Clinical Psychology Commons^™

The Relationship Between Frequency Of Yoga And Meditation On Ptsd Symptoms In Individuals Who Have Experienced Intimate Partner Violence, Kimberly Polignani

Dissertations

Intimate partner violence (IPV) has become a growing phenomenon in the United States,

affecting nearly 13% of the population. The adverse mental health outcomes from people who experience IPV are prevalent and more than half have a diagnosis of posttraumatic stress disorder (PTSD). Therefore, therapeutic techniques for PTSD appear to be feasible for IPV survivors and their mental health issues. Complementary and alternative medicine has become a widely accepted approach for PTSD. Being two complementary and alternative medicine techniques, yoga and meditation are effective forms of therapy in many diagnoses, including PTSD. This study utilized a not-for-profit organization called the …

The Underlying Psychophysiology Of Pedophilic Disorder And The Implications For Treatment Approaches, Tonise Florexil

Dissertations

Sexual crimes are a persistent and significant social dilemma that continues to plague our society (Lee, Jackson, Pattison, & Ward,2002). Past research has made considerable advancements in terms of the types of interventions that clinicians can utilize when they work with individuals who have a history of child sexual offenses. However, current literature lacks an understanding of the risk factors that influence the development of Pedophilic Disorder. A history of sexual trauma also affects families. The children of traumatized individuals have more adjustment difficulties than their counterparts who did not have a parent(s) with a sexual trauma history. This clinical …

Novice Therapist Responsiveness: Description And Development, Max B. Wu

Graduate Doctoral Dissertations

There is increasing empirical evidence that psychotherapy is very effective when therapists tailor interventions in ways that fit their clients’ difficulties and needs (Kramer, 2009; Snyder & Silberschatz, 2017), a concept that has been named “therapist responsiveness” in the psychotherapy literature (Bacal, 1985; Stiles, Honos-Webb, & Surko, 1998). However, the question of how therapists learn to be responsive rarely has been addressed in research (Hatcher, 2015). The central question of this study was, “How did you learn how to be responsive to clients as a novice therapist, and in what ways are you responsive?” Eleven graduate student therapist trainees were …

Self-Compassion And Suicide Risk In Veterans: Serial Effects Of Shame, Guilt, And Ptsd, Jessica Mckinney

Electronic Theses and Dissertations

Suicide is a significant public health concern and ranks as the 10^th leading cause of death in the U.S. Veterans are at a disproportionately higher risk for suicide, due to risk factors such as exposure to trauma and its negative cognitive-emotional sequalae, such as PTSD, shame, and guilt. However, not all veterans exposed to traumatic events, or who experience shame and guilt, die by suicide, perhaps as a result of the presence of individual-level protective factors such as self-compassion. Conceptualized as self-kindness, mindfulness and common humanity, self-compassion is beneficially associated with mental and physical health, including reduced suicide risk. …

Impact Of Adverse Childhood Experiences On Mental Health Outcomes And Related Prescription Practices In A Psychiatric Inpatient Sample, Carrie Lemay

Electronic Theses and Dissertations

A definitive association between adverse childhood experiences (ACEs) and negative physical and mental health outcomes has been established. There is evidence that individuals in forensic psychiatric facilities are disproportionately exposed to ACEs, which may impact severity, prognosis, and age of onset of psychiatric symptoms, including behavioral concerns of institutional aggression, self-harm behaviors, and suicide attempts. Such psychiatric and behavioral concerns are often managed through multiple psychotropic prescriptions, leading to psychotropic polypharmacy. This study evaluated the relationship between ACEs, mental health and behavioral concerns, and psychotropic polypharmacy through analysis of archival data from a forensic inpatient psychiatric facility. A total of …

A Thematic Approach To Understanding Compassion Fatigue, Burnout, And Barriers To Self-Care In Pediatric Healthcare Providers Of Medically-Ill Children, Courtney Hurd

Doctoral Dissertations

Due to the nature of their work, healthcare providers working in pediatric settings may be especially vulnerable to experiencing negative consequences of compassion fatigue and burnout. Pediatric healthcare providers often work long hours in the hospital to manage children with acute and chronic medical concerns. Within this setting, unpredictable outcomes and potential for death when caring for this fragile population may contribute to short-and long-term effects on not only caregivers but also healthcare providers. Healthcare providers typically work on an interdisciplinary team within the pediatric hospital setting which can include medical doctors, nurses, social workers, psychologists, psychiatrists, and child life …

A Controlled Examination Of Motivational Strategies: Reviewing Positive Consequences For Goal Achievement, Negative Consequences For Undesired Behavior, And A Relaxation Exercise, Yulia Gavrilova

