Clinical Psychology Commons^™

Children's Exposure To Violence Across Contexts: Profiles Of Family, School, And Community Witnessing And Victimization, Catherine Mary Rice

Master's Theses

Children residing in low-income, urban neighborhoods are at a disproportionately higher risk of exposure to violence (ETV) across multiple contexts compared to their peers, including witnessing violence and direct victimization. The many negative effects of ETV are compounded when youth experience ETV across multiple settings and when these experiences are chronic. Despite this, much of the research on ETV during childhood focuses on a single form of violence (e.g., family victimization or witnessing community violence). The current study examines patterns of frequency of ETV, including witnessing and victimization, across family, school, and community contexts, using person-centered methods to elucidate the …

The Development Of Intrinsic Motivation In Children With Attention-Deficit/Hyperactivity Disorder, Carissa Jean Krapf

Antioch University Dissertations & Theses

Attention-Deficit/Hyperactivity Disorder (ADHD) has become a common diagnosis among children today. The numbers have grown exponentially in the last several decades and, despite extensive research and various treatment modalities, many children continue to struggle with its disruptive symptoms. Current research reports a poor prognosis for this population with difficulties continuing into adulthood. One of the difficulties noted is in their ability to develop intrinsic motivation when their behaviors have been managed by extrinsic rewards. Self Determination Theory (SDT) was used to conceptualize the difficulties around developing intrinsic motivation when an individual experiences symptoms of ADHD which impact several areas of …

Implementing Integrated Care In Family Medicine: Description And Outcomes In An Underserved Population, Zach Radcliff

Theses and Dissertations

Introduction: Family physicians provide access to medical and behavioral healthcare for many underserved populations. Integrating behavioral health clinicians into primary care practices has been proposed as one of the most effective ways to increase access to necessary behavioral health services for many Americans. Integrated behavioral healthcare (IBHC) has begun to be implemented in family medicine practices but there is limited research examining the impact for patients and clinic staff. This study begins to fill this gap in the literature by examining the effects of implementing integrated behavioral healthcare in an urban family medicine clinic in a medically underserved area.

Objective: …

Predictors Of Vicarious Traumatization Among Trauma Clinicians And General Mental Health Providers: A Comparison, Shaina Gulin

Theses and Dissertations

Vicarious traumatization (VT) describes the gradual, transformative shifts in internal experience that occur as a result of cumulative exposure to clients’ trauma material. VT is thought to develop in the therapist due to empathic engagement with clients, resulting in profound disruptions in frame of reference. Because VT is conceptualized as a condition that develops due to frequent exposure to clients’ traumatic material, a rapidly emerging body of theoretical literature suggests that clinicians can safeguard against VT by maintaining a more balanced workload (i.e., a caseload of clients with a variety of presenting problems) and limiting the number of trauma cases. …

Pathways Linking Clinician Demographics To Mental Health Diagnostic Accuracy: An International Perspective, Julia Brechbiel

Theses and Dissertations

Significant research efforts have focused on examining the effect of patient factors on providing diagnoses across clinical settings; however, the influence of clinician demographics have received less attention. This study aimed to understand the impact of nonclinical factors such as clinician characteristics and response time on diagnostic accuracy. The study used data from a WHO field study of the ICD-11 development (n = 1822) that required clinicians to diagnose two case vignettes. Clinicians’ slower response times had a significant positive impact on their rates of diagnostic accuracy. However, there was no evidence that clinicians’ demographic features were directly related to …

Using Restoration-Oriented Coping And The Dual Process Model With Bereaved Undergraduates, Farah J. Aslanzadeh

Theses and Dissertations

Approximately 60% of college seniors lost at least one family member or friend since beginning college (Cox, Dean, & Kowalski, 2015). Research reveals that bereaved students are more likely than their nonbereaved peers to struggle with academic problems and attrition (Cousins, Servaty-Seib & Lockman, 2017), highlighting the importance of identifying protective factors for this group of individuals. Researchers have identified restoration-oriented coping as a helpful coping mechanism in other samples (Caserta & Lund, 2007; Caserta, Lund, Utza, & de Vries, 2009). Despite qualitative evidence suggesting bereaved undergraduates often employ restoration-oriented coping, no research has formally assessed the effects of restoration-oriented …

Predictors Of Barriers To Psychosocial Treatment For African American Families Of Children With Adhd, Stephanie A. Wilson

