Clinical Psychology Commons^™

Lifetime Stressor Exposure, Race And Ethnicity, And Habitual Stress Processes: An Evaluation Of Repetitive Negative Thinking And Hair Cortisol Concentration, Harrison Dickens

Graduate Theses and Dissertations

Habitual stress processes are thought to influence acute stress reactivity and stress-related disease. Habitual stress processes have been shown to adapt in response to stressor exposure experienced across the lifespan. The current study seeks to explore whether two habitual stress processes, hypothalamic-pituitary-adrenal (HPA) axis activity and repetitive negative thinking (RNT), were associated with lifetime stressor exposure (self-reported and objective neighborhood-level stressors). Additionally, the current study attempts to quantify how this process may be moderated by race and ethnicity. Participants (N = 134, Mage = 18 [SDage= 1.69], 56.7% female) consisting of White (N = 52), Black (N = 37 ), …

The Intersection Of Appalachian Identity And Gambling Behavior, Noah S. Anderson

Electronic Theses and Dissertations

This study examined the relation between Appalachian identity and gambling behavior among students in central Appalachia (n = 395). One-way ANOVAs revealed no significant differences in engagement, F(2, 392) = 0.65, p = .523, or severity, F(2, 392) = 0.33, p = .718, across identification groups. Moderated regression showed that identity did not significantly moderate the engagement–severity relation (B = 0.073, p = .099), though engagement itself was a strong predictor of harm (B = 0.696, p < .001, R² = .521). Negative affect predicted both engagement (B = 0.074, p = .001) and severity (B = 0.069, p = .001), while identity remained non-significant. Logistic regression found that identity predicted gambling engagement (Exp(B) = 1.18, p = .034) only when controlling for severity. These findings relay the importance of empirical efforts in Appalachia and suggest that Appalachian identity may not be an independent risk factor in gambling behavior.

Examining Parent Accommodation Of Anxiety And Irritability In Preschool-Aged Children., Anna Olczyk

Electronic Theses and Dissertations

Anxiety and irritability are common developmentally normative emotions in early childhood, yet are also related to risk for psychopathology in childhood, adolescence, and adulthood. Parenting behaviors, including parent accommodation, may influence this risk. Parent accommodation is the parent modification of child/family routines and/or avoidance of activities to reduce child distress and has been documented widely in the anxiety literature. Although some research has examined parent accommodation of anxiety in preschool-aged children, most research has investigated accommodation of anxiety in clinical samples of school-aged children. Further, despite high rates of co-occurrence between child anxiety and irritability, research on parent accommodation of …

Peer Functioning And Risk For Co-Occurring Adhd And Anxiety Symptoms In School-Aged Children: A Cross-Sectional And Longitudinal Analysis., Helena F. Alacha

Electronic Theses and Dissertations

Background. Youth with Attention-deficit/hyperactivity disorder (ADHD) often have higher rates of anxiety in comparison to their peers without ADHD. Children with co-occurring ADHD and anxiety exhibit a unique clinical presentation that poses challenges to both assessment and treatment. Consequently, children with comorbid ADHD and anxiety experience increased impairment, and often have poorer long-term outcomes than children with either ADHD or anxiety alone. Preliminary evidence suggests that different psychosocial phenomena commonly experienced by children with ADHD—such as peer functioning—may increase susceptibility to anxiety. Considering that children with ADHD encounter a range of peer difficulties, the present study proposed and evaluated different …

Testing An Ironic Process Model Of Emotion Expression In Daily Life, Laura B. Kenneally

Psychology Theses & Dissertations

Expressive suppression, or suppressing the expression of an emotion, is a common emotion regulation approach that has been found to have substantial negative implications for one’s mental health, physical health, and relationship functioning. However, expression of emotion, and of negative emotion in particular, has not consistently been found to be beneficial for mood or relationships. Moreover, the social expression of emotion that is culturally valued among Black-identifying Americans is different in White-identifying Americans, particularly in regard to expression of negative affect. However, it is unknown whether this cultural context mitigates the potential consequences of expressive suppression and emotion expression.

