Clinical Psychology Commons^™

Hoof Prints For Healing: An Equine-Assisted Therapy Program For A Unique School, Alison M. Roy

Antioch University Dissertations & Theses

The unique and meaningful relationship that can develop between humans and horses has been well documented for centuries. More recently a hypothesis has emerged that humans can improve self-concept and social competence from having a horse in their lives. To date, few studies have empirically explored this hypothesis. The hypothesized social and emotional benefits of interacting with horses have inspired Equine-Assisted Therapy (EAT) programs which utilize horses in goal-directed treatment. EAT programs have been shown to be especially effective for socially and emotionally disadvantaged children and youth. In the current project, the author created an EAT program for the socially …

Raising Children On The Autism Spectrum: Parental Needs, Kathleen A. Ryan

Antioch University Dissertations & Theses

The rates of Autism Spectrum Disorder (ASD) diagnoses have increased rapidly in the past few years. This increase is affecting many American families but the current research literature fails to evaluate the needs of parents who are raising children on the spectrum. Parents of children with Autism experience grief, denial, anger, guilt, depression, isolation, stress, financial difficulties, and marital struggles. The author proposed a mixed methods study to determine services received and satisfaction with those services; level of parental interest in specialized services; how well parents’ needs had been met with existing services; and what services parents of autistic children …

Capp: A Comprehensive Preventative Program Model Addressing Alcohol Misuse Among College Freshmen, Laura Tsotsis

Antioch University Dissertations & Theses

Alcohol consumption by college students in the United States has increased in quantity and frequency over the past five years. With this increase, there has come evidence of a rise in negative consequences caused by alcohol misuse. To help reduce these problems, colleges and universities nationwide have begun implementing alcohol programs for their undergraduate students. The vast majority of these programs are intervention programs for students who have previously displayed dangerous drinking habits, often seen through campus judicial violations. Research shows that preventative program models, as compared to intervention programs, provide longer lasting changes in individuals and groups. Thus, a …

The Collaborative Role Of Psychologists In Rural Pediatric Primary Care Settings, Kimberly M. Russo

Antioch University Dissertations & Theses

In this dissertation I discuss research conducted to gain a greater understanding of the unique collaborative needs and desires of medical professionals working with pediatric patients in rural communities. Specifically, I researched the following question: Do medical professionals working in rural areas desire more in-depth collaborative relationships with mental health professionals than they currently have? I acquired information on this subject by mailing surveys to primary care physicians, nurse practitioners, and family practice doctors to learn more about their opinions regarding collaboration with mental health professionals. I collected data over a one-month period, resulting in 11 completed surveys being returned. …

Computer-Based Cognitive Training For Age-Related Cognitive Decline And Mild Cognitive Impairment, James Fortman

Antioch University Dissertations & Theses

Cognitive Training has been shown to be an effective tool in enhancing cognitive functioning. Research has also shown video game playing can improve certain aspects of visual attention and cognitive processing speed. The purpose of this study was to evaluate the effectiveness of both a specific computer-based cognitive training program and non-specific video game playing in improving cognitive functioning for individuals with age-related cognitive decline and mild cognitive impairment. Twenty-nine older adults were recruited into the study and randomly assigned to either the cognitive training group or video-game playing group. Nineteen participants completed the study, engaging in either cognitive training …

The Origin Of A Sense Of Self In Women, Kimberly Dewing Robbins

Antioch University Dissertations & Theses

This phenomenological study focuses on how a strong sense of self in women changes social precepts and gender stereotypes empowering women to define themselves instead of being defined by society. A sense of self may be defined as the ability to distinguish one’s own values from those of any outside persuasions, and to do so well enough to be able to protect those ideals from unwanted external influence. Is a sense of self, realized at a young age, an innate feeling or developed over time through adversity and the maturation process? This study will specifically look at what influences can …

Heart To Heart: A Cardiac Rehabilitation Follow-Up Program, Tamara H. Bisbee

Antioch University Dissertations & Theses

This dissertation describes a tele-health follow-up program designed to attend to the problem of noncompliance in the process of health-behavior change after formal Cardiac Rehabilitation treatment at a southern New Hampshire community hospital. Cardiac Rehabilitation treatment encompassing lifestyle behavior change is associated with a significant reduction in morbidity and mortality in individuals with Coronary Heart Disease. However, evidence that adherence to lifestyle behavior change recommendations diminishes significantly within six months of treatment suggests that noncompliance is a significant barrier to the secondary prevention of a disease with prodigious consequences. Accumulating evidence that Cardiac Rehabilitation treatment encompassing extended duration of contact …

Youth And Community Development Through Rites Of Passage: A Pilot Evaluation Model, Jason R. Emery