Theses and Dissertations

African American families of youth with Attention-deficit/hyperactivity disorder (ADHD) traditionally have lower rates of ADHD treatment compared to nonminority groups. These treatment disparities underscore the importance of better understanding the barriers to treatment for these families. Therefore, in a sample of 67 African American caregivers of children with ADHD, the current study examined (1) factors that predict barriers to treatment for African American families of children with ADHD and (2) whether caregiver impairment mediates comorbid behavior problems and barriers to treatment for African American youth with ADHD. Analyses revealed that caregiver impairment predicted barriers to treatment and mediated the relationship …

Sticking To The Recipe: How Do Adherence And Differentiation To A Cbt Protocol Affect Client Outcomes In Youths With Anxiety?, Ruben G. Martinez

Theses and Dissertations

Objective: Understanding the pathways through which treatments work to change symptom and diagnostic outcomes is important to the development and delivery of evidence-based treatments. This study assessed the extent to which adherence (therapist’s delivery of prescribed therapeutic interventions) and differentiation (therapist’s delivery of non-prescribed therapeutic interventions) to Coping Cat, a CBT program, affected client symptom and diagnostic outcomes. Method: The Therapy Process Observational Coding System for Child Psychotherapy – Revised Strategies Scale (McLeod et al., 2015) was used to characterize therapeutic interventions delivered within and outside of the Coping Cat program with youths aged 7-15 receiving treatment in one efficacy …

Building A Bond: Longitudinal Relations Between Interpersonal School Climate, Student Awareness And Reporting Of Violence, And Peer Victimization And Aggression In Adolescents, Kathryn Behrhorst

Theses and Dissertations

High prevalence rates and negative outcomes of peer-based aggression and victimization during early adolescence underscore the need to identify causes and consequences of these outcomes. Limited research has examined the impact of environmental and contextual factors, such as school climate, on peer aggression and victimization. Few studies have addressed relations between school climate and specific subtypes of physical and relational aggression and victimization. Although school climate has been assessed via interpersonal subsystems (i.e., student-student and student-teacher relationships), little research has incorporated the role of student awareness and reporting of violence and safety concerns. Further, studies are needed that consider the …

Synchrony And Concordance: A Multilevel Analysis Of The Effects Of Individual Differences During A Co2 Challenge, Rachel E. Wallace

Theses and Dissertations

Emotion theories posit that emotion systems (e.g., behavior, self-report, physiology) should be related when an emotion is being elicited because this serves an adaptive purpose and allows the individual to respond appropriately to the present situation. Oftentimes, this coherent relationship is not found, and research has hypothesized that the type of analyses used and lack of examination of individual differences could be affecting this relationship. Most studies examine the relationship between emotion systems between-subjects when within-subjects analyses may be more appropriate. The present study examined the relationship between self-reported distress (SUDS) and heart rate, and whether trait differences of anxiety …

The Effects Of Session And Outcome Rating Scales Used In A Wraparound Setting, Alexandra Giatrelis

Antioch University Dissertations & Theses

This study investigated the usefulness of session and outcome rating scales within a wraparound program in New England. The extensive needs of youth with serious emotional disturbance (SED) categorizations and their families require highly coordinated systems of care that not only deliver adequate services, but contend with the momentum of often contentious and unsuccessful relationships these families have typically experienced with social service systems. Outcome and session rating scales, along with measures of fidelity, hold the potential to provide rapid feedback on both outcome (outside of sessions) and working alliance (within sessions), as well as the consumers’ perspective on the …

Transracial Adoptees’ Thoughts On Culturally Competent Parenting, Molly Conley

Antioch University Dissertations & Theses

Transracial adoption, the adoption of a child of a different race than those of the adoptive parents, occurs in approximately 40% of all adoptions. While transracial adoption alone is not sufficient to cause mental health concerns, it does pose a series of unique challenges that can impact self-esteem, racial identity, and sense of belonging in adoptees. Much of the research on adoption focuses on adoptive parents, collecting quantitative data from adoptees, and mental health professionals’ views of adoptees’ experiences. This study elicited feedback from adult transracial adoptees on Vonk’s 2001 model of culturally competent parenting. Data were interpreted using Interpretive …

Investigating The Effects Of Mindfulness On Children’S Executive Function, Emotional Regulation, Stress, And Academic Performance Compared To A Control Condition, Lerna Hanceroglu

Theses and Dissertations (Comprehensive)

Mindfulness is a growing field in the study of psychological well-being, with reports of individuals experiencing increases in resilience and reduced stress. The current research on mindfulness lacks information on a comprehensive analysis on the relationship between mindfulness and executive function, emotional regulation, stress, and subsequent academic performance for children. Additionally, studies contain methodological issues, such as the absence of active control groups. Hence, the current study assessed the effects of mindfulness training on children’s executive function, emotional regulation, stress, and academic outcomes compared to an active control group. There were 51 younger children from grades 2 to 4 (Mean …

Ptsd’S True Color; Examining The Effect Of A Short-Term Coloring Intervention On The Stress, Anxiety And Working Memory Of Veterans With Ptsd., Jourdan A. Rodak

UNF Graduate Theses and Dissertations

The aim of this study was to explore the effect a coloring condition had on minimizing anxiety and stress experienced daily by veterans. The effect that coloring had on working memory was also explored.