Expressive …

Exploring The Relationship Between Cannabis Use Motives And Readiness To Change Among Young Adult College Students, Emma Kathryn Rawls

Psychology Theses & Dissertations

Cannabis use among young adult college students has risen steadily over the past decade, raising concerns about the associated health, academic, and psychological consequences. While cannabis use motives and readiness to change have each been linked to use patterns and outcomes, limited research has examined how these factors interact. The current study investigated whether readiness to change, based on the Transtheoretical Model (TTM), moderates the relationship between cannabis use motives and cannabis-related consequences as well as past-30-day use frequency. A sample of 100 college students 18-25 years old (M_age = 20.08, SD = 2.12; 67% female; 55.0% Black or …

Drinking To Compensate: Expanding Upon The Motivational Model Of Alcohol Use, Douglas J. Glenn

Psychology Theses & Dissertations

The motivational model of alcohol use identifies four key drinking motives – coping, conformity, social, and enhancement – as important proximal antecedents of problematic drinking. However, applications of this model have been inconsistent in explaining drinking outcomes. Specifically, it is unclear under which conditions each drinking motive can be a risky or benign indicator of drinking behaviors. The current study theorized that a problematic drinking to compensate behavior could emerge across all drinking motives when alcohol is used to counteract a psychosocial (i.e., nondrinking) deficit. It was hypothesized, at the cross-sectional and daily level, that the associations between each drinking …

The Relationship Between Perceived Racial Discrimination And Psychological Distress: The Role Of Psychological Inflexibility, Kyrah Breann Frank

Electronic Theses, Projects, and Dissertations

Research has shown that marginalized groups experience perceived racial discrimination as traumatic, humiliating, and hurtful (Brown-Iannuzzi et al., 2014). Multiple studies have associated perceived racial discrimination with physical and mental health outcomes such as depression (Brown-Iannuzzi et al., 2014.; Shallcross & Spruill, 2017; Zapolski et al., 2018), cardiovascular problems (Watson-Singleton et al., 2019; Zapolski et al., 2018), anxiety (Zapolski et al., 2018), and stress (Graham et al., 2013; Watson-Singleton et al., 2019). Studies have also shown that mindfulness buffered/moderated the relationship between perceived racial discrimination and health outcomes (Brown-Iannuzzi et al., 2014; Graham et al., 2013; Shallcross & Spruill, 2017; …

Shared Themes Among Teachers And Students On The Impact Of Teacher Well-Being On Student Wellbeing And Academic Success, Brian Duncan

Walden Dissertations and Doctoral Studies

Teachers have experienced increasing burnout and high attrition rates, alongside a parallel decline in student well-being and academic success. Prior research has linked teacher well-being to student outcomes; however, little is known about whether teachers and students perceive this relationship similarly. This phenomenological qualitative study explored the shared perceptions of teacher well-being’s impact on student well-being and academic success among 10 high school teachers and 10 students from public schools in the southwestern United States. Grounded in Bronfenbrenner’s ecological systems theory and Bowlby’s secure base theory, the study employed semistructured interviews and Saldana’s two-cycle coding to identify themes across both …

Testing The Utility Of The Three Good Things Intervention For Cannabis Misuse Among College Students, Paige Morris

LSU Doctoral Dissertations

College students experience high rates of cannabis use and use-related problems. Existing brief online interventions for cannabis misuse among college students do not significantly reduce cannabis use and use-related problems relative to control conditions. This may be due to limited consideration of the role of affect, given that cannabis is frequently used for managing affect, especially among individuals with greater depression and social anxiety. The present study sought to improve the efficacy of brief online interventions for cannabis misuse among college students by testing the efficacy of the Three Good Things (3GT; Seligman et al., 2005) intervention, a daily exercise …

Road To Recovery: Understanding The Personality Typology, Clinical Features, And Risk Of Relapse In Filipinos With Substance Use Problems, Marc Angelo Ronquillo, Marc Eric Reyes, Ryan Francis Cayubit

