Clinical Psychology Commons^™

Affective Factors Explaining The Association Between Depressive Functioning And Alcohol Outcomes, Peter D. Preonas

Psychology Theses & Dissertations

Depressive symptoms and alcohol use frequently coexist. In college students, the rates of depression and alcohol use are higher than in the general population, making this population at particular risk for co-occurrence of depressive symptoms and drinking. Though research has shown that depressive symptoms precede alcohol use and problems in non-clinical populations, it is unclear what mechanisms contribute to this relationship. Further exploration into how this relationship occurs could inform and improve intervention of depression and alcohol abuse on college campuses. This study sought to (1) assess three potential mediators (i.e., need for affect, distress tolerance, emotion regulation) to the …

The Clinical Utility Of Recaptured Baselines After Return-To-Play, Alicia Miran Kissinger-Knox

Theses and Dissertations

Objective: The present study was designed to investigate the clinical utility of recaptured baselines or “rebaselines” in collegiate athletes after return-to-play. Several concussion management teams endorse the use of baseline neurocognitive assessments at the beginning of an athlete’s sports season to use as a measure of comparison in the instance of concussion or head injury. Once physical and cognitive symptoms are resolved, an athlete is requested to reestablish their baseline for the rest of the season. It has been questioned whether this “rebaselining” is necessary and warranted. Method: Forty-one Division II collegiate athletes at Florida Institute of Technology who sustained …

Sleep, Internalizing Symptoms, Executive Functioning, And Diabetes Outcomes In Adolescents With Type 1 Diabetes Mellitus, Ashley Charlene Moss

Dissertations (1934 -)

Insufficient sleep is a nearly universal problem during adolescence and is likely associated with various biopsychosocial and contextual factors present with this developmental period. Youth with type 1 diabetes mellitus (T1DM) may experience greater sleep difficulties, poorer sleep quality, and greater daytime sleepiness/fatigue compared to healthy youth. Also, sleep difficulties are associated with poorer diabetes outcomes (e.g., treatment adherence). Understanding how sleep may impact illness management during adolescence is critical given increasing rates of non-adherence during this developmental period. Although research suggests poor sleep is associated with decreased neurocognitive functioning and increased internalizing behavior among healthy youth, limited research has …

Examining Body-Focused Self-Improvement And Self-Evaluation Social Comparisons On Exercise In Young Adult Women Using Ecological Momentary Assessment, Rachel I. Macintyre

Psychology Theses & Dissertations

Exercise is highly recommended by health professionals due to its numerous health benefits, yet little is known about the social factors that influence people’s motivation to exercise each day. Studies on social comparisons reveal that college women frequently evaluate their weight and shape compared to those around them through upward body-focused comparisons (i.e., comparing themselves to someone they perceive to be thinner or in better physical shape). Research suggests these comparisons can be driven by two different motivations, self-evaluation and self-improvement. However, the occurrence of these two different types of motivations in everyday life and how they may be associated …

Physiological Correlates Of Affective Decision-Making In Anxiety And Depression, Louisa I. Thompson

Dissertations, Theses, and Capstone Projects

Improving our understanding of cognitive and physiological profiles in anxiety and depression has the potential to reveal novel ways to target and improve treatments for these prevalent mental health conditions. The present study examined the impact of self-reported anxiety and depression symptoms on three established decision-making measures, the Iowa Gambling Task (IGT; Bechara, Damasio, Damasio, & Anderson, 1994), Balloon Analogue Risk Task (BART; Lejuez et al., 2002), and Game of Dice Task (GDT; Brand et al., 2005), in a diverse sample of 100 college students (age 18 to 35). Physiological measures of tonic heart rate variability and galvanic skin response …

The Transgenerational Transmission Of Emotion Regulation: The Effect Of Maternal Coping On Child Executive Functioning, Devon J. Harrison

Dissertations, Theses, and Capstone Projects

There is a recognized link between maternal trauma history and adverse child outcomes, however the mechanisms underlying this intergenerational relationship are less clearly understood. Maternal emotion regulation, as measured by coping style, may help explain this cross-generational transmission, implicating the role of a mother’s coping in her child’s capacity to plan, attend, and self-inhibit. Objective: The purpose of this study is to examine the association between maternal coping style and child executive functioning (EF) in a sample of 188 urban mothers and their pre-adolescent and adolescent children. Data was analyzed from a larger cross-sectional and cross-generational study of maternal difficulties …

Cortical Thickness Abnormalities Within The Salience And Reward Networks In Older Depressed Adults With Apathy, Monique A. Pimontel

Dissertations, Theses, and Capstone Projects

Background and Significance: Apathy is a common comorbidity in late-life depression. Among older depressed adults, apathy is associated with a number of adverse outcomes, including increased disability, comorbid illness, and mortality. The etiological substrates of apathy in late-life depression nonetheless remain poorly understood, and little is known about its optimal treatment. To this end, the aim of the current study was to examine cortical abnormalities within the salience (SN) and reward networks (RN), two brain systems involved in the processing of incentive salience that may underlie the syndrome of apathy in older depressed adults.

