Clinical Psychology Commons^™

Temporal Relationships Between Psychological Distress And Risky Behaviors In A Sample Of Homeless And At-Risk Youth, Tegan Lesperance

Wayne State University Theses

The present study examined temporal relationships between psychological distress and two types of risk behavior; risky sexual behavior and substance abuse/dependence, in a sample of 253 at-risk youth. Using structural equation modeling, the self-medication and risk-first hypotheses were tested using longitudinal data spanning 7 years. Each model lent support to both hypotheses, further supporting the relationship between risk-taking behaviors and psychological distress among youth. Early psychological distress predicted later involvement in risky sexual behaviors, while later distress predicted substance abuse/dependence. Earlier risky sexual behaviors and substance abuse/dependence predicted psychological distress at later time points. These findings suggest the need to …

Neurobiological Correlates Of Personality And Emotional Expression In Traumatic Brain Injury, Christina G. Wong

Wayne State University Theses

Many individuals with traumatic brain injury (TBI) experience cognitive, emotional, and functional deficits, all of which can contribute to chronic stress. Unfortunately, individuals with TBI often engage in less effective coping than non-brain-injured individuals, which has negative implications for rehabilitation. Differences in personality traits have been linked to individual differences in coping styles, physiological stress reactivity, and emotional disclosure. Research on personality and coping after TBI has been sparse. Thus, the present study examined the influence of TBI on the pattern of the relationships between personality, emotional expression, and stress reactivity. Eighty-one adults who sustained moderate to severe TBI and …

Stress And Substance Abuse In Homeless And Matched Housed Adolescents: A Longitudinal Model, Corissa Carlson

Wayne State University Theses

The relationship between stress and substance abuse within an at-risk adolescent population is an important topic to research. There are several models examining the relationship between stress and substance abuse; however, this study will look to longitudinal methods to examine if there is a temporal relationship between stress and substance abuse in a high risk population. Interviews were conducted at a baseline time point as well as follow-up time points at two, five, and seven years. Two hundred fifty-four participants were retained at the two year follow-up and their data were analyzed using structural equation modeling. The two proposed models …

Anger Expression: Evaluating The Construct Validity Of Several Emotion Regulation Measures, Matthew James Jasinski

Wayne State University Theses

Researchers have used the Anger Expression Inventory (AEI), Ambivalence of Emotional Expression Questionnaire (AEQ), and Toronto Alexithymia Scale 20 (TAS) self-report measures to draw conclusions about relationships between emotion regulation and many other variables, but there is an insufficient amount of validation evidence about these measures. After first filling out the self-report measures, 75 participants with chronic low back pain completed a videotaped anger induction paradigm, in order to provoke the naturalistic experience of anger. Participants were next given the opportunity to express their anger to the experimenter, in either a guided or unguided condition. We then coded the videos …

Youth Treatment Adherence At A Rural Community Mental-Health Clinic, Asma S. Ali

PCOM Psychology Dissertations

This study examined the relationships between youth and adult psychopathology, and sociodemographic factors and treatment adherence for youth attending outpatient treatment at a rural community mental-health clinic. “Adherence” was defined as attending more than five sessions, while “non-adherence” was defined as attending fewer than or equal to five sessions. Results revealed no significant differences between youth adhering or not adhering to treatment depending on the relation of caregiver to youth or the mode of transportation taken to the clinic. Furthermore, caregiver and youth psychopathology and caregiver’s estimated travel time to the clinic did not predict treatment adherence. Incidentally, examination of …

Examining Levels Of Posttraumatic Stress Disorder Symptoms And Treatment Attendance Amongst Children Living In Different Caregiver Settings, Danika S. Perry

PCOM Psychology Dissertations

This study examined symptoms of posttraumatic stress disorder (PTSD) and treatment attendance rates amongst a sample of children and adolescents who engaged in treatment for PTSD. The purpose was to determine if there was a difference in the level of PTSD symptoms or the number of sessions attended between those children living in foster care and those living with their primary non-foster caregiver(s). In addition, the treatment attendance rates of foster care children were examined to determine if there was a relationship between the level of the PTSD symptoms and the child’s treatment attendance rates. Results revealed that there was …

Cognitive Distortions As A Mediator Between Early Maladaptive Schema And Hopelessness, Keith Milligan

PCOM Psychology Dissertations

The purpose of the current study was to examine cognitive distortions as a mediator between maladaptive schema and hopelessness. With hopelessness and suicidal behavior so strongly correlated, an examination of hopelessness is critical. It was expected that this study would shed light on the role of distorted thinking as it relates to beliefs shaped from early maladaptive experiences and hopelessness. First, distorted thinking was not found to partially mediate the relationship between early maladaptive schema and hopelessness. This was likely a consequence of multicollinearity due to the use of a very proximal mediator. Second, a linear combination of the cognitive …

