Clinical Psychology Commons^™

Development And Validation Of A Survey Of Knowledge Of Autism Spectrum Disorder, Laura Katherine Hansen

Master's Theses

As autism spectrum disorder (ASD) is more commonly diagnosed, having knowledge of the disorder becomes increasingly important for educators, parents, and the general public. Previous research regarding knowledge of ASD, focused mainly on knowledge possessed by those in the educational field, has found that individuals may perceive themselves as possessing average knowledge regarding ASD but have low actual knowledge (as defined by the researchers) regarding specific aspects of the disorder (Williams et al., 2011). Studies support the notion that there is a general lack of knowledge of different aspects of ASD among teachers; however, there has been little research regarding …

Examining The Association Between Psychotropic Medication And Suicidal Desire And Risk, Brittney L. Assavedo

Master's Theses

The primary aim of this study was to examine the relationship between components of suicidal desire and psychotropic medication. Specifically, the usage of psychotropic medication, the usage of specific classes of psychotropic medications and the amount of psychotropic medication utilized and differences in feelings of perceived burdensomeness, thwarted belongingness and overall suicide risk were examined. The present study utilized pre-collected data consisting of 225 patients with substance use disorder undergoing residential treatment for substance dependence. It was posited that individuals utilizing psychotropic medications would exhibit higher mean levels of thwarted belongingness, perceived burdensomeness, and suicide risk relative to individuals not …

Executive Dysfunction Is Predictive Of Clinical Symptomatology In 22q11.2 Deletion Syndrome, Chinonyere Kemdirim Bello

Loma Linda University Electronic Theses, Dissertations & Projects

By adulthood, 25%- 30% of individuals with 22q11.2 deletion syndrome (22qDS) develop a psychotic disorder, often schizophrenia, and it is not understood why. Given the known genetic etiology of this disorder and the greatly elevated risk for development of schizophrenia, this group offers the possibility of defining a seemingly homogenous maturational pathway to psychosis. Neurocognitive deficits have been increasingly recognized as an important dimension of schizophrenia, particularly in the executive domain. Thus, we assessed multiple aspects of executive cognition in 22qDS, in order to: 1) characterize performance across this domain as compared to age-matched healthy controls; and 2) determine whether …

Dialectical Behavior Therapy And Adolescent Patient Treatment Dropout, Danessa Mayo

Loma Linda University Electronic Theses, Dissertations & Projects

Attrition in mental health treatment is an area of concern among the adolescent population, especially with patients engaged in deliberate self-harm. The purpose of this study was to examine the treatment attrition rate for adolescents with deliberate self-harm in an adapted dialectical behavior therapy intensive outpatient program. A total of 141 adolescents previously enrolled in the program were available for the study. Results demonstrated a 31.9% dropout rate. Graduates indicated greater improvement of overall distress from baseline to post-treatment than dropouts. Dropouts attended an average of 12 treatment sessions. Several factors were examined to identify potential predictors of patient treatment …

Individual Differences In Anxiety Sensitivity And Emotional Avoidance: Potential Links In The Association Between Internalizing Problems And Peer Victimization, Juventino Hernandez Rodriguez

Graduate Theses and Dissertations

Chronic peer victimization has been linked to short- and long-term problems such as anxiety, depression, and aggression (Hawker & Bouton, 2000; Reijntjes, Kamphuis, Prinzie, & Telch, 2010; Reijntjes, Kamphuis, Prinzie, Boelen, van der Schoot, & Telch, 2011). Most children are able to escape the role of stable victim, but some struggle to end victimization and the negative trajectory associated with it. The present study explored individual differences in anxiety sensitivity and emotional avoidance, developmental vulnerabilities that heighten children’s risk for internalizing problems, as possible predictors of children’s level of peer victimization. Participants were 677 fourth-grade students and their teachers. Multi-informant …

A Culturally-Sensitive Model Of The Development Of Child Anxiety., Jenny Marie Petrie

Electronic Theses and Dissertations

Explanatory models significantly enhance the understanding of etiological influences that place children at risk for anxiety, yet little is known about processes that promote resilient outcomes in children. While contextual factors influence risk and protective processes, cultural constructs have not been incorporated into existing models of anxiety and the role of culture remains obscure. The current study proposes a culturally sensitive model for understanding the etiological and mitigating processes underlying anxious symptoms in ethnic minority youth, and preliminarily tests basic components of the proposed model within a non-clinical community sample of 49 African American (AA) parent-child dyads who completed self-report …

An Evaluation Of The Validity Of A Script-Driven Imagery Procedure Among Traumatic Event Exposed Adolescents, Emily Renae Mischel

