Clinical Psychology Commons^™

Parametric Indices Of Peer Victimization As Predictors Of Children’S Internalizing Outcomes, Freddie Aníbal Pastrana Rivera

Graduate Theses and Dissertations

Peer victimization has been linked to maladjustment in school-age children. However, the field is less clear about how different parameters of peer victimization (e.g., frequency, stability) confer risk to children. In this study, I evaluated the extent to which key parameters (operationalized as distinct peer victimization indices) predicted internalizing maladjustment in 4th grade children (N = 445). From self-, teacher-, and peer-reported victimization data gathered at three time points within an academic year, I generated the following indices: Mean Level, Stability, Cross-Informant Agreement, and Informant Source. Controlling for baseline internalizing scores, hierarchical multiple regressions indicated that: a) only self-reported Mean …

The Role Of Antecedent-Focused Emotion Regulatory Strategies On Emotionally Dysregulated Behavior Above And Beyond The Influence Of Adhd., Skyler C. Vanmeter

College of Arts & Sciences Senior Theses

Emotion dysregulation in children may contribute to poor interpersonal relationships and a variety of internalizing and externalizing psychopathological outcomes in children both with and without ADHD. This study serves to provide an examination of how emotional self-awareness and situationally appropriate emotional expression may affect an individual's ability to broadly regulate emotion and additionally provides an exploratory investigation of how these attributes may affect specific emotion regulation. The present study found that emotional self-awareness and emotion recognition may both contribute to emotion regulation through shared variance with each other rather than unique variance of either one. Exploratory analyses of regulation of …

The Examination Of A Mobile Application For The Reduction Of Posttraumatic Stress Related Symptoms In Emergency Dispatchers, Emy Willis

Electronic Theses and Dissertations

Emergency dispatchers report that their jobs are stressful, yet there are few controlled investigations examining their specific psychological complaints. Additionally, research examining the use of interventions directed at alleviating their work-related stress is limited. This study aims to examine the efficacy and feasibility of a mobile application (PTSD Coach) on various indicators of psychosocial well-being among emergency telecommunicator dispatchers. A sample of 117 emergency dispatchers completed self-report psychological mood assessments at baseline, weekly for five weeks during PTSD Coach use and post-treatment. Participant report of psychological symptoms showed statistically significant decreases in mood severity over the period of one month.

Stepping Outside Of Yourself: Social Anxiety, Dissociation, Alcohol Consequences, And Relationship Satisfaction, Matthew Cook

Electronic Theses and Dissertations

OVERVIEW: Social anxiety disorder is the third most prevalent psychiatric disorder in the United States. Dissociation can arise during acute daily social stressors in individuals with social anxiety. This study examined the relationship between social anxiety and functional outcomes (i.e., alcohol-related consequences and relationship satisfaction) as moderated by levels of dissociation (i.e., depersonalization/derealization). It was hypothesized that dissociation would moderate the relationships between social anxiety and alcohol-related consequences and between social anxiety and relationship satisfaction. METHOD: College students who endorsed alcohol use within the past 30 days (n = 320) and college students who reported having been in a romantic …

Psychopathic Personality Traits In Students Entering Helping Professions, Sarah E. Gallup

Doctor of Psychology (PsyD)

Psychopathy is often misrepresented as a sign of criminality and deviance. However, current literature suggests that psychopaths make up approximately one-fifth of the general population. Some people use these characterological traits to their benefit in positions of leadership. In this study, students from a Christian university in the Pacific Northwest were selected to participate in a survey, based upon their chosen major (Business, Psychology, and Religion). It was hypothesized that Business students would have the highest total levels of psychopathy and religion majors would show the lowest levels of psychopathy. Since religion often serves as a protective factor, it is …

Organized Chaos: Daily Routines As A Potential Mechanism Linking Household Chaos And Child Behavior Problems, Kristy L. Larsen

Master's Theses

Children living in chaotic households exhibit more externalizing behaviors. Child externalizing behavior, exhibited as early as the toddler and preschool years, is a risk factor for later maladjustment. Understanding the mechanisms linking household chaos to early externalizing behaviors is important since those mechanisms could be targeted as a point of intervention. The primary aim of this study was to examine daily routines as a potential mediator of the relation between household chaos and both child externalizing behavior and bedtime resistant behavior. A secondary aim was to examine different levels of routines (family routines, general daily child routines, and specific bedtime …

Emotion Regulation And The Experience Of Racial Microaggressions., Broderick Sawyer

Electronic Theses and Dissertations

Racial microaggressions are defined as subtle racial insults or slights that racial minorities may encounter daily, communicating negative messages to victims. Perceiving discrimination has been associated with negative outcomes in racial minorities such as symptoms of depression, anxiety, trauma, and low self-esteem. Previous research has suggested emotion regulation and psychological symptoms as playing significant roles in the experience of discrimination. Research has yet to identify specific emotion regulation tactics that might offset the harm of racial microaggressions. Mindfulness and self-compassion have been found to buffer the negative emotional impact of chronic stressors that are similar to racial microaggressions. The current …