A Single Case Study Of Cognitive Remediation Therapy With An Adolescent With Disordered Eating, Carol Lynn Galiano

PCOM Psychology Dissertations

Picky eating is currently not included in the diagnostic classification system DSM-IV TR as a distinct category of eating disorders in childhood. It can reach clinical significance requiring intervention when it results in chronic nutritional inadequacies and/or harmful impact on social development or family functioning. Studies have shown that patients with eating disorders have difficulties with executive functioning. These findings have been used to develop an intervention based on cognitive remediation therapy (CRT) which targets thinking skills and their role in the development and maintenance of an eating disorder. To further investigate, this study assessed the efficacy of an 8-week, …

The Relation Between Self-Compassion, Body Image, And Mood: How Do Women Internalize Weight-Related Feedback?, Nicole Helverson

PCOM Psychology Dissertations

Objective: Body dissatisfaction has been identified as a risk factor for depression and eating pathology, whereas, self-compassion has been associated with higher quality of life. This study sought to examine the relationship between negative body image and self-compassion as risk or protective factors for weight and body composition related feedback mood changes.

Method: This deception study used a true-experimental, pre- and post-test design in a sample of 117 female graduate and medical students and college staff, aged 18 to 45 years; women diagnosed with eating disorders were excluded. After completing baseline questionnaires (including mood, body image, and self-compassion), …

Do Programs Designed To Train Working Memory, Other Executive Functions, And Attention Benefit Children With Adhd? A Meta-Analytic Review Of Cognitive, Academic, And Behavioral Outcomes, Sarah Orban

Electronic Theses and Dissertations

Children with ADHD are characterized frequently as possessing underdeveloped executive functions and sustained attentional abilities, and recent commercial claims suggest that computer-based cognitive training can remediate these impairments and provide significant and lasting improvement in their attention, impulse control, social functioning, academic performance, and complex reasoning skills. The present review critically evaluates these claims through meta-analysis of 25 studies of facilitative intervention training (i.e., cognitive training) for children with ADHD. Random effects models corrected for publication bias and sampling error revealed that studies training short-term memory alone resulted in moderate magnitude improvements in short-term memory (d= 0.63), whereas training attention …

Does Virtual Reality Elicit Physiological Arousal In Social Anxiety Disorder, Maryann Owens

Electronic Theses and Dissertations

The present study examined the ability of a Virtual Reality (VR) public speaking task to elicit physiological arousal in adults with SAD (n=25) and Controls (n=25). A behavioral assessment paradigm was employed to address three study objectives: (a) to determine whether the VR task can elicit significant increases in physiological response over baseline resting conditions (b) to determine if individuals with SAD have a greater increase from baseline levels of physiological and self-reported arousal during the in vivo speech task as opposed to the VR speech task and (c) to determine whether individuals with SAD experience greater changes in physiological …

Hyperactivity In Attention-Deficit/Hyperactivity Disorder (Adhd): Testing Functional Relationships With Phonological Working Memory Performance And Attention, Dustin Sarver

Electronic Theses and Dissertations

Excessive gross motor activity is currently considered a ubiquitous and disruptive feature of attention-deficit/hyperactivity disorder (ADHD); however, an alternative model challenges this premise and hypothesizes a functional relationship between activity level, attention, and working memory. The current study investigated whether, and the extent to which, particular forms of gross motor activity are functionally related to children’s attention and phonological working memory performance. Objective observations of children’s gross motor movements and attention by independent observers were conducted while children with ADHD (n = 29) and typically developing children (n = 23) completed multiple counterbalanced tasks entailing low and high phonological working …

Social Skills And Social Acceptance In Childhood Anxiety Disorders, Lindsay Scharfstein

Electronic Theses and Dissertations

The present study examined the social skills and social acceptance of children with SAD (n=20), children with GAD (n=18), and typically developing (TD) children (n=20). A multimodal assessment paradigm was employed to address three study objectives: (a) to determine whether social skills deficits are unique to children with SAD or extend to children with GAD, (b) to assess whether skills vary as a function of social context (in vivo peer interaction Wii Task versus hypothetical Social Vignette Task) and (c) to examine the relationship between anxiety diagnosis and social acceptance. Parent questionnaire data indicated that both youth with SAD and …

A Randomized Trial Of Attention Training For Generalized Social Phobia: Does Attention Training Change Social Behavior?, Brian Bunnell