Antioch University Dissertations & Theses

This project presents a pilot program evaluation model for measuring the effectiveness of rites of passage strategies for youth and community development. It begins by clarifying the key elements and meaning of modern day, community-based rites of passage experiences for youth transitioning into and through adolescence. An effective rite of passage for adolescence is an intentional and transformative process that increases the youth’s community status while supporting and challenging youth to adopt attitudes, behaviors, and skills for a healthy transition through this developmental period and beyond. Next, the project applies a systems-based program evaluation model (Wasserman, 2010) to a rite …

What's In A Name? The Influence Of An Adhd-Inattentive Type Label On Perceived Social Competence As Viewed By Mental Health Professionals And Teachers, Jason Arkin

Antioch University Dissertations & Theses

Objective: To determine whether the presence of an ADHD-PI label influenced adult perceptions of a female adolescent’s social competence. Method: Forty four primary and secondary teachers and 54 mental health professionals rated their perceptions based on a vignette that included or did not include the label ADHD-PI. Results: The ADHD-PI labeled vignettes elicited more negative perceptions of the child’s social acceptance and ability to make close friends. Also, mental health professionals rated the girl as more socially accepted, regardless of diagnosis. There were no other significant main effects and there were no significant interaction effects. Conclusion: The presence of an …

Chronic Orofacial Pain Influences Self-Regulation In A Rodent Model, Tracey Christine Kniffin

Theses and Dissertations--Psychology

Self-regulation is the capacity to exert control over cognition, emotion, behavior, and physiology. Since chronic pain interferes with the ability to self-regulate, the primary goal of this study was to examine, in rodents, the effects of chronic pain on self-regulation processes. Sixteen male Sprague-Dawley rats were divided into two groups: (1) chronic constriction injury of the infraorbital nerve (CCI-ION) and (2) naïve. Testing confirmed that CCI-ION animals had significant mechanical allodynia compared to naïve animals (p<0.001). A two-part self-regulation behavioral paradigm consisting of a cued go/no-go task and a subsequent persistence task was developed based on human paradigms. In the cued task, both groups made fewer incorrect lever presses in post-surgery trials (p<0.001); naive animals had a greater decrease in number of incorrect presses than CCI-ION animals (p=0.06). Similarly, both groups had a larger correct to total lever presses ratio in post-surgery trials (p<0.001); naïve animals had a greater increase than CCI-ION animals (p=0.06). In the persistence task, naïve animals experienced a greater decrease in lever presses (p=0.08) than did CCI-ION animals (p=0.66). These results suggest that animals experiencing chronic pain were not able to learn as well as naïve animals, and may have difficulty responding to novel environmental demands.

Pathways To Early Coital Debut For Adolescent Girls: A Recursive Partitioning Analysis, Matthew R. Pearson, Tatyana Kholodkov, James M. Henson, Emily A. Impett

Psychology Faculty Publications

This study examined pathways to early coital debut among early to middle adolescent girls in the United States. In a two-year longitudinal study of 104 adolescent girls, recursive partitioning (RP) analyses were conducted to examine the specific factors that were related to engaging in first intercourse by the 10th grade among adolescent girls who had not yet engaged in sexual intercourse by the 8th grade. RP analyses identified subsamples of girls who had low, medium, and high likelihoods of engaging in early coital debut based on six variables (i.e., school aspirations, early physical intimacy experiences, depression, body objectification, body image, …

Assessing Numeracy In Oncology: The Role Of Patient Perception And Preferences, Jennifer Kilkus Poe

Theses and Dissertations--Psychology

Treatment decision making (TDM) in oncology is complex. Understanding treatment information is essential for shared TDM. Research suggests many patients have low numeracy. This mixed methods study explored numeracy and experience with numbers in a sample of individuals diagnosed with follicular lymphoma. Participants completed questionnaires (N = 32) and interviews (N = 20) assessing numeracy, decisional conflict and regret, and number preference. Results suggest that mean objective numeracy was relatively high, and most reported high confidence in numerical ability. Most participants preferred to receive numbers during the TDM process. There was no relationship between numeracy and decision outcomes. Future research …

Do High School Peer Crowd Affiliation And Peer Alcohol Use Predict Alcohol Use During College?, Jacqueline A. Bonsu

Theses and Dissertations--Psychology

Peer crowd affiliation (PCA) has been linked to alcohol use in adolescents, with patterns varying by crowd. However, a comprehensive examination of how peers influence college students’ behaviors, especially with regards to PCA, is lacking. The current study seeks to replicate and extend findings from Barber, Eccles, and Stone (2001) by examining whether high school PCA is associated with average weekly drinking and problematic drinking in a sample of college freshman, including friends’ drinking as a potential mediator and susceptibility to peer influence as a potential moderator. As existing research has found that close friends’ drinking predicts own drinking, peer …

Shame And Borderline Personality Features: The Potential Mediating Role Of Anger And Anger Rumination, Jessica R. Peters

