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A Phenomenological Study Of Hispanic And Latinx Community Mental Health Care Providers, Sara Zare 2025 University of South Dakota

A Phenomenological Study Of Hispanic And Latinx Community Mental Health Care Providers, Sara Zare

Dissertations and Theses

Despite experiencing similar rates of mental health disorders, Hispanic/Latinx individuals are less likely than other ethnic/racial groups to access mental health services. There is a growing need for culturally responsive mental health services that address the unique barriers to access and unmet needs faced by Hispanic/Latinx communities. Community mental health organizations are critical to providing care to underserved populations who experience a wide range of resource-related barriers. The representation of bilingual and bicultural Hispanic/Latinx providers within these settings has become invaluable to addressing unique barriers not historically addressed by community mental health organizations. The present study utilized a phenomenological approach …


Cohesive Model Of Supervision: An Empirically Based Approach, Gülşah Kemer 2025 Old Dominion University

Cohesive Model Of Supervision: An Empirically Based Approach, Gülşah Kemer

Counseling & Human Services Faculty Publications

Supervision models are fundamental to our supervision practices and criticized for lacking empirical support. As a data-driven approach based on research with expert supervisors, Cohesive Model of Supervision unifies existing models’ central premises in a meaningful manner and emphasizes the understated areas of supervision practice.


The Unintended Consequences Of Normalization: Unmonitored Mental Health Discourse Among Youth And Suicide Risk, Farley Morris 2025 University of Texas at Arlington

The Unintended Consequences Of Normalization: Unmonitored Mental Health Discourse Among Youth And Suicide Risk, Farley Morris

Social Work Theses - Archive

Suicide has become an increasingly common cause of death among U.S. children ages 10–14. In 2001, suicide accounted for 8% of deaths in this age group; by 2010 the proportion rose to 12%, and by 2020 it reached 22% (Centers for Disease Control and Prevention [CDC], 2020). Although factors such as adverse childhood experiences (Felitti et al., 1998; Jones et al., 2024), psychache (Shneidman, 1998), burdensomeness (Joiner, 2005; O’Connor, 2011), and hopelessness (Bat Tonkus et al., 2022; Qiu et al., 2017) are associated with suicide, these elements alone do not explain the significant rise in suicide deaths over the past …


The Impact Of Family Variables On The Mental Health Of Gender Expansive Transitional Age Youth And Adults, Courtney Erdly 2025 West Chester University

The Impact Of Family Variables On The Mental Health Of Gender Expansive Transitional Age Youth And Adults, Courtney Erdly

West Chester University Doctoral Projects

Gender expansive individuals are at an elevated risk for stress and poor psychological outcomes such as depression, substance abuse, and death by suicide due to minority stress. Family variables can either protect against or perpetuate poor psychological outcomes. There is need to examine specific protective and risk factors in families with gender expansive children. The present study explores the relationship between family and caregiver relationship variables and well-being in a sample of 39 gender expansive individuals. Participants completed an online survey consisting of questionnaires measuring current internalizing and externalizing symptoms and their perception of their family structure, functioning, and parental …


Personalized Therapy To Meet Individual Children’S Needs And Improve Access: Identifying A “Goldilocks” Group Therapy Length For Children With Post Traumatic Stress (Pts), Rosa L. Boniface 2025 West Chester University of Pennsylvania

Personalized Therapy To Meet Individual Children’S Needs And Improve Access: Identifying A “Goldilocks” Group Therapy Length For Children With Post Traumatic Stress (Pts), Rosa L. Boniface

West Chester University Doctoral Projects

Objectives. The present study investigated the incidence and correlates of early treatment response among youth participating in a school-based intervention for PTSD symptoms. Methods. 44 elementary school children who participated in the Bounce Back Program (BB) from 2017 to 2019 were included. A Reliable Change Index (RCI) score was calculated for each child on the UCLA-R for PTSD. Youths with a significant RCI score by session 5 of the 10-session protocol were classified as early treatment responders. Pretreatment characteristics were examined in relation to early responder status. Results. PTS means in this sample decreased significantly after 5 …


Integrated Behavioral Health In Pediatric Primary Care: Identifying Latent Patient Subgroups And Differential Outcomes, Karen Glownia 2025 Eastern Michigan University

Integrated Behavioral Health In Pediatric Primary Care: Identifying Latent Patient Subgroups And Differential Outcomes, Karen Glownia

Master's Theses and Doctoral Dissertations

Fifty percent of children do not receive care for their mental health concerns, while 95% are seen annually within primary care by age 6. Individual, cultural, and systemic barriers limit access to mental health care. Integrating mental health services into primary care has the potential to increase awareness, reduce costs, and decrease stigma. However, integrated primary care often relies on a brief and targeted intervention approach that may not be suitable for all families. Therefore, it is important to examine differential outcomes within this setting. Methods: This study analyzed retrospective data from 3,494 new patient medical records at a large …


Examination Of Barriers To Accessing Integrated Behavioral Health Care, Alyssa Buthman 2025 Eastern Michigan University

Examination Of Barriers To Accessing Integrated Behavioral Health Care, Alyssa Buthman

Master's Theses and Doctoral Dissertations

Research has found that pediatric integrated behavioral health (IBH) significantly increases utilization of behavioral health services, but there are still families who are missing out. The purpose of the current study is to examine characteristics that may influence or impede utilization of an IBH referral. Phase 1 utilized survey methodology paired with electronic medical record review in a sample of 24 caregivers to pediatric patients to investigate whether parent-reported perceived stigma of accessing mental health care, barriers to accessing health care in general, and child symptom severity uniquely predicted referral utilization. Phase 2 used electronic medical record data in a …