Makara Human Behavior Studies in Asia

Knowing the patient’s personality can assist the clinician in improving their relationship and tailoring the interventions for the patient. Several studies have reported that treatment and prevention programs must be tailored to an individual’s social and cultural attributes to facilitate continuous recovery and prevent relapse. This study aimed to develop a deeper understanding of the personality typology, clinical features, and risk of relapse in Filipinos with substance use problems in rehabilitation centers. We used a sequential-explanatory mixed-method approach with two phases (Phase 1: descriptive, cross-sectional design; Phase 2: phenomenological design) to provide an evidence-based framework to tailor treatment according to …

Delusion Or Faith? Exploring Religious Delusions In Individuals With Schizophrenia Within The Banjar Culture, Nabila Regita Putri Mustafa, Nur’Aulia Maisyarah, Aulia Maulidina, Muhammad Reza Aditya, Muhammad Abdan Shadiqi

Makara Human Behavior Studies in Asia

Schizophrenia is often characterized by delusions and hallucinations, which often appear as manifestations of religious delusions in the Banjar cultural context. This phenomenon can be understood through the hyper-religiosity theory, which explains excessive religious behavior in individuals with schizophrenia. This qualitative case study aims to identify the forms of religious delusion in individuals with hyper-religiosity and the underlying causal factors. Data were collected through in-depth interviews and observations with 10 informants, comprising four individuals with religious delusions selected using purposive sampling based on their experience of studying Tasawwuf and experiencing religious delusions and six significant others. The findings show that …

Career Counseling With Foster Adolescents Transitioning To Adulthood: A Phenomenological Study Using A Psychoeducation Group Counseling Approach, Carly Paro-Tompkins, Elda Veloso Ph.D., Galaxina G. Wright, Jennifer Reeves, Samantha Both

The Qualitative Report

Young adults who age out of the foster care system face a unique set of challenges including increased risk of homelessness, substance use, mental health problems, and difficulty with employment. The current phenomenological study aims to understand participants’ experiences of Project P.A.T.H., a group psychoeducational group intervention aimed at improving self-efficacy, employment hope, and job search knowledge in individuals who were unemployed or underemployed and actively seeking employment. Participants were recruited through the FLITE Center, a nonprofit organization providing services supporting individuals transitioning out of the foster system. A total of 23 participants aged 18-26 participated in this study. The …

Factors Influencing Successful Community Reentry For Formerly Incarcerated Men Who Have Received Supportive Services: A Qualitative Study, Ryan W. Fechner

Theses and Graduate Projects

The current study examined reentry experience among men following incarceration to determine salient protective and risk factors. The study reviews the impacts of incarceration, previous factors of recidivism identified in research, and qualitative research conducted on justice-involved individuals. Using a grounded theory qualitative approach, nine men recruited from a substance use treatment program who were released from prison within the past five years were interviewed to explore protective and risk factors. Findings from the current study were consistent with previous research in identifying barriers to reentry, such as difficulties finding housing, employment, and transportation. Additional findings indicate the importance of …

Nutrition, Physical Activity, Faith, And C-Reactive Protein As Predictors Of Depression In A Large Prospective Sample, Rebecca L. Banning

Clinical Psychology Dissertations

Depression is an increasingly common mental health concern and has been linked to both lifestyle factors and biological markers of inflammation. This study examined whether physical activity, dietary patterns, and religiosity/spirituality (R/S) predicted depression symptoms through their associations with high-sensitivity C-reactive protein (hs-CRP), a widely used biomarker of inflammation. Using data from the National Longitudinal Study of Adolescent to Adult Health, participants were assessed at Wave II (ages 12–20) and Wave IV (ages 24–32). Predictors included self-reported physical activity, proinflammatory and anti-inflammatory diet composites, and R/S engagement. Outcomes included concurrent and prospective depression symptoms, as well as hs-CRP concentrations. Results …