A sample of 24 armed forces veterans were split into two coloring conditions, a mandala and a free draw condition, and asked to complete the Primary Care PTSD Screen, the Perceived Stress Scale and the Brief State Trait Anxiety Inventory. Working memory scores were established via a Backward Digit Recall task; pre-and posttest scores were evaluated for significant differences.

Our research suggests the act of coloring, …

What Are Effective Strategies For Implementing Trauma-Informed Care In Youth Inpatient Psychiatric And Residential Treatment Settings? A Realist Systematic Review, Stephanie A. Bryson, Emma Gauvin, Ally Jamieson, Melanie Rathgeber, Lorelei Faulkner-Gibson, Sarah Bell, Jennifer Russel, Sharlynne Burke

School of Social Work Faculty Publications and Presentations

Background: Many young people who receive psychiatric care in inpatient or residential settings in North America have experienced various forms of emotional trauma. Moreover, these settings can exacerbate trauma sequelae. Common practices, such as seclusion and restraint, put young people at risk of retraumatization, development of comorbid psychopathology, injury, and even death. In response, psychiatric and residential facilities have embraced trauma-informed care (TIC), an organizational change strategy which aligns service delivery with treatment principles and discrete interventions designed to reduce rates of retraumatization through responsive and non-coercive staff-client interactions. After more than two decades, a number of TIC frameworks and …

Relationships Among Health Counseling Training Experiences And Time Engaged In Counseling, Percentage Of Patients Counseled, Practitioner Confidence, And Perceived Importance, Stephen Edward Lupe

Theses and Dissertations

In the current healthcare system, the need for collaborative care is higher than ever. With current reforms in reimbursement and healthcare policies, it is becoming increasingly necessary for psychologists and other practitioners to break ranks with their traditional roles and to participate as a part of a multidisciplinary team that works in collaboration with other healthcare professionals. This study aims to look at the health counseling behaviors of psychologists and graduate psychology students from an APA accredited clinical psychology graduate program. It aims to examine the relationships among health counseling training variables and time spent engaging in health counseling, highest …

Early Psychosis And Trauma-Related Disorders: Clinical Practice Guidelines And Future Directions, Casey A. Cragin

Antioch University Dissertations & Theses

Despite very high rates of trauma-related disorders among individuals with early psychosis, no clinical practice guidelines for the treatment of comorbid early psychosis and trauma-related disorders exist to date. Indeed, the routine exclusion of individuals with past and current psychosis from participation in trauma research and practice has limited the accumulation of research evidence that could inform such clinical practice guidelines. While preliminary research evidence suggests that traditional, empirically supported treatments for trauma-related disorders can be safely and effectively employed to reduce symptoms of posttraumatic stress and chronic psychosis, it remains unclear whether such treatments are appropriate for individuals in …

Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway

Antioch University Dissertations & Theses

Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …

"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield

Antioch University Dissertations & Theses

There has been a rising interest in addiction medicine and addiction treatment in both the medical and behavioral health science fields. Research suggests having a family member with a substance abuse problem has negative impacts on both physical and mental health (Orford, Copello, Velleman, & Templeton, 2010a). Despite advances toward understanding the experiences of family members affected by a loved one's addiction, the siblings of substance abusers have been largely excluded from scientific research and literature. As a result, little is known about how siblings experience the impacts of a brother or sister's addiction; even less is known about the …

Behavioral Interventions That Treat Aggression: Employees Implementation Experiences Within Adult Psychiatric Settings, Alyse Catherine Donovan

Antioch University Dissertations & Theses

When adults hospitalized within inpatient psychiatric settings engage in aggressive behavior, it can have detrimental psychological and physical effects on not only other patients, but on hospital employees. Several adult psychiatric inpatient facilities have successfully reduced rates of patient aggression through the implementation of behavioral interventions. While there is much research on factors that lead to successful implementation of evidence based interventions, the literature had not yet explored the subjective experience of employees who are asked to implement behavioral plans in adult psychiatric settings. This study utilized Interpretive Phenomenological Analysis to gain an understanding of employees’ perceptions of barriers and …