Clinical Psychology Commons^™

Supporting Healthy Siblings In Pediatric Cancer: Advancing Relational Interventions To Heal Invisible Wounds, Kristen K. Wederski

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Healthy siblings of children diagnosed with cancer occupy a uniquely vulnerable position within the pediatric oncology landscape. Individuals within this population often demonstrate significant emotional distress and can experience long-term psychological challenges. Despite their risk, healthy siblings remain under-researched and under-supported compared to pediatric patients and caregivers. Existing interventions tend to prioritize individual coping skills and psychoeducation and often overlook the critical relational dynamics that shape healthy siblings' psychological adjustment. Grounded in systematic and relational theories, this paper proposes a paradigm shift toward relationally focused interventions that strengthen the caregiver-sibling bond as a core mechanism of change to foster resilience …

Roles Of Sex And Education Level With Alcohol Use Milestone Attainment And Progression, Elisabeth P. Cabot

Theses - ALL

Emerging adults report the highest rates of alcohol use, with drinking patterns varying by sex and education level. Few studies have explored how these factors relate to the attainment and progression of alcohol use milestones. The current study addresses this gap by examining the associations between sex, education level and alcohol use milestone progression and attainment in emerging adults. Secondary data analyses were conducted using National Epidemiological Survey on Alcohol and Related Conditions-III (NESARC-III) data (N = 36,309, Mage = 45.63 [SD = 17.53], female = 56%, 53% White, 21% Black, 19% Hispanic and 2% Multiracial). Ordinal regressions indicated males …

Perceptions Of Pain And Benzodiazepine Use Interrelations: A Qualitative Study, Emma Carnes Lape

Dissertations - ALL

Growing concern and research attention have focused on potential harms associated with widespread use of benzodiazepine (BZD) medications. Individuals with chronic pain bear a disproportionate burden, characterized by higher rates of BZD prescriptions, longer-term use, and increased dependence compared to the general population. Although theory and emerging evidence suggest that pain may play a role in the maintenance of BZD use, there is no extant data describing how individuals perceive interrelations between their pain and BZD use. The aims of the present study were to conduct a thematic analysis of interview data regarding perceptions of interrelationships between pain and BZD …

Asian/Asian American College Students’ Help-Seeking Attitudes For Adhd, Nandini Jhawar

Dissertations - ALL

Background: Asian/Asian American (AA) college students are least likely to engage with ADHD treatment compared to other racially minoritized groups, which may increase their risk for negative outcomes from untreated ADHD symptoms. Public stigma of ADHD contributes to these negative help-seeking attitudes. This study used the minority stress theory to examine if the distal and proximal stress of internalization of the model minority myth, a racial stereotype, influences the relationship between public stigma and help-seeking attitudes. Methods: Participants were undergraduate students recruited from nine geographically diverse universities in the United States. Data was collected over two academic years and included …

Black Mothers' Adhd Experiences, Attitudes, And Support-Seeking Decisions, Catherine L. Montgomery

Dissertations - ALL

Background: ADHD, particularly when left untreated, is associated with significant impairment in several domains. Black youth may still be under-diagnosed with ADHD, resulting in symptoms going untreated. Black mothers may determine non-professional delivered supports to be more appropriate and acceptable than medication for their children with ADHD. As they tend to be the primary healthcare decision makers, it is important to develop a greater understanding of Black mothers’ ADHD support-seeking decision making for their youth. Method: The present study used semi-structured interviews guided by Kleinman’s Explanatory Models of Illness to discuss Black mothers’ decision making for their youth with ADHD. …

Pain Intensity And Alcohol Use Behavior Among Veterans With Chronic Pain: The Moderating Role Of Chronic Pain Acceptance, Kyle White

Dissertations - ALL

The co-occurrence of chronic pain and unhealthy alcohol use is common among veterans and associated with worse treatment outcomes and greater functional impairment relative to either condition alone. Accordingly, the U.S. Department of Veterans Affairs (VA) has underscored the importance of addressing co-occurring medical conditions in their clinical practice guidelines for substance-related disorders. Recent legislation has also oriented the VA towards complementary and integrative health therapies to minimize opioid prescriptions for chronic pain. Thus, identifying malleable psychological factors linking pain to alcohol use is a vital step in the development of tailored interventions for veterans. The goal of the current …

A Religious Etiology Of Genito-Pelvic Pain And Pain With Penetration, Emily L. Carlson

Theses and Graduate Projects

Pelvic pain during penetration (PPDP) has been described using various diagnostic terms, including vaginismus, dyspareunia, and vulvodynia. The most recent and comprehensive classification is Genito-pelvic pain/penetration disorder (GPPPD) which is characterized by psychological distress associated with pain during or in anticipation of vaginal penetration (DSM-5-TR; American Psychiatric Association [APA], 2022). The etiology of PPDP is multifactorial, involving a complex interplay of biological, psychological, and relational factors. Religious and cultural influences may play a significant role in shaping individuals’ experiences of sexual pain. This study investigated the etiology of PPDP in relation to the religious influences among women raised in Judeo-Christian …