Navigating Health Management Decisions In Pediatric Food Allergy: Exploring Caregiver Needs, Experiences, And Behaviors, Perry Allen Catlin

Dissertations (1934 -)

Food allergy (FA) is a prevalent and often severe condition affecting approximately 8% of U.S. children (Gupta et al., 2018; Robson & Assa’ad, 2024). The responsibility for daily management of FA, including making critical health management decisions, often falls to caregivers. These responsibilities can impose significant psychosocial demands on caregivers, particularly as treatment options expand and require more nuanced decision-making (Collins et al., 2024; Hamadi et al., 2024; Knibb & Jones, 2024; Lieberman, 2024; Umetsu, 2024). Caregivers' decisions are shaped by a range of individual needs, experiences, and sociodemographic characteristics (Dale & Hemmerich, 2009; Hoefel, O’Connor, et al., 2020). As …

Parents’ Experiences With Their Child’S Psychotherapy And Mental Illness, Valerie Marsman

Walden Dissertations and Doctoral Studies

Low parental engagement—especially among fathers and ethnic minority groups like Latinx parents—in child psychotherapy increases the risk of treatment dropout, behavioral issues, and poorer outcomes, contributing to persistent disparities. More research was needed on perceptual barriers and facilitators to parental engagement such as attitudes, beliefs, and expectations. The purpose of this study was to gain an in-depth understanding of parents’ experiences with their child’s psychotherapy and mental illness to facilitate parental engagement in services that support the child. An interpretative phenomenological approach and multiperspectival focus group design were used to illuminate each participant’s voice and explore overarching themes. Hill’s theory …

From Heroic Imagination To Belonging-Focused Healing: A Tribute To Philip Zimbardo, Agnieszka Wilczynska

Heroism Science

This article offers a reflective account of the Polish adaptation of the Heroic Imagination Project (HIP), a global educational initiative founded by Philip Zimbardo to promote everyday heroism through psychological awareness. As HIP took root in Poland, we developed a robust infrastructure of certified trainers, academic collaborators, and educational centers, reaching over 250 schools and 800 educators. Grounded in core psychological principles -- such as the bystander effect, social conformity, and prejudice -- the program empowered participants to resist negative social influences and cultivate moral courage. The experience also gave rise to Belonging Focus Therapy (BFT), a psychobiological and sociocultural …

Evaluating Generative Ai For Depression Diagnosis: Implications For Counselor Education And Supervision, Matthew Rensi, Chung-Fan Ni, Leo Gonzalez, Jr., Mindi Barta, Cass Dykeman, James Geisler

Journal of Technology in Counselor Education and Supervision

This study evaluated the efficacy of three Generative AI tools—ChatGPT, Claude, and Gemini— in identifying Major Depressive Disorder (MDD) from 119 written clinical case descriptions. Each AI tool determined if cases met DSM-5 criteria for MDD. The results showed significant performance variations, with Gemini demonstrating an accuracy of 97%. These findings suggest the potential for AI assistance in clinical practice, while also underscoring the importance of professional judgment. The implications for counselor education include opportunities to integrate AI tools into training programs, particularly in courses on psychopathology and clinical skills. Educators can use these tools to enhance students’ diagnostic skills …

Exploring The Environmental Impacts Of Telemental Health Counseling: Balancing Accessibility, Sustainability, And Climate Concerns, Daniel Bates, Greg Peterson, Vanessa Sinclair

Journal of Technology in Counselor Education and Supervision

In response to the COVID-19 pandemic, a nation-wide quarantine was mandated, which had a significant impact on the economy, healthcare, and lifestyle. It also dramatically changed the way mental health services were delivered. Many clinicians in private practice and at agencies rapidly transitioned the administration of mental health treatment to an online platform. The rapid upsurge of utilization of telemental health counseling (TMHC) yielded unexpected environmental benefits that have come to light by recent research. Some researchers shared concerns of TMHC efficacy compared to in-person counseling, however, other research comparing TMHC to in-person found comparable therapeutic outcomes. Research has also …