Clinical Psychology Commons^™

Activation And Habituation Of The Cingulate Cortex During Emotion Processing In Healthy Controls, Borderline, And Schizotypal Personality Disorder, Emily Balevich

Dissertations, Theses, and Capstone Projects

Disturbances in emotional functioning are central features of the clinical profiles of both borderline and schizotypal personality disorder (BPD and SPD, respectively). BPD is characterized by a high sensitivity to emotional stimuli and unusually strong and long-lasting reactions, indicative of impaired habituation to emotional stimuli (Linehan, 1993). Previous research suggests that SPD patients demonstrate limbic hyper-reactivity to unpleasant stimuli, at least initially, but intact habituation to repeated presentation of unpleasant stimuli (Hazlett et al., 2012). The cingulate cortex supports various aspects of emotion processing and regulation, and abnormalities of this region have been related to emotion dysfunction in SPD and …

The Lived Experience Of Recovery Home Residents: An Interpretative Phenomenological Analysis, Dina Chavira

College of Science and Health Theses and Dissertations

Substance use disorders have had an enormous impact on individuals, families, and communities in the United States. The societal cost of substance abuse in terms of health care, crime, and lost wages is over $700 billion annually. Despite advances in evidence-based treatments, the chronicity of substance use disorders underscores the need to explore and expand long-term aftercare options to prevent relapse after acute residential treatment. Oxford Houses offer an affordable alternative to more costly and limited forms of transitional housing. These self-sustaining, democratically-run recovery homes provide a safe and sober living environment with peer support and no professional staff. Provided …

The Role Of Therapeutic Engagement, Oral Language Proficiency, And Core Learning Indicators On The Effects Of Therapy For Youth With Depression, Amanda E. Wagstaff

College of Science and Health Theses and Dissertations

Youth with depression, particularly ethnic minority youth, have low rates of engagement in mental health services, indicating a large need to better understand the role of engagement in effective treatments for depression (Merikangas et al., 2011). Cognitive behavioral therapy (CBT) is one of the leading psychotherapeutic treatments available for youth with depression (Weisz, McCarty, & Valeri, 2006), but several questions still remain regarding why and in what circumstances this therapy is most appropriate. CBT posits that part of the positive treatment effects is accounted by learning certain cognitive and behavioral skills during and outside of session (i.e., through active homework …

An Examination Of Depression And Social Support Among African American Women In Substance Use Recovery, Jocelyn Rose Droege

College of Science and Health Theses and Dissertations

Depression is responsible for widespread functional impairment and disability in 16 million individuals across the United States, as well as societal costs that exceed $36 billion. There are numerous risk factors for depression, such as female gender, ethnic minority status, poverty, incarceration, and comorbid substance use disorders. Thus, low-income, criminal-justice-involved African American women in recovery from substance use problems represent a population that is particularly vulnerable to depression. Social support has been established as a protective factor against depression; however, the relationship between social support and depression has been understudied in such high-risk African American populations. The present study examined …

Examining The Role Of Mentorship On Urban Youth: The Effect Of Locus Of Control On Academic Achievement, Stacy Alaina Stewart

College of Science and Health Theses and Dissertations

Positive academic effects of mentoring interventions have bee established, but little is known about how and why mentoring interventions are effective. Understanding the mechanisms or constructs that enable mentoring effects would allow researchers to better generalize these types of interventions across populations. This present study explored the construct, locus of control, and examined its effects on academic achievement in the context of mentorship. In the present study, 87 urban, low-income middle school youth participated in a randomized controlled trial intervention, entitled The Cities Mentor Project. Cities Mentor Project provides coping trainings, and access to mentors and community organizations, to further …

Corporate Social Responsibility (Csr) And Its Impact On Actions: Exploring Social Change Through College Students, Rachael Leigh Suffrin

College of Science and Health Theses and Dissertations

The present study has three goals. First, it validates a new Sensitivity to Employer Social Responsibility Scale, used to help understand how undergraduate students perceive their values related to corporate social responsibility (CSR) impact their prospective employment decisions. Second, this study examines whether students value working for a socially responsible employer and third, how (a) social justice experiences in college and/or (b) social justice attitudes and beliefs may predict how students perceive the impact their CSR values have on their prospective employment decisions. Results indicate that students who participated in the study overall positively endorsed a degree of sensitivity to …

Examination Of Multidimensional Acculturation Theory And Acculturation Process On Latinas/Os In Communal Recovery Homes, Roberto Lopez Tamayo

College of Science and Health Theses and Dissertations

Disparities in access and utilization of substance abuse treatment (SAT) among Latinas/os, accentuated by the rapid growth of this population are creating a public health issue. Among those in need of SAT, only 7.7% receive treatment and nearly half of these individuals complete SAT or continue their recovery in a controlled environment. Additionally, Latinas/os who complete SAT reported their needs were not met in treatment. Although substance abuse literature has given more consideration to environmental factors and social support in relation to treatment outcomes, current substance abuse models fail to address important contextual and cultural aspects for Latinas/os in recovery. …

