Clinical Psychology Commons^™

Factors Influencing Father Involvement With Children Diagnosed With Autism Spectrum Disorder, Kayleigh E. Hay

Antioch University Dissertations & Theses

Children in America are being diagnosed with Autism Spectrum Disorder (ASD) at rates that are much greater than in previous decades. There is an abundance of research that is being conducted to try and discover the cause of this neurodevelopmental disorder and the interventions that are useful in treating it. It is classified as a spectrum disorder because there is such a large range of severity levels. Similarly, there is a large range of involvement levels by fathers of children with autism. Much research has been done on maternal experiences, leaving a lack of knowledge regarding fathers and how and …

The Effects Of Alcohol-Related Stimuli Priming On The Expression Of Relational Aggression, Connor W. Ondriezek

Honors College Theses

The semantic network model of memory states that concepts closely related (e.g., pencil-paper) are stored together in memory (Posner & Snyder, 1975). When one concept is activated, other related concepts becoming more accessible, which increases the likelihood that related concepts will influence behavior. Past research has established a link between aggressive behaviors after exposure to alcohol-related words (Bartholow, Grosvenor, Pedersen, Truong, & Vasquez, 2014). Previous research has also shown that alcohol outcome expectancies contribute to problematic drinking behavior (Fromme, Stroot, & Kaplan, 1993). In the present study, alcohol outcome expectancies of each participant were assessed by the CEOA questionnaire. Then, …

Standardized Patient Encounters Periodic Versus Postencounter Evaluation Of Nontechnical Clinical Performance, T. Robert Turner, Mark W. Scerbo, Gayle A. Gliva-Mcconvey, Amelia M. Wallace

Psychology Faculty Publications

Introduction: Standardized patients are a beneficial component of modern healthcare education and training, but few studies have explored cognitive factors potentially impacting clinical skills assessment during standardized patient encounters. This study examined the impact of a periodic (vs. traditional postencounter) evaluation approach and the appearance of critical verbal and nonverbal behaviors throughout a standardized patient encounter on scoring accuracy in a video-based scenario.

Methods: Forty-nine standardized patients scored either periodically or at only 1 point in time (postencounter) a healthcare provider's verbal and nonverbal clinical performance during a videotaped standardized patient encounter. The healthcare provider portrayed in this study was …

Initiation And Retention In Couples Outpatient Treatment For Parents With Drug And Alcohol Use Disorders, Abbly L. Braitman, Michelle L. Kelley

Psychology Faculty Publications

The focus of the current study was to identity mental health, relationship factors, substance use related problems, and individual factors as predictors of couples-based substance abuse treatment initiation and attendance. Heterosexual couples with children that met study criteria were invited to attend 12 sessions of outpatient behavioral couples therapy. Men were more likely to initiate treatment if they had a higher income, had greater relationship satisfaction, were initiating treatment for alcohol use disorder only, were younger when they first suspected a problem, and had higher depression but lower hostility or phobic anxiety. Men attended more treatment sessions if they reported …

Investigating The Role Of Social Support, Cardiovascular Reactivity, And Self-Regulation Skills Training In Response To Thermal Stimuli, Tracey Christine Kniffin

Theses and Dissertations--Psychology

Persistent pain conditions are a major health problem throughout the world and are one of the primary reasons that people seek medical treatment (Gureje, Von Korff, Simon, & Gater, 1998; Verhaak, Kerssens, Dekker, Sorbi, & Bensing, 1998). These conditions are characterized by complex interactions between cognitive, emotional, and physiological disturbances and are often associated with comorbid psychological disorders (Gatchel, 2004). Though previous studies have examined the effect of interventions targeting persistent pain, such as physical self-regulation interventions, few studies have examined the complex interaction between such interventions and other variables such as psychological and physiological …

Validity Of Immediate Post-Concussion Assessment And Cognitive Testing (Impact), Lisa Mason Koehl

Theses and Dissertations--Psychology

Sports concussions have been recognized as significant injuries among young athletes with research demonstrating that return-to-play prior to becoming asymptomatic can have significant repercussions, including risk of sustaining cognitive deficits. In tracking and monitoring concussions during sports seasons, many programs have begun utilizing computerized testing rather than traditional neuropsychological tests to 1) determine baseline scores, 2) track symptoms, and 3) measure cognitive deficits following concussion.

Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is one such instrument. The current study examined ImPACT’s convergent, discriminant, and diagnostic validity by comparing scores from post-concussion athletes (SPORT) to those from non-concussed controls (CONT). SPORT …

Utility Of The Caars Validity Scales In Identifying Feigned Adhd, Random Responding, And Genuine Adhd In A College Sample, Brittany D. Walls

Theses and Dissertations--Psychology

Due to increased concern about malingered self-report of symptoms of attention-deficit/hyperactivity disorder (ADHD) in college students, there is a need for instruments that can detect feigning. The present study provided further validation data for a recently developed validity scale for the Conners’ Adult ADHD Rating Scale (CAARS), the CAARS Infrequency Index (CII). The sample consisted of 139 undergraduate students; 21 individuals with diagnoses of ADHD, 29 individuals responding honestly, 54 individuals responding randomly (full or half), and 35 individuals assigned to malinger. The CII demonstrated modest sensitivity to malingering (.31-.46) and excellent specificity to ADHD (.91-.95). Sequential application of validity …

Deep Brain Stimulation For Parkinson's Disease: An Investigation Of Post-Surgical Self-Regulation And Executive Functioning, Hannah L. Combs

Theses and Dissertations--Psychology

Parkinson’s Disease (PD) is a common neurodegenerative disorder that attacks the basal ganglia and contributes to a range of motor, cognitive, and behavioral impairments (e.g., tremor, rigidity, and executive dysfunction). This dysfunction may contribute to self-regulatory impairment across several domains, including cognitive skills, thought processes, and emotion. Deep Brain Stimulation (DBS) is a neurosurgical procedure that allows for direct and reversible manipulation of brain activity in patients with PD. The procedure is growing in popularity and is commonly used as an adjunct or in some instances an alternative to dopaminometic medications. Preliminary studies suggest mild executive dysfunction follows DBS but …

Understanding Alcohol Use Trajectories From Adolescence To Young Adulthood: A Bioecological Approach, Jacqueline A. Bonsu

Theses and Dissertations--Psychology

The current study sought to better understand how alcohol use patterns develop over the transition to young adulthood by taking a bioecological approach in examining the joint influence of contextual and individual factors on drinking behaviors. Using a longitudinal design to include many factors that likely play key roles in this highly sensitive developmental period (e.g., peer norms, social activities, personality traits, access and exposure to substances), both mean levels of these variables and their change over time were considered in relation to alcohol use trajectories (AUTs). Participants were 525 students ages 18 to 25 recruited from the introductory psychology …

Ovarian Hormones, Adhd, Risk-Taking, & Impulsivity, Bethan A. Roberts

Theses and Dissertations--Psychology

Attention-Deficit/Hyperactivity Disorder (ADHD) is a highly impairing disorder of inattention, hyperactivity, and impulsivity that is more frequently diagnosed in males versus females at a ratio of 3:1. However, females with the disorder become highly impaired during adolescence, perhaps due to the onset of cycling ovarian hormones at puberty. The present study empirically assessed the role of the major female sex hormones, estrogen and progesterone, in the presentation of ADHD symptoms, impulsivity, and associated risk-taking behaviors (e.g., risky sex, substance use and abuse) in a non-clinical sample of young adult women. 32 healthy young adult women who were screened for hormonal …

Decision-Making Processes, Driving Performance, And Acute Responses To Alcohol In Dui Offenders, Walter Roberts

Theses and Dissertations--Psychology

Alcohol-impaired driving is a major cause of motor vehicle accident and death in the United States. People who are arrested for DUI (Driving under the Influence) are at high risk to reoffend; approximately one in three of these individuals will commit another DUI offense in the three years following their first conviction (Nochajski & Stasiewicz, 2006). This high risk for recidivism in these individuals suggests that cognitive characteristics may contribute to a pattern of pathological decision making leading to impaired driving. Indeed, individuals with a history of DUI report higher rates of impulsiveness and behavioral dysregulation compared to their nonoffending …

Burnout And Depression In Psychiatric Residents, Irvin Sam Schonfeld, Eric Laurent, Pierre Vandel, Renzo Bianchi

Publications and Research

Kealy et al. (2016) found that 21% of psychiatric residents were suffering symptoms of burnout. A number of problems call that finding into question. First, the writers used a one-item measure to assess burnout. Second, mounting evidence suggests that burnout is a depressive syndrome. Third, unresolvable job stress is related to depression. Given burnout's overlap with depression and the diagnostic blur around burnout, research on the impact of job stress should connect with depression, which is nosologically well characterized and diagnosable using clinically validated instruments.

Burnout And Depression: Label-Related Stigma, Help-Seeking, And Syndrome Overlap, Renzo Bianchi, Jay Verkuilen, Romain Brisson, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We investigated whether burnout and depression differed in terms of public stigma and help-seeking attitudes and behaviors. Secondarily, we examined the overlap of burnout and depressive symptoms. A total of 1046 French schoolteachers responded to an Internet survey in November–December 2015. The survey included measures of public stigma, help-seeking attitudes and behaviors, burnout and depressive symptoms, self-rated health, neuroticism, extraversion, history of anxiety or depressive disorder, social desirability, and socio-demographic variables. The burnout label appeared to be less stigmatizing than the depression label. In either case, however, fewer than 1% of the participants exhibited …

Depression Among African American Midlife Women: Delineating The Role Of Stress, Heather Page