Pocket Ace: Neglect Of Child Sexual Abuse Survivors In The Aces Study Questionnaire, Robyn Dolson

Electronic Theses and Dissertations

In 1998, a seminal study on adverse childhood experiences (ACEs) and subsequent health risks catapulted ACEs and the study questionnaire into the zeitgeist. However, its childhood sexual abuse (CSA) item is problematic as it requires the perpetrator have been 5-years or older than the victim. To assess whether some survivors’ CSA is not identified by the current item, whether their exclusion prevents access to services requiring a four-threshold ACE score, and how their health outcomes compared to other CSA groups and controls, an international sample of 974 women completed an online survey assessing their current health and CSA history using …

Relational Processes In Support-Related Communication Among Young Adults With Cancer, Kathleen Darabos

Dissertations, Theses, and Capstone Projects

Despite decades of studies reporting positive associations of social support with cancer-related quality of life, little attention has been paid to understanding how relational qualities (e.g., self-disclosure, perceived support member disclosure, perceived support member responsiveness) of cancer-related support exchanges might influence psychological adjustment and intimacy among young adults with cancer. Further, little attention has been paid to understanding how young adults with cancer communicate with their social support networks among different modes of communication [(face-to-face vs. technology-related (e.g., text message, social media)] remains poorly understood. Questionnaire data from 45 young adults with cancer combines these two separate but related literatures …

Childhood Neglect And Risk Of Revictimization By An Intimate Partner: A Prospective Investigation Of Mediational Pathways, Rebecca M. Spizzirri

Dissertations, Theses, and Capstone Projects

Childhood maltreatment increases risk of revictimization in adulthood, although knowledge is limited. Very few studies focus on children with histories of neglect or include males. In addition, while some studies have begun to examine potential pathways from childhood victimization to adult revictimization, there is heavy reliance on data from cross-sectional or short-term longitudinal studies. This dissertation examines data from a large prospective cohort design study to examine potential mediators between childhood neglect and revictimization by an intimate partner in adulthood. Children with official records of neglect experienced before age 12 and non-maltreated children matched on the basis of age, sex, …

Cost-Benefit Analysis Of Enhanced Mentoring For Delinquency Prevention, Allison Smith

Graduate Theses and Dissertations

Youth with certain risk factors (e.g., from a minority group, low-income status, previous contact with the juvenile justice system) are particularly at risk for juvenile delinquency and associated problems (e.g., school failure, mental health problems). In addition, these problems are quite costly to youth, their families, and society as a whole. Mentoring programs have shown modest, but consistent, effects in the prevention and reduction of juvenile delinquency and associated problems. Previous research has identified promising enhancements (i.e., advocacy/teaching roles for mentors, rigorous match processes, comprehensive mentor training, ongoing mentor support) that may increase the effectiveness of mentoring in producing positive …

Mindfulness In Medicine: Modified Mindfulness-Based Stress Reduction (Mbsr) Program Among Future Doctors, Virtue Sankoh

Dissertations, Theses, and Capstone Projects

Medical trainees are at particular risk for stress-related illness, including mental health problems such as suicidal ideation, substance abuse, and mood disorders. A vast literature on mindfulness-based stress reduction (MBSR), consisting of mindfulness education and structured meditative practices, has consistently demonstrated that MBSR and related mindfulness-based interventions improve mental and physical health, as well as one’s overall sense of well-being. Moreover, theorists and researchers have begun to suggest further that mindfulness plays a particular role in social cognition, or social-emotional learning. Medical schools have long been interested in ways to improve the “soft skills” related to interpersonal connectedness that are …

Working Memory And Mindfulness In An Rct Of Abbt And Ar, Anna M. Hall

Graduate Masters Theses

Working memory capacity (WMC) can be degraded by anxiety, stress, and worry, but can also be protected by mindfulness interventions (Jha et al., 2010). The current study was the first to investigate the relations between WMC, anxiety, and mindfulness within two interventions for Generalized Anxiety Disorder (GAD) that promote mindfulness: Acceptance Based Behavioral Therapy (ABBT) and Applied Relaxation (AR). In this exploratory study, we analyzed a subset of participants from a RCT of ABBT and AR who had completed the Operation Span Task (OSPAN; n = 21). First, we found that pre- to post-treatment measures of WMC (e.g., OSPAN scores) …

Disordered Eating And Body Dysmorphic Concerns In Asian American Women: Sociocultural And Culture-Specific Predictors, Liya Akoury