Maternal Trauma Experience On Infant Cortisol Reactivity At 12 Months, Michelle Anne Gilchrist

College of Science and Health Theses and Dissertations

Intimate Partner Violence (IPV) is a major public health concern in the United States (US). One third of women in the US have experienced rape, physical assault or stalking by a former or current partner (Black et al., 2011). Evidence suggests that women experience increased risk for IPV during the perinatal period and exposure to IPV during and after pregnancy increases risk for adverse physical and mental health outcomes for victims. The “fetal programming” hypothesis proposes that prenatal experiences are also particularly impactful for offspring development in the short and long term; prenatal poor nutrition and stress have been linked …

Universal Teacher-Child Interaction Training: A Pilot Study Examining Coaching With Random Assignment, Alexandra Lauren Barnett

College of Science and Health Theses and Dissertations

Classrooms are in dire need of teacher support services and effective child behavior management, particularly in low-income urban areas (Campbell & Ewing, 1990; Fantuzzo & Mohr, 1999; Hamre & Pianta, 2004; Visser, Bitsko, Danielson, Perou, & Blumberg, 2010). Teacher-Child Interaction Training - Universal (TCIT-U) is a preventive, classroom-wide teacher training protocol that shows promise for strengthening teacher and child behavior (Budd, Garbacz, & Carter, 2016; Fernandez, Gold, Hirsch, & Miller, 2015b; Garbacz, Zychinski, Feuer, Carter, & Budd, 2014; Lyon, Budd, & Gershenson, 2009a). To date, this is the first pilot study with random assignment to investigate TCIT-U; further, it is …

Investigating Post-Exertional Malaise As A Core Symptom Of Myalgic Encephalomyelitis And Chronic Fatigue Syndrome: A Meta-Analytic Approach, Abigail A. Brown

College of Science and Health Theses and Dissertations

Efforts to establish a reliable and valid case definition for myalgic encephalomyelitis and chronic fatigue syndrome (ME and CFS) have been complicated by an over-reliance on clinical consensus, and inconsistent application of established case definitions by researchers across study sites. This has resulted in the absence of an empirically-based case definition for ME and CFS, as well as failed replication studies on potential diagnostic tests and biomarkers. One step toward an empirically-driven case definition is determining which symptoms best discriminate between patients with ME and CFS versus controls. Post-exertional malaise (PEM) is considered a cardinal symptom of ME and CFS …

Recommendations For Developing Video Games To Address Depression Among College Students, John Bodycombe

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Depression is a significant problem on college campuses, and the data shows that prevalence is on the rise (The National Survey on Drug Use and Health [NSDUH], 2014; Stewart, Ricci, Chee, Hahn, & Morgenstein, 2003). Depression impacts the well-being of students and puts them at risk for a variety of issues (Leach, 2009; Adams, Wharton, Quilter, & Hirsch, 2008; Serras, Saules, Cranford, & Eisenberg, 2010; Cranford, Eisenberg, & Serras, 2009; Weitzman, 2004). Many students with depression do not receive care (Blanco, Okuda, Wright, Hasin, Grant, Liu, & Olfson, 20008; Eisenburg and Chung, 2012), or receive care that is not minimally …

Perspectives On Personality Assessment Of Children With Limited Cognitive Ability, Jasmine Fayeghi Schnurstein

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Personality assessment can be an important part of diagnosis and treatment planning with children and adolescents. Consequently, research in personality assessment with children and adolescents has received attention; however, there is still limited research in this area with children of below average cognitive capacity. In order to gain better understanding of the current practice of personality assessment of children with below average IQ, this interpretative phenomenological study explores expert psychologists' experience and recommendations for future practice. Structured interviews were conducted with four clinical psychologists with an expertise in personality assessment with children, including children with below average intelligence. Five themes …

The Impact Of Negative Affect And Positive Self-Perception On Acquired Capability For Suicide In The Veteran Population, Clara Luisa Fajardo

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Suicide is currently the 10th leading cause of death among Americans overall and is the second leading cause of death among American adults between the ages of 18 and 34 (Kochanek, Murphy, Xu, & Tejada-­‐Vera, 2016). In addition to the number of people who die by suicide, each suicide death costs $1,287,534 in lost revenue, mental health costs, and medical expenses (Centers for Disease Control and Prevention, 2017). Suicide also takes a toll on people who knew or were close with the person who died. For every one suicide, there are approximately 115 suicide survivors. Put another way, sixty percent …

Understanding Gender Differences In Sports-Related Concussions Among High School Athletes: Implications For Diagnosis, Treatment, And Management, Hillary Grady-Speckhals