Registered Nurses' Autism Knowledge And Preparedness To Care For Autistic Patients, Bronte Elisa Weissman

Theses and Dissertations

Autistic individuals frequently report negative experiences during healthcare interactions and numerous provider-level barriers to accessing quality care, including stereotyping, perceived lack of autism knowledge, challenges with communication, and insufficient accommodations. Reports of healthcare providers’ experiences caring for autistic patients in the U.S. have largely come from physicians, who endorse inadequate training, resources, and practical guidelines. Although patients spend far more time with nurses than other healthcare providers, registered nurses (RNs)’ perspectives on caring for autistic patients in the U.S. are largely unknown and autism-focused trainings for nurses are minimal. In the current study, a survey was nationally disseminated to a …

The Impact Of Mental Health Courts On Public Attitudes Held Toward Justice-Involved Individuals With Mental Illness, Maeve Porter

Student Theses

Prior research has established that mental health court programs play an important role in reducing recidivism and mental health symptoms of defendants. However, there is a lack of understanding of the stigma that justice-involved individuals may encounter upon release from mental health court into the community, and the extent to which the general public is aware of mental health court programs. The present study sought to address public perceptions regarding mental health courts, their efficacy, and their participants based on the awareness and availability of these specialized courts in two similar states (New York and New Jersey), one in which …

A Qualitative Exploration Of Sibling Relationships Impacted By Autism: “We’Ll Be Brothers Forever”, Julia M. Linger

Dissertations, 2020-current

The current study used a desire-based research framework to explore the lived experiences of siblinghood in families in which one child is autistic and one child is neurotypical. Their experiences were investigated through semi-structured interviews with eight children (four sibling pairs) between the ages of 11 and 18. Interpretative phenomenological analysis (IPA) was used to analyze and interpret the data. Seven shared experiential themes were constructed that helped describe the experiences of siblinghood for the participants: 1) Siblinghood includes both enjoyment and annoyance, 2) Shared activities and quality time facilitate sibling connectedness, 3) Siblings celebrate differences and use their different …

Using The Personal Health Inventory To Support Engagement In Mindfulness For Veterans With Ptsd: Mixed Methods Secondary Data Analysis, Emily M. Johnson, Mia R. Zappala, Jacob Scharer, Kyle Possemato

The Journal of Integrated Primary Care

Mindfulness has many potential benefits to physical and mental health but requires many hours of practice to attain the strongest benefits. Mindfulness interventions delivered within the context of primary care settings are often brief, so independent practice beyond the training context is important. Motivational factors are important predictors of sustained practice and different types of motivational factors are associated with different likelihood of sustained practice. The Personal Health Inventory (PHI) is a publicly available personal health planning tool that assesses motivational factors related to self-care behaviors like mindfulness. Our objective was to understand how the PHI can support patient engagement …

"Please Hold Space For Them": The Role Of Mental Health Professionals In Supporting Bipoc Female Survivors Of Campus Sexual Assault, Brianna Josefine Ortega

Doctoral Dissertations

Campus sexual assault (CSA) remains a pervasive issue in the United States, disproportionately affecting women. Despite this, the experiences of Black, Indigenous, and other Persons of Color (BIPOC) women are often underrepresented in the literature, limiting understanding of how best to support them. Based on intersectionality theory, this qualitative study explores how mental health professionals (MHPs) support BIPOC female survivors of CSA. Semi-structured interviews were conducted with six MHPs, and a thematic analysis framework uncovered seven key themes: disclosure (subtheme: barriers to disclosure), impacts of campus culture, fear and distrust, impact of campus sexual assault, coping, resources available for survivors, …

The Dual Impact Of Moral Injury: Links To Ptsd Symptoms And Disinhibited Externalizing In U.S. Combat Veterans, Bianca S. Islas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Moral injury is an experience of psychological distress that occurs when a person’s morals are violated by themselves or others, including institutions and organizations. Such violations of morality can be impairing and have high rates of comorbidity with internalizing disorders (posttraumatic stress, depression, anxiety, suicidality), which may indicate that moral injury is a transdiagnostic construct. This study had four aims, which were accomplished using from a nationally representative, probability-based sample of 1,353 US military veterans. In the first aim, we created structural models of moral injury using the Moral Injury Events Scale (for which a bifactor structure with a specific …

The Experience Of Posttraumatic Growth For Atheists, Savannah Miller

Doctoral Dissertations

Background - This study aimed to understand how atheists manage to make meaning and find growth after experiencing trauma. Posttraumatic Growth is a well documented point of research across qualitative and quantitative domains, and this project aimed to add meaningful findings to that research body. Atheists, however, are an understudied population, especially as it relates to their subjective experience of trauma and posttraumatic growth.