Graduate Theses and Dissertations

Extensive research suggests script-driven imagery procedures employed with traumatic event-exposed adults produce reliable reactions that map onto contemporary models of posttraumatic stress, including increased physiological (Carson et al., 2000; Orr et al., 1998; Ramón et al., 2006) and negative affective (Pitman et al., 1987) responses to trauma scripts. Therefore, such procedures can be utilized in a controlled, laboratory-based setting, supporting mechanism-oriented research designed to better understand the nature, correlates, and consequences of traumatization and posttraumatic stress symptoms (PTSS). Unfortunately, only one study has begun to evaluate the validity of script-driven imagery procedures for use with youth, making further investigation of …

Vicarious Trauma And Natural Disasters: A Transcendental Phenomenological Analysis Of The Experiences Of Families Of Typhoon Haiyan Survivors, Arvin Jeremy N. Tan, Andrew O. Jardeleza, Florian Antoinette P. Sta Maria, Mendiola Teng-Calleja

Psychology Department Faculty Publications

Using transcendental phenomenology, we examined the experience of vicarious trauma in the context of natural disasters. We specifically looked at the narratives of domestic migrants whose family members were Typhoon Haiyan survivors. Findings show that the survivors’ families experienced painful and intrusive psychological distress. The gravity of the pain and loss experienced by the participants was relative to the amount of pain, loss, or damage sustained by the subject of their attachment. Vicarious trauma was experienced as a void-filling phenomenon occupying the emotional space created by the physical distance of the participants from their families experiencing the disaster. This phenomenon …

Examining The Inner Experience Of Individuals With Bipolar Disorder, Johanah Yoosun Kang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Bipolar disorder (BD) is a serious, chronic mood disorder. The diagnostic criteria for BD provide a description of expected experiences of individuals with BD (e.g., sadness, expansive mood, inflated self-esteem, anhedonia). Despite these criteria, the details of inner experience of individuals with BD are generally unknown. Understanding the inner experience of individuals with BD may provide greater understanding of the lived experience of BD and may provide insights into treating BD. The present study examined the inner experience of six individuals with BD using Descriptive Experience Sampling (DES), a method aimed at apprehending high- fidelity accounts of momentary inner experience. …

Comparison Of Text Analysis Programs For Identification Of Emotional Expression, Michelle Mcdonnell

Loma Linda University Electronic Theses, Dissertations & Projects

Studies have show that written emotional expression assists in the recovery and alleviates the pain associated with traumatic experiences, cancer diagnoses, and chronic illnesses. Written interventions have been developed to utilize this emotional coping approach. Unfortunately, evaluation of participants and patients written text is time consuming and subjective to the coder. Researchers have developed computational text analysis programs in an attempt to find an alternative to human coders for text analysis. The current study will utilize data from previous research performed by Owen et al., (2005) entitled Randomized Pilot of a Self-Guided Internet Coping Group for Women With Early Stage …

Executive Functioning Outcomes Among Self-Harming Adolescents Receiving Dbt-A, Alphonso A. Smith

Loma Linda University Electronic Theses, Dissertations & Projects

Changes in WM, GM, and neural activation in networks involving the PFC underlie the development of EFs during adolescence; however, adolescents with DSH have impaired EFs in the areas of inhibition, emotion regulation, shifting, and interpersonal functioning. DBT-A has been shown to be effective in treating these youth and the skills of mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness, and “walking the middle path” are suited to treat their impaired EFs. As such, this study examined EF changes in adolescents receiving DBT-A and discussed implications for treatment and brain-behavior relationships. Ninety-three adolescents from a 16-week DBT-A program for DSH were …

Implementation Of A Staff Management System To Increase Consumer Engagement In Group Homes, Jeana L. Koerber

Dissertations

A multi-component staff management system was implemented in three residential group homes for adults with disabilities to examine if it would increase consumer (resident) engagement in leisure activities. The design was a non-concurrent and concurrent multiple baseline design across homes. Participants included consumers who lived in the homes and the direct care staff (DCS) who worked with them: a total of 35 participants. Sessions were an hour in length and occurred twice a day, Monday through Friday. The study lasted approximately 17 weeks in each group home.

There were four phases: (phase A) baseline assessment of consumer engagement and affect, …

Integration Of Audio-~Visual Emotional Information In Schizophrneia, Bern Lee

UNLV Theses, Dissertations, Professional Papers, and Capstones

Schizophrenia (SZ) is a debilitating illness characterized by a number of perceptual and

cognitive deficits. Deficits in emotional judgment and perception are consistently identified, although less is known about the integration of emotional information from separate sensory modalities. This study investigates the integration of auditory and visual emotional information in schizophrenia and healthy controls through application of an emotion judgment task modeled after the McGurk effect. The emotional judgments of 54 participants (40 SZ and 14 control participants from the community) for auditory, visual, and bimodal phonemic stimuli conveying no lexical information were analyzed. Visual and auditory stimuli conveying joy …