Electronic Theses and Dissertations

The use of attention training protocols for the treatment of generalized social anxiety disorder (SAD) is undergoing increased examination. Initial investigations were positive but more recent investigations have been less supportive of the treatment paradigm. One significant limitation of current investigations may be over-reliance on self-report. In this investigation, we expanded on initial investigations by using a multimodal assessment of patient functioning (i.e., including behavioral assessment). Patients with a primary diagnosis of SAD (n = 31) were randomly assigned to eight sessions of attention training (n = 15) or placebo/control (n = 16). Participants were assessed at pre- and post-treatment …

Measurement Of Negative Affectivity In Psychometrically Defined Schizotypy Using Facial Electromyography, Jonathan Mitchell

Electronic Theses and Dissertations

Schizotypy is a sub-threshold syndrome associated with schizophrenia. Much of the research on schizotypy concerns its component features, one of which being blunted or constricted affect. While several investigations have addressed this common “negative” symptom within the context of schizophrenia, few have focused on schizotypy directly, and none have utilized psychophysiological measurement to examine affective constriction. The present investigation uses facial electromyography (EMG) to measure patterns of affective expression within a psychometrically defined schizotypal population when presented threatening and distressing pictures from the IAPS. Twenty-eight individuals with elevated schizotypal features and 20 healthy controls were recruited for this investigation. The …

The Effects Of Marital Conflict And Marital Environment On Change In Marital Status, Kristen Auberry Hamilton

Theses and Dissertations--Family Sciences

This study examined how marital conflict and marital environment contribute to change in marital status over time; while controlling for gender and other demographic characteristics. The current study used all three waves, 1987-1988, 1992-1994, 2001-2002, of the nationally representative dataset National Survey of Families and Households (NSFH). Four longitudinal models were tested using path analysis and the Bayesian estimation technique. Findings indicate there is no effect of marital conflict on change in marital status when demographic and marital environment variables are in the model. Age has the strongest direct and indirect effects. An increase in number of times married consistently …

Parents' Coping With Children's Newly Diagnosed Long-Qt Syndrome: A Qualitative Study Of The Function And Utilization Of An Online User Group, Allison Burns-Pentecost

PCOM Psychology Dissertations

Long QT syndrome is a sudden death syndrome that occurs in about 1 in 2,000 births. LQTS is caused by genetic mutations that affect the electrophysiology of the heart, resulting in a prolonged QT interval and possible cardiac arrhythmia, syncope or sudden death. Treatments include medications, implantable cardioverter defibrillators and activity restrictions. Little research exists regarding the psychosocial factors of the illness or the ways in which families cope with diagnosis and management of the chronic illness. The current study used archival data from an online user group. Participants were members of the group who discussed concerns related to LQTS. …

Motivation In Athletes With And Without Autism Spectrum Disorder: Sq, Eq And Aq Relationships To Preferred Feedback, Julia C. Harreschou

Scripps Senior Theses

All athletes are driven by motivation, sources or reasons to push their bodies to their limits and continue to do so regularly. There have been several studies concerning motivation in typical athletes, and many regarding social motivation in people with High Functioning Autism (HFA), however most have been limited to children, and there have been no investigations into HFA athletes’ motivation. The current study looks into the role of social dimensions in athletics, and tests how one’s gender and placement on the Empathy Questionnaire (EQ), Systemizing Questionnaire (SQ), and on the Autism Questionnaire (AQ) affect intrinsic motivation in athletics. It …

Relationship Predictors Of Prenatal Maternal Representations Of The Child And Parenting Experiences One Year After Birth, Kylene Krause

Master's Theses and Doctoral Dissertations

Bowlby’s attachment theory (Bowlby, 1969/1982) is one of the most dominant approaches used to describe and investigate attachment relationships and emotional development throughout the entire lifespan. However, attachment research is typically conducted through two distinct fields of psychology: developmental and social/ personality psychology. These two fields tend to use different research strategies and measures and focus on different types and aspects of relationships, yet both make important contributions to the attachment literature (Bartholomew & Shaver, 1998). The goal of this investigation was to integrate attachment research from these two fields of psychology in order to broaden psychological and scientific understanding …

Effects Of Emotion Regulation Strategies On Sexual Risk-Taking, Monica Lackups

Master's Theses and Doctoral Dissertations

Sexual risk-taking is a growing problem and an area where there are significant individual differences in behavior. One contributing factor to risky sexual behavior may be emotion regulation difficulties. For example, suppression has negative effects on emotion experience, while reappraisal leads to increased well-being. Previous research has demonstrated the use of sexual behavior as an emotion regulation strategy in victimized populations. This study investigated whether emotion regulation strategies influence sexual risk-taking in a non-clinical college population. Individuals with higher levels of emotion regulation difficulties and higher suppression use engaged in more frequent sexual risk-taking behavior, whereas individuals who used reappraisal …