Methods - This study aimed to investigate the experience of posttraumatic growth for atheistindividuals. Semi-structured interviews adhering to the tenets of interpretive phenomenological analysis were conducted then transcribed, coded, and analyzed. Themes and subthemes emerged and …

An Examination Of The Purity Culture Beliefs Scale And The Interaction Of Religiosity, Purity Culture Beliefs, And Pornography Use In A Census-Matched United States Sample, Kaelyn R. Griffin

UNLV Theses, Dissertations, Professional Papers, and Capstones

The impacts of purity culture have been documented in the prevalence of abstinence-only sex education, perception of personal value tied to virginity, and shame and guilt related to sexual behavior. Similarly, models of moral incongruence often examine religiosity as a contributor of distress related to sexual behavior and pornography use, likely tapping into the influence of purity culture without directly naming its presence. This distinction is crucial due to the variety of religious beliefs and practices, some including purity culture and those without sexually restrictive beliefs and practices. Despite this, standardized measures for researching purity culture are limited. Ortiz (2018) …

Ecological Momentary Assessment Of Mood, Affect, And Perceived Criticism: Investigation Of Daily Patterns And Family Impact, Kayla Mcginty

UNLV Theses, Dissertations, Professional Papers, and Capstones

Perceived criticism (PC) is a component of expressed emotion (EE) that assesses an individual’s perceptions of the criticism that they are exposed to within their interpersonal relationships. PC is elevated among individuals with mood disorders, and mood and mood symptoms act as both a predictor and an outcome of PC. However, few studies have examined the relationship between PC and affect, a more momentary measure of emotion that can serve as a guide to underlying mood. Additionally, limited research has examined how PC within family relationships compares to other interpersonal interactions. Understanding the relationship between momentary affect and PC and …

Identifying Appropriate Clinical Cutoffs For Traumatic Dissociation In Maltreated Youth, Amanda L. Mraz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Maltreated youth who experience traumatic dissociation are at an increased risk for various severe psychopathological outcomes. Much is still unknown about the risk factors for traumatic dissociation in maltreated youth. The present study aimed to identify dissociation (e.g., dissociative amnesia, absorption and imaginative involvement, passive influence, and depersonalization and derealization) risk factors, via parametric statistical methods, in association with the appropriate clinical cutoff for the total and subscale scores from the Adolescent Dissociative Experiences Scale (A-DES). Investigatory variables included demographic (e.g., age, race, and gender), cognitive (e.g., resiliency and posttraumatic cognitions), and psychological (e.g., posttraumatic stress disorder, anxiety, and depression …

Error Processing In Psychopathy: An Analysis Of Event Related Brain Potentials And Post-Error Task Behavior, Ananda Liz Peixoto Couto

UNLV Theses, Dissertations, Professional Papers, and Capstones

Performance monitoring and error processing are crucial for learning from mistakes, adjusting responses, and adapting to the environment. Individuals with psychopathy present with failures in performance monitoring, particularly a failure to learn from experience, and error processing deficits have been reported in this population. Error processing literature has investigated its underlying mechanisms via two prongs, namely behavioral measures and electroencephalography (EEG) indicators. Behaviorally, error processing literature has focused on post-error slowing (PES) and post-error accuracy (PEA). Meanwhile, EEG research has identified two components of error-related brain potentials (ERPs) in error processing: error-related negativity (ERN) and error positivity (Pe). This study …

School Absenteeism In Children With Disabilities: An Analysis Of School Climate And Academic Mindset, Karolyne Bastos Stucki

UNLV Theses, Dissertations, Professional Papers, and Capstones

Students with disabilities (SWDs) are more likely to be chronically absent than general education peers (Anderson, 2021; Gee, 2018, U.S. Department of Education, 2016). Etiology for SWDs is complex with influencing factors spanning multiple ecological levels, but bolstering protective factors for SWDs may address attendance disparities. Multi-tiered systems of support (MTSS) models have the potential to address absenteeism in SWDs via school-wide preventative and/or intervention efforts (Tier 1 & 2) aimed at increasing or decreasing influencing factors in students with disabilities. School climate and academic mindset may influence students with disabilities’ attendance. The purpose of the present study was to …

Mental Health Disparities In Hospital Admissions For Youth With And Without Autism, Ben Pfingston, Lindsey Sneed

Journal of Social, Behavioral, and Health Sciences

The purpose of this study was to compare mental health diagnoses in a sample of youth with autism spectrum disorder (ASD) and youth without ASD (non-ASD) admitted to inpatient hospitals across the United States. We hypothesized that autistic youth would have a greater proportion of co-occurring psychiatric diagnoses compared to their typically developing peers. To do this, we conducted a cross-sectional analysis of the Healthcare Cost and Utilization Project (HCUP) 2019 Kids’ Inpatient Database (KID). We compared the proportions of co-occurring psychiatric diagnoses between autistic and typically developing youth. Compared to 21% of non-ASD admissions, 36% of the ASD admissions …