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: Motivation is an integral part of human life and one of the most fundamental aspects of behavior change. Of interest to the present study are two motivational approaches, Negative Consequences Review (NCR) and Positive Consequences Review (PCR). NCR is an intervention component originally designed as part of Family Behavior Therapy (FBT) to motivate individuals with their goals through a discussion of negative consequences associated with undesired behaviors. PCR was developed as an auxiliary component of FBT to inspire individuals’ motivation to achieve their goals through a discussion about positive consequences of reaching goals. Purpose: The purpose of this study …

Multimethod Investigation Of Pristine Inner Experience, Leiszle Rae Lapping-Carr

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introspection can be defined as any effort to observe and report on internal experiences. As such, introspection continues to be a commonly used research method, including self-report questionnaires, experience sampling, and qualitative interviews. However, in these modern applications of introspection, the challenges of such endeavors are often not readily acknowledged or addressed. This study compared three introspective methods using a pre-test, post-test design: descriptive experience sampling (DES), the experience sampling method (ESM), and daily questionnaires (DR). Those who participated in DES, a beeper-based method designed to produce high fidelity understandings of random moments of inner experience, had lower average frequencies …

Religious Coping Measurement In The Context Of Long-Term Care., Nathaniel David Andrew

Electronic Theses and Dissertations

This dissertation explores the reliability and validity of religious coping measures in long-term care settings. The paper begins with a discussion of general coping and religious coping theory, coping measurement, and a review of religious coping in elderly long-term care residents. Next, a modified model of coping and resilience in older adults is introduced. The latter part of the paper describes a study that examines the reliability and validity of two specific religious coping measures in nursing home, assisted living, and personal care residents. The study utilizes a cross-sectional design by interviewing a convenience sample of nursing home, assisted living, …

The Impact Of Mother And Adolescent Offspring Distress Reduction Training On Maternal Anxiety And Alcohol Related Behaviors Following Conflict, Sarah Ann Bilsky

Graduate Theses and Dissertations

Nearly half of people suffering from psychopathology meet criteria for more than one disorder. Scholars have focused on understanding factors that may simultaneously maintain multiple psychiatric problems. Elevated distress during interpersonal conflict is likely to maintain both alcohol use and anxiety psychopathology. Reducing distress elicited by normative mother-adolescent conflict holds particular promise. Conflict is common in families with problematic drinking and anxiety disorders and the affective impact of parent-offspring conflict is malleable. Distress reduction skills, such as cognitive reappraisal, are effective in reducing distress during conflict. The current study examined the unique and combined effects of training mothers and adolescents …

Preliminary Outcomes, Acceptability, And Feasibility Of A Brief Crisis Response Planning Intervention For Reducing Suicide Risk In Primary Care Behavioral Health Patients, Aubrey R. Dueweke

Graduate Theses and Dissertations

Primary care is an important setting for improving identification and treatment of people at risk for suicide. However, there are few developed protocols for management of suicide risk in this setting. This study aimed to evaluate the preliminary outcomes, acceptability, and feasibility of a brief crisis response planning intervention for patients at a moderate risk for suicide in a primary care behavioral health (PCBH) setting. The outcomes examined included change in suicidal cognitions, suicidal intent, hope, and coping efficacy. Twenty-two adult primary care patients at moderate risk for suicide participated in this study, which involved filling out self-report measures before …

Teen Dating Violence In A Sample Of High School Students In The Rio Grande Valley, Gabriela Ontiveros

Theses and Dissertations

This study analyzes the extent of teenage dating violence (TDV) perpetration and victimization among a sample of high school students in the Rio Grande Valley and its relationship with the occurrence of Adverse Childhood Experiences (ACEs) and exposure to interparental violence. Two hundred and twenty participants out of 426 were eligible for analyses. Rates of male and female physical abuse perpetration and victimization were similar although females reported significantly higher perpetration and males higher victimization rates. Regression analyses indicated that females exposed to interparental violence reported higher rates of overall TDV perpetration and physical abuse perpetration.

Females with higher occurrences …

Social Anxiety And Sexual Victimization In A Latina Sample: A Moderated Mediation, Andrew E. Dials

Theses and Dissertations

The current study sought to explore the relationships between social anxiety, sexual victimization, acculturation, and alcohol use. To the author’s knowledge, this is the first study to explore the relationship between social anxiety and sexual victimization in a 100% Latina sample.

It was seen that social anxiety predicted severity of sexual victimization, but not presence or absence of sexual victimization experience. It was also seen that while alcohol did not predict severity of sexual victimization experience, it did predict presence or absence of sexual victimization experience. Results, clinical implications, and future research directions are discussed.