Theses and Dissertations--Psychology

Two prominent emotions in borderline personality disorder (BPD) are anger and shame. Rumination has been demonstrated to occur in response to shame and to escalate anger, and rumination, particularly anger rumination, has been shown to predict BPD symptoms. The present study examined whether one way that shame leads to the features of BPD is via increased anger and anger rumination. A sample of 823 undergraduates completed self-report measures of global and situational shame, trait- level anger, anger'rumination, and BPD features. A structural equation model was constructed using these measures. The hypothesized model of shame to anger and anger rumination to …

The Relationship Between Infant Crying And Father Well-Being, Leslie Katch

Dissertations

Infant excessive crying and fussing has been linked to adverse maternal outcomes such as increased depression and stress, and decreased feelings of parenting self-efficacy. Infant crying has also been identified as the number one trigger caregivers report prior to an abusive action, placing infants who cry excessively at risk. Fathers and male caregivers have been identified as the primary offenders in the majority of infant abuse cases, suggesting a particular risk between fathers and infants who cry excessively. However, the relationship between excessive crying and fathers has not been explored to the same extent as mothers. In an effort to …

The Direct And Indirect Impact Of Pain Intensity, Weight Status, And Activity Involvement On Social Competence Outcomes In Children And Adolescents With Spina Bifida, Bonnie S. Essner

Dissertations

The purpose of this study was to test a mediated effects model in which youth with spina bifida who have greater pain, are more overweight, or have worse motor control were expected to have fewer friends and to display worse social performance in part because their higher degree of condition severity interferes with their involvement in developmentally-appropriate activities.

Data for the current study were drawn from the first wave of a larger, longitudinal study of psychosocial adjustment of children and adolescents with spina bifida. The sample was comprised of 108 children and adolescents with spina bifida and shunted hydrocephalus, ages …

Measures Of Executive Functioning And Their Relation To Functional Outcomes In A Sample Of Youth With Attention-Deficit/Hyperactivity Disorder (Add), Amy Marie Lyons Usher

Dissertations

The current study examined two commonly used neuropsychological assessments of executive functioning in a sample of children and adolescents with attention-deficit/hyperactivity disorder (ADHD). The Test of Everyday Attention for Children (TEA-Ch) is a performance-based, objective measure of executive functioning, and the Behavior Rating Inventory of Executive Functioning (BRIEF) is a subjective, parent-report measure. Confirmatory factor analysis (CFA) was used to establish the factor structures of these measures to determine their appropriateness with a sample of youth with ADHD. The association of these assessment tools with functional outcomes (academic achievement, social functioning) was examined to establish their ecological and incremental validity. …

Neuropsychological Functioning, Parenting Behaviors, And Healthcare Behaviors Among Youth With Spina Bifida, Lauren Kelly O'Hara

Dissertations

Objective This study was designed to examine whether neurocognitive functioning (attention and executive functions) and parenting behaviors (acceptance, behavioral control and psychological control) are associated with medical adherence and autonomy among preadolescents and adolescents with spina bifida. Methods Questionnaire and observational data were collected from a sample of 8 to 15 year olds with spina bifida (n = 139) and their mothers, fathers, and teachers. Youth also completed neuropsychological testing. Results Youth with spina bifida demonstrated impairment on measures of attention and executive function, based on questionnaire and test data. Attention, executive function, and parenting behaviors were associated with medical …

A Mediational Model Predicting Adjustment In Affluent Adolescents: The Role Of Parental Perfectionism, Perceived Parental Pressure, And Organized Activity Involvement, Edin Randall

Dissertations

The current cross-sectional study evaluated the relative contributions of parental perfectionism (i.e., self-oriented, other-oriented, and socially prescribed), perceived parental pressure, and organized activity involvement (i.e,. intensity) on depressive symptoms, anxiety, substance use, and life satisfaction in a sample of affluent adolescents. Findings indicated that parental perfectionism, and specifically other-oriented and socially prescribed perfectionism, is an important contextual factor negatively influencing affluent adolescent adjustment. Additionally, perceived parental pressure was found to have robust associations with adolescent adjustment and to explain the link between parental perfectionism and adolescent adjustment. Furthermore, the current study revealed a synergistic association between intensity of organized activity …

Exposure To Community Violence And Social Maladjustment Among Urban African American Youth: The Role Of Emotion Dysregulation, Devin Colleen Carey

Master's Theses

The goal of the present study was to further previous research that has focused on the detrimental outcomes of violence exposure by identifying the mechanisms that influence children's psychosocial vulnerabilities. Specifically, it examined emotion regulation as a possible mediator of community violence exposure to social adjustment. Moreover, because of the evidence that children living in inner city communities are chronically exposed to violence, this study longitudinally explored the reciprocal and perpetuating relationship between exposure to violence and child social maladjustment. Participants were 268 African American students (M age = 11.65 years, 40% males and 60% females) from six inner city …