Factor Analysis Of The Sport Interference Checklist With Collegiate Athletes, Travis Albert Loughran

UNLV Theses, Dissertations, Professional Papers, and Capstones

There are a variety of cognitive and behavioral factors that have been indicated to have a negative impact on sport performance. College student-athletes may be at particular risk to evidence problems that interfere with optimal sport performance due to high physical, social, and emotional demands. To fully understand what factors influence student-athlete sport performance, appropriate, psychometrically validated assessment measures are needed. The Sport Interference Checklist (SIC) is an assessment tool that was developed to assess sport performance in both training and competitive situations for student-athletes. The SIC includes two scales, the Problems in Sport Training Scale (PSTS) and the Problems …

Differences In Absenteeism Severity Among Community Youth, Kyleigh Kay Sheldon

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study examined the relationship between school absenteeism severity and specific clinical and family variables in 118 middle and high school youth aged 11-19 years recruited from two truancy settings. The primary aim was to determine specific clinical and family variables that may be predictive of absenteeism severity in community youth. A secondary aim was to examine the level of absenteeism that warrants the most clinical concern. Hypotheses for the proposed study were based on the premise that characteristics of a community sample of youth with problematic absenteeism would generally resemble those identified in previous clinical samples. The first set …

Impartialist Ethics And Psychic Disintegration: A Talking Cure, Roman Nakia Briggs

Graduate Theses and Dissertations

This dissertation deals with integrity understood as a state of the psyche. Its primary interlocutor is Professor Bernard Williams, and its point of departure is my interpretation of his Objection from Integrity to impartialist moral theories. Against Williams, I hope to show that the active adherent of impartialist ethical systems (e.g., act utilitarianism) may retain both moral integrity and integrity. In demonstrating this, I make use of a variant of Roy Schafer’s action language approach to psychoanalysis, and what I call practical aestheticism.

The Relationship Between Counselor Trainees’ Personal Therapy Experiences And Client Outcome, Bonnie L. Vanderwal

Dissertations

Research on mental health professionals’ use of personal psychotherapy indicates that a majority of practitioners have participated in their own personal therapy for both personal and professional reasons (Bike, Norcross, & Schatz, 2009; Norcross & Connor, 2005). Psychotherapists typically suggest that engaging in their own personal therapy has aided in their professional development and clinical effectiveness in their work with clients (Orlinsky, Norcross, Ronnestad, & Wiseman, 2005); however, researchers have been unable to conclude that such evidence exists (Clark, 1986; Greenberg & Staller, 1981; Macaskill, 1988; Macran & Shapiro, 1998; Orlinsky, Norcross et al., 2005). Studies often included psychotherapists already …

Memory Deficits In Older Adults: Evaluating Spaced Retrieval With Multiple Probe Techniques, Christopher Walmsley

Dissertations

Difficulties in recognizing and remembering the names of individuals are a common behavioral symptom of major neurocognitive disorder. A number of behavioral strategies have been proposed to improve memory deficits, including spaced retrieval, an intervention that emphasizes delayed recall of target information. Unfortunately, many of the studies that report beneficial effects of spaced retrieval use a very limited range of outcome measures, thus calling into question the magnitude and generality of any reported memory improvement. This study reports on the impact of spaced retrieval using four older adults with cognitive impairment living in an assisted living facility. All participants demonstrated …

An Evaluation Of The Perfectionistic Social Disconnect Model Among Ethnic Minority Youth, Ana Belen Goya Arce

College of Science and Health Theses and Dissertations

Interpersonal aspects of perfectionism, particularly perfectionistic self-presentation, have been identified as specific vulnerability factors in the development of depressive disorders during the early adolescent years. The Perfectionistic Social Disconnect Model (PSDM) offers a theoretical framework explaining the relationship between perfectionistic self-presentation (PSP) and depressive disorders. The PSDM suggests that perfectionistic self-presentation leads to depressive symptoms indirectly through interpersonal problems and social disconnection. While previous studies have supported the hypothesized role of social disconnection as a mediator in the relation between perfectionistic self-presentation and suicidal ideation, no studies have explored the role that interpersonal problems play in the model. Furthermore, the …

Early Diagnosis Of Autism Spectrum Disorder Via A Transdisciplinary Clinic, Peter John Thaxter

College of Science and Health Theses and Dissertations

The current study seeks to explore whether a transdisciplinary clinic is accurate in their diagnosis of ASD prior to the age of three. Participants in the current study consist of 34 children aged 13 to 36 months who were evaluated by a transdisciplinary clinic between 2007 and 2009. Participants were reassessed using the ADOS and ADI-R once the child is over the age of three. The diagnoses from the two time points was compared to determine the accuracy and reliability of the diagnosis assigned by the transdisciplinary clinic prior to the age of three.

Overall, diagnostic stability was high between …