UNLV Theses, Dissertations, Professional Papers, and Capstones

The sociocultural idealization of thinness and Eurocentric features (e.g., lighter skin) is ubiquitous in Westernized cultures, yet only some women internalize these ideals and/or perceive heightened pressures to conform to such ideals. Elevated internalization and perceived pressures to obtain thinness and Eurocentric features may contribute to disordered eating and unique types of body dysmorphic concerns (e.g., dissatisfaction with skin color, eye size/ shape), respectively. Such difficulties may be particularly relevant for ethnic minority women; however, little research exists examining such effects. Further, few studies have comprehensively examined the intersection between sociocultural and culture-specific (e.g., ethnic identity; biculturalism) predictors on disordered …

Identifying Risk Factors For Youth Hospitalization In Crisis Settings: A Classification And Regression Tree Analysis, Yen-Ling Chen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Traditionally, treatment option for psychiatric crises was limited to psychiatric hospitalization. However, psychiatric hospitals are expensive and little evidence supports their utility. Youth returning from psychiatric hospitalizations often have difficulties readjusting to everyday life which can increase risk for negative outcomes. Alternative treatment options such as mobile crisis services might be useful for stabilizing youth in the community and garnering better long-term outcomes. For alternative treatment options to work, clinicians must be able to efficiently and accurately distinguish youth in need of psychiatric hospitalization and youth who could be served via an alternative service. Therefore, the purpose of the present …

Exploring The Pristine Inner Experience Of Individuals In Psychotherapy, Alek Emily Krumm

UNLV Theses, Dissertations, Professional Papers, and Capstones

Inner experience is a frequent topic in psychotherapy and in psychology more broadly, yet very little research has carefully and systematically observed the naturally-occurring experience of psychotherapy clients. The current study begins to fill that gap by using descriptive experience sampling (DES) to survey the inner experience of a small sample of individuals seeking psychotherapy. DES is a method that uses a random-interval beeper to signal participants to pay attention to their pristine inner experiences—the thoughts, feelings, sensations, and so on that are directly apprehendable ‘before the footlights of consciousness’—and describe them in high fidelity. We used about eight days …

Illusory Boundaries And Perceived Access To Rural Mental Health Care, Caitlin M. Shelby

Honors College Theses

This study examined the potential effects of illusory boundaries (in the form of county lines on a map) on distance judgments, specifically distance to mental health care (therapy) and perceived accessibility to said mental health care. 47 undergraduate psychology students completed our study through SONA on Qualtrics. Participants were presented with a series of 10 maps. Each map had two pins, one labelled “you are here” and the other labelled “therapy location” with a key on the bottom for reference (however, participants were instructed to not use their fingers as a measurement tool to keep the distance judgment a perceived …

Rsa In Young Adults: Identifying Naturally-Occurring Response Patterns And Correlates, Brittany K. Willey

Clinical Psychology Dissertations

Few studies have focused on the joint contributions of baseline and stress-responsive RSA on mental health outcomes, and no research to date has examined naturally-occurring profiles of RSA, which may be more predictive of emotion regulation ability and mental health outcomes than looking at either component of RSA alone. Participants were 235 (87.1% female, 73.6% Caucasian) undergraduates ages 18-39 (M = 19.62, SD = 2.12). In Part 1, latent growth mixture modeling (LGMM) was used to identify naturally-occurring physiological profiles accounting for both resting and stress-reactive RSA among young adults. In Part 2, multivariate ANCOVAs were used to predict …

Understanding Comorbid Depression In The Context Of Ptsd Through Underlying Dimensions, Melissa Turkel

Dissertations

Depression co-occurs with Posttraumatic Stress Disorder at a high rate, resulting in numerous complications for pathology and treatment. More research is needed regarding variables that may explain this common comorbidity. One possible variable is that of underlying dimensions, latent factors that give rise to these manifestations of psychopathology. This study explored potential underlying mechanisms of comorbid PTSD and depression, including negative affect, rumination, emotion dysregulation, neuroticism, and behavioral inhibition. While previous studies have investigated these dimensions individually, there is a dearth of research that simultaneously investigates multiple dimensions or determines the relative contributions of underlying dimensions to psychopathology. Thus, the …

Lending A Hand: Healthcare Cost And Treatment Impact Of Peer Recovery Services, A Review Of The Literature, Nicholas J. Bush

Senior Honors Projects

Background: In the United States, the need for mental health and substance misuse treatment has been on the rise leading to an increase in healthcare costs and a reduction in barriers to care. Recently, there has been a growing interest in implementing peer support services (PSS) to increase access to care, improve treatment outcomes, and reduce healthcare related costs, such as emergency room visits, psychiatric hospitalization, and crisis stabilization.

Aims: This Honors project reports on a systematic review of the literature on treatment outcomes associated with PSS in mental health and/or substance misuse populations. It reviews the evidence that PSS …