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Growing research on both the immediate and long-term effects of sports-related concussions (SRCs) in professional athletes has called attention not only to understanding the impact of concussions in high school athletes, but has also focused on understanding how SRCs may impact female athletes differently than male athletes (Covassin & Elbin, 2011; Kirkwood, Yeates, & Wilson, 2006). There are many studies that have highlighted the neurocognitive, academic, and socioemotional implications of these brain injuries on developing youth, but there are few studies that focus on gender differences in adolescent athletes (Daneshvar, Nowinski, McKee, & Cantu, 2011; Kirkwood, et al., 2006). Understanding …

Bedtime Fading With Response Cost For Treatment Of Sleep Disturbances In Children With Autism Spectrum Disorder, Sela Ann Sanberg

Theses & Dissertations

As many as 82% of children with Autism Spectrum Disorders (ASD) experience numerous chronic sleep-related problems and at a much higher frequency and severity than their typically developing peers. Behavioral treatments are considered best practice and first-line treatment to address sleep problems. These treatments tend to address one specific sleep-related behavior at a time. Bedtime Fading with Response Cost (BFRC) is a promising intervention that targets a multitude of sleep problems concurrently and has yet to be replicated by more than one investigative team in the home setting with children on the autism spectrum. This study evaluated the effectiveness of …

Executive Dysfunction Or State Regulation: A Dimensional Comparison Of Two Neuropsychological Theories Of Attention Disorder Symptoms Using Rdoc Paradigms, Justin Hull Ory

LSU Doctoral Dissertations

Two leading theories regarding the neurocognitive basis of attentional disorders are the executive dysfunction theory and the state regulation theory. The executive dysfunction theory takes a top-down approach, explaining the symptoms of ADHD as a byproduct of general deficits in executive functioning—particularly disinhibition. The state regulation theory takes a bottom-up approach, explaining the symptoms of ADHD as a failure to be sufficiently aroused by, and subsequently engage with, less stimulating or rewarding tasks. These two theories predict different patterns of performance on tasks of executive functioning and attention, and research has demonstrated mixed support for both theories. The present study …

Examining Variables Associated With Age Of First Concern And Diagnosis In Children With Autism Spectrum Disorder, Amy Mathews Creel

Electronic Theses and Dissertations

Abstract

Autism Spectrum Disorder is a disorder that is present during a child’s early developmental ages; affects that child’s ability to communicate and socially interact with others; and involves the presentation of restrictive interests and/or repetitive behaviors. Autism Spectrum Disorder (ASD) symptoms/behaviors are recognized by parents and can be reliably diagnosed at age two but often are not diagnosed until after age four. Delay in diagnosis results in loss of important intervention services that can improve the well-being of children with ASD. This study examined ethnicity, severity of symptoms, and type of symptoms and their effect on the age at …

A Tale Of Two Tasks: Comparing Steady-State Visually Evoked Potentials With The Dot Probe As Measures Of The Anxiety-Related Threat Bias, Aqib J. Chowdhury

Theses and Dissertations

The present study explored how the anxiety-related threat bias (TB) measured by the dot probe is associated with steady-state visually evoked potentials (ssVEPs). ssVEPs were not significantly correlated with TB measured by the dot probe, suggesting that the dot probe and ssVEPs may index distinct components of attention to threat.

Fidelity Scorecard: Evaluation Of A Caregiver-Delivered Symptom Management Intervention, Dawn Frambes, Rebecca Lehto, Alla Sikorskii, Irena Tesnjak

University Faculty Publications and Creative Works

To evaluate and quantify the intervention fidelity of a symptom management protocol through implementation of a scorecard, using an exemplar study of caregiver-delivered reflexology for people with breast cancer. Background: Studies on caregiver-delivered symptom management interventions seldom include adequate information on protocol fidelity, contributing to potentially suboptimal provision of the therapeutic intervention, hindering reproducibility and generalizability of the results. Design: Fidelity assessment of a 4-week intervention protocol in a randomized controlled trial (RCT) with data collection between 2012 - 2016. Methods: The National Institutes of Health Behaviour Change Consortium (NIH-BCC) conceptual model for intervention fidelity guided the study. The five …

Exploring A Multifactorial, Clinical Model Of Thought Disorder : Application Of A Dimensional, Transdiagnostic Approach., Mara Ann Hart

Electronic Theses and Dissertations

Background: Bleuler saw thought disorder as the core defining feature of psychotic phenomena, reflective of the “splitting of the psychic functions” that occurred when, in the process of thinking, one’s ideas and feelings disconnect, becoming fragmented and competing functions. Unfortunately, interest in thought disorder as the conceptual core of psychosis was lost with rise of the modern DSM system, paralleling the shift towards a more simplistic, categorical way of defining psychiatric disorders. Aims: This study examined thought disorder from a dimensional perspective, with the aim of disentangling qualitative heterogeneity and diverse sources of influence. Analyses were based on …