontology, phenomenology, and hermeneutics. Part of the reason for the complexity of studying the diagnostic and nosological validity of gender dysphoria as an extant diagnostic classification is that, unlike many disorders, gender dysphoria is inextricably tethered to identity. While the recent change from gender identity disorder to gender dysphoria has nominally removed the status of disorder, in practice, both clinicians and the general population …

The Relationship Between Symptom Catastrophizing And Sociocultural Factors Among Adults With Persistent Sympathetic Activation Syndromes, Whitney M. Redemer

Theses and Dissertations

Persistent Sympathetic Activation (PSA) has emerged as a potential unifying mechanism underlying a range of complex chronic health conditions yet remains poorly characterized within biomedical and psychosocial research. Limited research has delineated how PSA manifests across diverse populations or how diagnostic and sociocultural factors shape lived experiences of this phenomenon; thus, the objective of the present study was to examine whether diagnostic certainty – operationalized as provider-confirmed versus self-suspected PSA-related diagnoses – is associated with symptom catastrophizing, and whether this relationship varies as a function of sociocultural factors. Drawing on data from a larger study aimed at characterizing the lived …

Survivors Of Historical Intergenerational And Familial Trauma Scale For Black American Descendants Of Enslaved People: A Development And Initial Validation Study, Loryn Chás Kimbrough

Graduate Research Theses & Dissertations

Despite extensive research documenting cultural and racialized trauma, no validated assessment tool had previously captured the intrafamilial mechanisms of trauma transmission specific to the BADEP population, whose trauma lineage is rooted in slavery. The present study addresses this gap through the development and initial validation of the Survivors of Historical Intergenerational and Familial Trauma Scale (SHIFTS), a culturally grounded instrument designed to measure the transmission of historical trauma (HT) and ongoing intergenerational trauma (IGT) among Black American Descendants of Enslaved People (BADEPs). The SHIFTS examines how HT gives rise to the continued transmission of two interrelated legacies: survival-based and trauma-rooted …

Identifying Maltreatment Classes And Their Associated Psychological Outcomes From Childhood To Adolescence, Colleen Bartlett

Graduate Research Theses & Dissertations

Previous research has consistently shown that experiencing maltreatment has significant, negative effects on youth’s psychological health; however, research on the psychological impact of maltreatment is often limited by challenges in accurately capturing children’s maltreatment experiences, as most children who are exposed to maltreatment experience multiple types of maltreatment. The present study utilized latent class analyses (LCAs), a person-centered, data-driven approach to empirically identify patterns in children’s maltreatment experiences at ages 3, 5, and 9. Maltreatment class indicators included frequency of behaviorally approximated emotional abuse, physical abuse, and neglect. Following the LCAs, associations between maltreatment class membership and youth internalizing and …

Hierarchical Analysis Of Predictors Of Public Speaking Anxiety, Ruimin Peng

Masters Theses

Public speaking anxiety (PSA) is a prevalent type of phobia that shares many similarities with social anxiety. This paper examines factors related to social anxiety and PSA. Previous literature has identified self-efficacy, perfectionism, and fear of negative evaluation (FNE) as factors related to both social anxiety and PSA. However, less attention has been given to fear of positive evaluation (FPE) and international status, although these two factors are likely related to PSA. This study employed hierarchical regression analysis to investigate the predictive power of FPE and international status on PSA, while controlling for self-efficacy, perfectionism, and FNE. FPE, academic status, …

Personality-Based Clinical Predictors Of Transdiagnostic Suicidality In Emotional Disorders, Harshini Arun

Masters Theses

No abstract provided.

Religiosity And Spirituality: The Mental Costs And Benefits Of Belief In A College Setting, Tyler Geis

Masters Theses

The relationship between religiosity and spirituality (R/S) with mental health has been widely discussed in more recent years. This thesis examines factors related to religiosity, spirituality, depression, anxiety, and stress, as well as how various stigmas toward mental health, mental health treatment, and mental health treatment seeking may relate to R/S and mental health. Previous literature has identified religious coping with hardship, positive and negative dimensions of sin and behavior, the structure of different religious groups, and overall spiritual wellbeing as factors related to R/S, mental health, and beliefs about mental health . However, most previous literature come to differing …

Suicidal Mental Imagery And Its Association With Suicide-Related Disclosure And Suicidal Severity, Elisheva S. Rosensweig M.S.

Selected Full Text Dissertations, 2011-

People utilize two different modes of cognition, experiencing thoughts as mental images or verbal thoughts. Mental imagery tends to be more emotionally arousing and vivid than verbal thoughts, and most suicidal individuals report experiencing suicidal imagery in addition to verbal thoughts. Increasing evidence suggests that suicidal mental imagery is associated with heightened suicide risk, including greater likelihood of prior suicide attempts (e.g., Lawrence et al., 2021). However, suicide risk assessments primarily focus on verbal suicidal thoughts and rarely assess suicidal mental imagery, potentially contributing to the low rates of suicide-related disclosure and challenges identifying individuals at risk. The present study …

Beyond The Identified Patient: Sibling Attachment, Burden, And Coping In The Context Of Mental Illness, Blaire Fauser M.S.