Does Change In Anxiety Predict Changes In Metacognitions?, Heather Lynn Clark

Graduate Theses/Dissertations

In recent years an increasing number of studies have examined anxiety-related metacognitive beliefs and their relationship to anxiety disorder diagnoses and treatment outcome. However, no study to date has examined changes in metacognitive beliefs following induced anxiety. The aim of the present study is to examine the relationship between changes in state anxiety and worry-related metacognitive beliefs. Participants completed baseline measures of anxiety and metacognitions before either being exposed to a control stimulus or worry-inducing stimulus. Following exposure participants completed anxiety and metacognition measures once again. Group means comparison analyses and correlations are reported. Results suggest state anxiety can be …

Learning To Relax: The Impact Of Brief Biofeedback Training On Salivary Cortisol Reduction, Dallas N. Robinson

Graduate Theses/Dissertations

Chronic stress has been linked to several health related and psychological problems. There is evidence that relaxation techniques can be useful in the reduction of stress and psychological complaints. Short-term interventions like computer-based biofeedback could provide a brief and independent way to manage stress and anxiety. The purpose of this study is to examine the impact of the ALIVE biofeedback program (a relatively new software that allows individuals to play a game requiring proper smoothness of breathing and heart rate) on the stress response after the Trier Social Stress Test, a laboratory stress task shown to elicit changes in cortisol …

Differences And Similarities In Male Body Image In Young, Middle-Aged, And Older Men, Amy K. Jordan

Graduate Theses/Dissertations

The purpose of the present study was to explore differences and similarities in multiple aspects of male body image across age groups, including body dissatisfaction, coping strategies, functional appreciation, and mood. It was first hypothesized that younger men would report greater dissatisfaction with muscularity and body fat than middle-aged and older men. The second hypothesis stated that body dissatisfaction would predict depressive symptoms. The third hypothesis predicted that age and functionality appreciation for the body would be positively correlated. Finally, researchers evaluated the relationship between body image coping strategies and age from an exploratory perspective. Participants included 344 men ages …

Examining The Gender- And Sexuality-Related Cognitive “Stuck Points” Of Men And Women With Experiences Of Adult Sexual Assault: Implications For Cognitive Processing Therapy, Marin Beagley

Dissertations

Cognitive Processing Therapy (CPT) is considered a gold-standard psychotherapy protocol for the treatment of posttraumatic stress symptoms secondary to a variety of traumatic events. Despite its demonstrated efficacy, there is research to suggest CPT may not be as effective in reducing PTSD symptoms for men with an adult sexual assault trauma as it is for their female counterparts. The purpose of the present study was to determine whether CPT treatment outcome discrepancies may be attributable to gender differences in posttraumatic cognitions, or “stuck points.” As the act of sexual victimization is incongruent with socially prescribed masculine gender norms, it was …

Same-Sex Sexual Coercion Among Women: The Impact Of Minority Stress On Perpetration And Victimization Experiences Of Women Of Diverse Sexual Identities, Allison Kirschbaum

Dissertations

The purpose of the current study was to investigate women’s experiences with same-sex sexual coercion perpetration and victimization. Specifically, I sought to explore the role that the stress of living as a sexual minority plays in these experiences as well as to determine whether the psychological variables of perceived powerlessness, psychological distress, social support, and alcohol use mediate the relationship between minority stress and perpetration and victimization experiences. Data were collected online from self-identified women and individuals assigned female at birth who reported experiencing genital sexual contact with another woman (N=339). Of the cisgender women in the sample, 31.6% reported …

Implementing Autism Screening For Latino Children In Primary Care: Perspectives From Parents And Providers, Mary Troxel, Keri Linas, Diane Jacobstein, Matthew Biel, Sandra H. Soto, Isabella Lorenzo-Hubert, Soraya Dos-Santos, Rocio Mendez, Bruno J. Anthony

Journal of Health Disparities Research and Practice

While Autism Spectrum Disorder (ASD) and other developmental disabilities are being diagnosed at increasing rates, there is strong evidence of disparities in rates of identification and utilization of services by Latino children as compared to non-Latino children. Attempts to reduce these disparities include culturally-informed early screening for ASD risk. In preparation for initiation of a screening program in a primary care setting serving primarily Latino children, focus groups and interviews were conducted with Latino parents (N=31), medical staff (N=15), health care providers (N=4) to better understand the barriers and facilitators to engagement around developmental concerns that contribute to the low …

The Use Of Celebrity And Non-Celebrity Examples To Reduce Stigma In University Students, Tyrus Mccartney

Seton Hall University Dissertations and Theses (ETDs)

Although effective treatments have been developed for various mental illnesses, many individuals who need psychological help do not seek it because of stigma. Interventions have been developed to reduce stigma, with the hope of increasing access to mental healthcare. Vicarious contact with individuals who have mental illness can reduce both public and internal stigma. Furthermore, celebrity examples have been used to reduce stigma. The present study compared celebrity examples and non-celebrity examples across a stigma-reduction intervention, as well as a control group, to determine the most effective ways to present first-person narrative vignettes for reducing both public and internal stigma. …