Methods: We examined the association between …

Cognitive And Affective Control Deficits In Adults With Autism Spectrum Disorder, Melissa-Ann Mackie

Dissertations, Theses, and Capstone Projects

Cognitive control constrains mental operations to prioritize information that reaches conscious awareness and is essential to flexible, adaptive behavior under conditions of uncertainty. However, cognitive control can be compromised by neurodevelopmental disorders such as autism spectrum disorder (ASD), which is characterized by the presence of social and communicative deficits, and restricted interests/repetitive behaviors. Although prior investigations have attempted to elucidate the nature of cognitive control deficits in ASD, whether there is an underlying deficit in cognitive and affective control associated with the symptom domains of ASD remains unclear. The present series of eight experiments presents an information theoretic framework for …

Examining The Concurrent And Predictive Relations Of Working Memory In Childhood Attention-Deficit/Hyperactivity Disorder, Ashley N. Simone

Dissertations, Theses, and Capstone Projects

Attention-deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by developmentally inappropriate levels of inattention and/or hyperactivity/impulsivity which lead to impairment in multiple settings (American Psychiatric Association, 2013). Childhood ADHD has been concurrently associated with various neurocognitive deficits and one in particular that has been under examination over the past several years is working memory (WM). WM is a temporary storage system that is responsible for maintenance and/or manipulation of information in order to complete complex cognitive and behavioral tasks. Researchers have postulated that WM is one of several potential endophenotypes of ADHD (Castellanos & Tannock, 2002) and/or that WM is …

Preventing Sexual Violence Where It Most Often Occurs: An Investigation Of The Situational And Structural Components Of Child Sexual Abuse In Residential Settings, Nicole Colombino

Dissertations, Theses, and Capstone Projects

Given that sex offenders tend to perpetrate crimes against people they know (e.g., Greenfield, 1997) and first encounter victims in residential locations (Colombino, Mercado, Levenson, & Jeglic, 2011), it is important that research examine the circumstances of sexual offenses within residential settings. Although previous research has examined the perpetration patterns of sexual offenses against children, especially related to grooming tactics (e.g., Conte, Wolf, & Smith, 1989) and situational factors (e.g., Wortley & Smallbone, 2006), there are few studies that specifically examine the correlates of child sexual abuse within residential settings. This type of data would allow for the development of …

A Conceptualization Of The Body In Psychodynamic And Body-Based Psychotherapies: Areas Of Overlap And Possibilities For Integration, Aleksandra Rayska

Dissertations, Theses, and Capstone Projects

The distinction between verbal and nonverbal psychotherapies is clearly visible in theory and clinical practice. Moreover, this duality of approaches promotes a split between the body and the mind, defining them as separate from each other. This dissertation helps bridge the divide between the literature in body-based therapies and verbally-based psychotherapy by (i) exploring the conceptual frame used to understand the body in psychodynamic therapy (ii) identifying the areas of overlap between psychodynamic theory and theories that underlie body-based psychotherapies, and (iii) proposing ways in which psychodynamic and body-based theories can inform one another. A clinical case was used to …

The Effects Of Childhood Irritability On Adolescent Outcomes And Treatment Response In Children With Attention-Deficit/Hyperactivity Disorder, Estrella Heber

Dissertations, Theses, and Capstone Projects

Childhood irritability has received considerable attention in recent research due in part to the highly impairing consequences of severe irritability and its association with poor long-term outcomes (Leibenluft, Cohen, Gorrindo, Brook, & Pine, 2006; Stringaris, Cohen, Pine, & Leibenluft, 2009; Stringaris & Goodman, 2009a). While the frequency and severity of irritability typically declines with age, there are individuals who continue to display irritability at stable or increasing levels (Wiggins, Mitchell, Stringaris, & Leibenluft, 2014). Regardless of whether it persists or remits, the effects of childhood irritability resonate for many years and it remains a potent predictor of poor outcomes across …

Mental Illness Stigma And Community Integration: Linking Perceived Experiences With Reported Behavior, Lauren L. Gonzales

Dissertations, Theses, and Capstone Projects

This study examines the relationship between individual and neighborhood characteristics, stigmatizing experiences, and measures of community integration among individuals with mental illness. Surveys were administered to two samples: 608 community member participants and 343 participants with mental health diagnoses. Participants in both samples were recruited from 3 community sites in the New York City metropolitan area: East/Central Harlem in Manhattan, Crown Heights/East Flatbush in Brooklyn, and Yonkers and Mt. Vernon in Southern Westchester. Negative symptoms and perceived level of community microaggressions were strong predictors of community integration for participants with mental illness. Prior contact with mental illness predicted less stigmatizing …

An Examination Of Therapeutic Alliance During Prolonged Exposure In The Treatment Of A Comorbid Ptsd And Sud Population, Annelisa Pedersen