Theses and Dissertations

Recent multi-ethnic epidemiologic studies indicate an increased risk for the onset of new as well as recurrent episodes of clinical depression among midlife women. However, little is known about the risk factors that influence the occurrence, severity, and course of depression in midlife among African American women (AAW). The purpose of the current study was to statistically model three prevailing conceptual views of stress and depression: 1) life course, 2) stress exposure, and 3) stress generation). The research investigated the abilities of these conceptual models to predict depressive symptoms severity, current depressed days, and major depression among midlife AAW. Data …

Getting To Outcomes® In Clinical Practice An Empirical Exploration Of A Framework That Supports Quality For Graduate Student Therapy Training, Jennifer Castellow

Theses and Dissertations

Getting To Outcomes® in Clinical Practice is an innovation being developed and disseminated in a clinical training center for psychology doctoral students. The innovation is a step-wise framework posited to enhance clinical practice by supporting the planning, implementation, and evaluation of specific evidence-based practices in psychology. The current study introduces and defines the innovation and uses a multiple case study, mixed method analysis to evaluate current innovation use behaviors as well as attitudes about the innovation. The guiding research themes for this study include: (1) innovation use behaviors, (2) attitudes about the innovation, and (3) influential contextual factors that impact …

Promoting Positive Academic Beliefs And Performance: Exploring The Impact Of An Academic Enrichment Program, Melanie Avery

Theses and Dissertations

First generation and low income college students experience unique achievementrelated barriers not typically experienced by their counterparts whose parents attended college and/or are of higher socioeconomic status (Hahs-Vaugn, 2004; Kahlenberg, 2004; Mortensen, 2003; Prospero & Vohra-Gupta, 2007). Academic enrichment programs that target first generation and low income college youth are one strategy that has helped to address these concerns. To extend literature in this area, the current study sought to identify factors that may be promotive of and/or barriers to first generation and low income youths’ achievement-related outcomes. Furthermore, this investigation sought to explore whether an academic enrichment program, namely …

“More To Life Than Mental Health”: Investigating The Roles Of Community Mental Health Case Managers In Promoting Community Integration For Adults With Psychiatric Disabilities, Betsy A. Davis

Theses and Dissertations

The recovery movement in the field of community mental health has brought attention to more holistic outcomes of services for adults with psychiatric disabilities, including community integration. However, there is a lack of empirical investigations of the roles that service providers, and case managers (CMs) in particular, can play in promoting such outcomes for their clients. The present study took an exploratory, hypothesis-building approach to describing the ways in which CMs supported the community integration of their clients with serious mental illness. A cross-sectional design was used with qualitative and quantitative data collected from 6 CMs and a sampling of …

Help-Seeking And Intimate Partner Violence Re-Victimization Of Sexual Minority And Heterosexual College Students, Andrew T. Schramm

Theses and Dissertations

Recent estimates indicate that 18.5% of heterosexual college students and 30.3% of sexual minority college students are victims of physical intimate partner violence (IPV; Edwards, Sylaska, Barry, et al., 2015). Research among adult women in oppositesex relationships has shown that once an individual is victimized by IPV she is subsequently at high risk for future IPV victimization. Re-victimization is associated with more severe physical and mental health consequences of IPV. No prior study has assessed the rate of re-victimization among sexual minority adults. Help-seeking behavior, which refers to accessing a range of sources of support (e.g., family and friends, law …

Exploring The Relationship Between Church Level Predictors Of Status And Obesity Risk In African American Women Of Faith, Kinjal Pandya

Theses and Dissertations

Although obesity is a nationwide epidemic, there are large racial, gender, socioeconomic, and geographical disparities in the rates of this condition. Specifically, African American women are more likely to be classified as obese as compared to all other gender and racial groups. Scholars have targeted African American churches to implement dietary and physical activity interventions in an attempt to combat the racial disparity in obesity rates. One of the main correlates studied in regards to obesity has been individual level markers of status such as socioeconomic status and subjective social status. Even though we focus on churches as a place …

Preliminary Evaluation Of "Footprints": Motivational Interviewing To Promote Cognitive-Behavioral Skills, Academic Outcomes, And Academic Protective Factors In Middle School Students, John Terry

Theses and Dissertations

There are high levels of unmet need in youth mental health services. To address this gap there is an increasing emphasis on multi-tiered systems of support involving promotion/prevention (Tier 1), early intervention (Tier 2) and intervention (Tier 3) to promote positive emotional/behavioral functioning in students. While research on these multi-tiered frameworks is increasing, there remains a relative dearth of empirically supported and feasible early intervention Tier 2 programs. To help address this gap, we developed the Tier 2 program, Footprints, which utilizes two Motivational Interviewing sessions to promote engagement in six group-based modularized Cognitive-Behavioral Therapy sessions and aims to enhance …