Selected Full Text Dissertations, 2011-

A “mental illness” is defined as a condition that causes clinically significant disturbance in cognition, emotion regulation, or behavior. Mental illness is growing increasingly more prevalent and has been found to not only impact the affected individual but also the broader family system. This study examined the impact of having a sibling with a mental illness on the non-diagnosed sibling. Specifically, the study focused on the relationship between siblings’ (sibling attachment), coping mechanisms, and caregiver burden. Previous research has shown that siblings of individuals with mental illness are at a higher risk of developing psychiatric conditions themselves, which is due …

Secure Base Script Behaviors In Romantic Couples As Predictors Of Romantic Relationship Quality, Ben N. Zigelstein

Selected Full Text Dissertations, 2011-

Attachment representations guide expectations about the availability and responsiveness of attachment figures during times of need. These representations are shaped by early experiences of consistent, reliable caregiving and influence how individuals seek and receive support from close others across the lifespan. Secure base script knowledge, a temporal-causal sequence of events encompassing the essential elements of seeking and receiving support at times of need, is increasingly used to capture attachment representations. Research indicates that secure base script knowledge significantly predicts the quality of self-reported and observed romantic relationships. However, the extent to which secure base script behaviors (i.e., bidding for support, …

Ethnoracial Disparities In Treatment-Seeking Among Suicidal Adults: Stigma As A Mediator, Yiming Huang M.S.

Selected Full Text Dissertations, 2011-

Despite the disproportionate increase in their suicide risk in recent years, ethnoracially minoritized individuals utilize mental health treatment less frequently than their non-Hispanic, White counterparts. Understanding the underlying mechanisms is crucial to identify strategies to mitigate such disparities. While mental health-related stigma has received attention as a potential mechanism, select types of stigma have been examined in isolation, leaving it unclear which forms of stigma are most relevant to the observed ethnoracial disparities in treatment-seeking among suicidal individuals. The current study assessed and examined a range of stigma constructs as potential mediators of ethnoracial differences in treatment-seeking outcomes among suicidal …

From Custody To Care: Understanding Mental Health And Recidivism In The Criminal Justice System, India Cox

UROP Posters

Previous studies on genetic influences in mental health disorders have been shown to correlate with incarceration rates in families. Consequently, there are individuals within the criminal justice system under the clinical threshold of a mental health diagnosis; it has been found that almost half of the incarcerated population was arrested due to acting upon their mental health disorder, while 27 to 38 percent developed PTSD while imprisoned. Furthermore, the serious and exhausting cycle of recidivism within the criminal justice system highlights the failure to provide the necessary mental health treatment required to support rehabilitation while incarcerated and prevent reoffending upon …

Victimization Trauma And Eating Pathology; A Global Perspective, Madisyn E. Feliciano, Cate Morales, Kelsey Hagan

UROP Posters

Introduction: Exposure to traumatic events is a well-established risk factor for eating pathology, including binge eating, purging, restricting, and excessive exercise. This association has been primarily explored in higher-income countries, like the United States. The goal of this study was to elucidate the associations among victimization trauma (physical assault, sexual assault, and other unwanted sexual experience assessed) exposure and (binge eating, purging, restriction and excessive exercise) in a global sample of women.

Methods: Participants were 2,458 women attending universities across seven countries (US, UK, Canada, Germany, Iran, Turkey, Colombia) who were recruited through their undergraduate participant pool. Students who completed …

Therapist Self-Disclosure And Therapeutic Alliance: A Survey Of Psychologists, Miriam Smith M.S.

Selected Full Text Dissertations, 2011-

Of the various forms of therapist self-disclosure, immediate self-disclosure (ISD) refers to the therapist’s sharing of immediate thoughts, feelings, and reactions with the patient in real time. In previous research, ISD has been positively associated with the therapeutic alliance. The therapeutic alliance has been conceptualized as agreement on goals, agreement on assignment of tasks or a series of tasks to achieve those goals, and the quality of the emotional bond. Non-immediate self-disclosure (NISD) is defined as the therapist divulging personal or biographical information about themselves or their life outside treatment. NISD has been found to be risky and potentially harmful …

Internalized Shame, Self-Focused Attention, And Post-Event Processing In Everyday Social Anxiety, Wooje Lee

Graduate Studies Theses and Dissertations 2026

The purpose of this study was to investigate how emotional processes, represented by internalized shame and daily shame (from the emotion-focused therapy model), and cognitive processes, represented by self-focused attention and post-event processing (from cognitive-behavioral models), operate on a daily basis to contribute to social anxiety. Data collected from a sample of 39 individuals with high social anxiety via an online survey and daily diaries was analyzed using multilevel path analysis. The results showed that, at the within-person level, daily shame experienced during an important social interaction influenced self-focused attention during that same interaction and subsequent post-event processing, which in …

Development Of The Simultaneous Alcohol And Cannabis Use Expectancy Questionnaire (Sac-Eq), Shane D. Marohnic

Graduate Studies Theses and Dissertations 2026

Background: Simultaneous alcohol and cannabis use (SAC/SAM), defined as using alcohol and cannabis at the same time so that their effects overlap, has been identified as a hazardous form of polysubstance use. Expectancies are a causal mechanism and can be changed with predictable reductions in substance use and associated consequences, yet only one measure has been developed to assess expectancies related to SAC. Due to limitations of the existing measure, this study sought to create a more comprehensive SAC expectancy scale. Method: Three phases of participants (Phase 1, N = 493; Phase 2, n = 4; Phase 3, n …

Examining Relationships Between Pre-Arrival Information, Perceived Preparedness, And Distressing Call Outcomes Among Firefighters, Victoria L. Steigerwald

Graduate Studies Theses and Dissertations 2026

Responding to distressing emergency calls increases firefighters’ risk for negative mental health outcomes, including posttraumatic stress disorder, warranting investigation into factors that can be targeted to reduce their risk for call-related distress. The present study examined whether the completeness of pre-arrival information about a distressing call reduced firefighters’ peri- and post-call distress via their perceived preparedness for the call and whether general self-efficacy moderated the relationship between pre-arrival information completeness and perceived preparedness. Data were analyzed from 173 active firefighters in the United States (89.0% male, mean age=37.98 years) who completed an online survey asking them to report on levels …