Dissertations, Theses, and Capstone Projects

Prolonged exposure has emerged as a highly effective method of treating PTSD (Foa, Hembree, & Rothbaum, 2007; Ruzek et al., 2014), yet for some individuals it has proven to be anxiety-arousing to the point of being contraindicated (Morris, 2015). As a treatment, prolonged exposure can be a challenging procedure to implement given the high levels of avoidance, fear, and resistance that often accompany a diagnosis of PTSD (Arntz, Tiesema, & Kindt, 2007; Hoffart et al., 2013; McLaughlin et al., 2014). When it is used to treat individuals who carry an additional diagnosis of SUD, further complications may arise with respect …

Minding The Baby®: Maternal Adverse Childhood Experiences And Treatment Outcomes In A Mother-Infant Home Visiting Program, Jessica G. Albertson

Dissertations, Theses, and Capstone Projects

This study examined Adverse Childhood Experiences (ACEs) in a sample of women participating in Minding the Baby® (MTB), a mother-infant home-visiting intervention known to have positive effects on mother-infant attachment. In addition to documenting maternal childhood trauma exposure within the sample, this study explored whether such exposure affected the intervention outcome or service delivery. We looked specifically at whether maternal childhood trauma exposure affected mother-child attachment or frequency of contact with home-visitors. We also examined the relationship between maternal early childhood trauma exposure and reflective functioning capacity (RF), a potential resiliency-promoting factor.

Methods: The study’s participants were 29 first-time …

Women’S Sexual Fantasies In Context: The Emotional Content Of Sexual Fantasies, Psychological And Interpersonal Distress, And Satisfaction In Romantic Relationships, Sarah Constantine

Dissertations, Theses, and Capstone Projects

Background: Psychoanalytic thinkers propose that aspects of an individual’s sexual fantasies are related to her psychological and interpersonal functioning. The present study aims to elucidate the significance of sexual fantasies with respect to women’s emotional and interpersonal lives. The study evaluated a model, which hypothesized that internal representations of self and others (e.g. attachment security, maturity of object relations) along with psychological and interpersonal factors would predict both the emotional content (guilt, fear, affection) of written sexual fantasy narratives, and overall romantic satisfaction in heterosexual women. Methods: Five hundred and thirty four women completed self-report questionnaires online. Subsequently, the sexual …

The Relationships Among Different Traits Of Masculinity And Intimate Partner Violence, Jennifer E. Loveland

Dissertations, Theses, and Capstone Projects

Research has shown that distinct yet overlapping concepts of dominance, hostility towards women, and sexism—all indices of masculinity—influence the occurrence of intimate partner violence (IPV), although the mechanisms are unclear. This paper seeks to explore the relationship between these individual-level trait measures of masculinity and two aspects of IPV, physical violence and coercive control. With inconsistent findings and the limited study of clinical populations, further examination of these concepts may provide increased understanding of the mechanisms behind IPV perpetration. Results will provide a greater understanding of the complexity of this violence in order to better assist individuals experiencing IPV.

Non-Contact Sex Offenders And Public Perception The Importance Of Victim Type And Crime Location, Chelsea Gold

Student Theses

It is estimated that 10% of Americans will be the victim of a non-contact sex offense in their lifetime. Non-contact sexual offenses include unsolicited exposure to sexual situations, verbal and behavioral sexual harassment, threats, and unsolicited use of a person’s image in a sexual manner. This study will specifically look at exhibitionism, voyeurism, and frotteurism. Historically these sex crimes have been considered nuisance behaviors, however, some recent research suggests that these crimes may negatively impact the victims. This study experimentally examined people’s perceptions of non-contact sex offenses and the type of consequences that should be incurred for these crimes. Further, …

Parental Distress And Child Behavior Problems: Parenting Behaviors As Mediators, Catherine M. Sanner

Loma Linda University Electronic Theses, Dissertations & Projects

Parents of children with developmental disabilities (DD) typically report higher levels of parental stress than parents of typically developing children. While the majority of the literature addresses child behavior problems as predictors of parental stress, research has shown that the relation is bi-directional. However, very little research has examined the effects of parental stress on child behavior problems and the possible parenting factors that may explain this relation. The current study utilized data from the Mindful Awareness for Parenting Stress (MAPS) study (N = 31; % male = 67.7, mean age = 3.5, SD = .96; 81% ethic minority), and …

Relational Savoring Among Intimate Partners Of Cancer Patients, Adrianna Elyse Holness

Loma Linda University Electronic Theses, Dissertations & Projects

Research suggests that intimate partners of cancer patients experience similar, if not higher, levels of distress and depression than the patient with regards to the cancer diagnosis. This stress can impact the quality of the relationship and the subsequent care and attention given to cancer patients. As such, identifying factors that can enhance marital relationships during times of illness is key. This project was created in order to assess the efficacy of a brief, portable intervention for improving relational quality among the intimate partners of cancer patients. In this project, we examine the effects of relational savoring, relative to two …