Can Secure Base Script Knowledge Predict Changes In Perceptions Of Conflict Resolution Discussions In Engaged Couples Over Time?, Sarah Finkelstein 2025 Long Island University

Can Secure Base Script Knowledge Predict Changes In Perceptions Of Conflict Resolution Discussions In Engaged Couples Over Time?, Sarah Finkelstein

Selected Full Text Dissertations, 2011-

According to attachment theory, attachment representations shape the way in which individuals obtain and organize social information. One facet of social information processing that has been studied in relation to attachment representations is memory reconstruction, which is the process by which previous experiences and prior knowledge shape the recollection of past events. In this study, we examined how secure base script knowledge, an aspect of attachment representations that reflects access to a temporal-causal sequence regarding receiving support from close others, predicts changes in how romantic partners perceive conflict resolution discussions over time. Members of engaged couples (N =154) rated levels …


Describing And Understanding The Use Of Coaches For Eating Disorder Recovery: A Mixed Methods Study, Taylor E. Penwell 2025 University of Montana, Missoula

Describing And Understanding The Use Of Coaches For Eating Disorder Recovery: A Mixed Methods Study, Taylor E. Penwell

Graduate Student Theses, Dissertations, & Professional Papers

Individuals with eating disorders (EDs) experience high rates of relapse and delays in accessing treatment. Considering these factors, individuals with EDs may seek out non-traditional support, such as coaching services (e.g., an unlicensed individual providing support). However, there is currently no research on individuals with EDs’ experiences with using coaching services for ED recovery. The current study aimed to a) describe who is utilizing coaching support, b) describe coaching services received, c) evaluate the motivations for seeking coach support, and d) evaluate the perceived impact of coach support on an individual’s ED recovery. Participants included 86 adults with a self-reported …


The Relationship Between Adverse Childhood Experiences, Parenting Behavior, And Parenting Self-Efficacy In African American Families With Low-Income, Maleek Holmes 2025 Eastern Michigan University

The Relationship Between Adverse Childhood Experiences, Parenting Behavior, And Parenting Self-Efficacy In African American Families With Low-Income, Maleek Holmes

Master's Theses and Doctoral Dissertations

Early trauma is linked to adverse adult outcomes, including parenting deficits. While prior research has emphasized specific trauma types and severe parenting deficits, less is known about how cumulative trauma shapes normative parenting behaviors. Parenting self-efficacy (PSE) has been proposed as a potential mechanism linking early adversity to later parenting practices, though under-researched. This study examined the relationships between adverse childhood experiences (ACEs), PSE, and positive parenting behaviors in a sample of 56 caregivers of preschool-aged children enrolled in Head Start. PSE was significantly associated with greater use of limit-setting, positive behavior support, and proactive parenting strategies, reinforcing its role …


Exploring The Link Between Relationship Status And Emotion Regulation Strategy Use, Abigail A. Echols 2025 University of Central Florida

Exploring The Link Between Relationship Status And Emotion Regulation Strategy Use, Abigail A. Echols

Honors Undergraduate Theses

Romantic relationships affect many areas of life and are important sources of interpersonal emotion regulation, yet little research has investigated whether relationship status influences emotion regulation strategy use and emotion dysregulation. Considering that the types of emotion regulation strategies individuals use significantly affect their well-being, understanding the link between relationship status and emotion regulation strategy use is important. This study compared single, partnered, and recently separated individuals’ emotion dysregulation and use of eleven intrapersonal and eleven interpersonal emotion regulation strategies in general (i.e., trait) and in a specific situation (i.e., state) through retrospective self-report scales and an autobiographical writing task. …


Cultural Barriers To Mental Health Support: Exploring Stigma In Childhood Trauma Survivors In Aruba, Ralitsa I.C. Hart 2025 University of Central Florida

Cultural Barriers To Mental Health Support: Exploring Stigma In Childhood Trauma Survivors In Aruba, Ralitsa I.C. Hart

Honors Undergraduate Theses

This study explored whether negative attitudes towards seeking professional psychological help among people in Aruba who reported experiencing childhood trauma were predicted by perceived social stigma and the intensity of the trauma. An online survey measuring childhood trauma, attitudes towards seeking professional psychological help, and perceived stigma was administered to 162 participants using a cross-sectional correlational design. To determine the predictive relationship among these variables, a multiple regression analysis was performed. Results showed that perceived stigma significantly predicted more negative attitudes towards seeking professional psychological help, while the severity of childhood trauma did not. Among the trauma subscales, emotional abuse …


Finding Love On The Spectrum: An Analysis Of Social And Romantic Relationships Of Autistic College Students, Kaylee Spinner 2025 Eastern Illinois University

Finding Love On The Spectrum: An Analysis Of Social And Romantic Relationships Of Autistic College Students, Kaylee Spinner

Masters Theses

Autism Spectrum Disorder (ASD) is characterized by difficulties in socialization, communication, and developing relationships with others. While many autistic individuals desire to start relationships with others, many do not have a very strong understanding of the use of nonverbal communication or how to develop these connections organically. As autistic individuals have become more open about wanting these resources to form social and romantic relationships, there has been more of a push in the literature to include social skills training for forming social relationships. However, the research on the desire for or development of romantic relationships for autistic individuals is still …


Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood 2025 Eastern Illinois University

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …


The Relationships Of Anxiety Sensitivity, Intolerance Of Uncertainty, And Alexithymia On University Students’ Experiences Of Depression, Anxiety, And Stress, Vanessa Watterson 2025 Eastern Illinois University

The Relationships Of Anxiety Sensitivity, Intolerance Of Uncertainty, And Alexithymia On University Students’ Experiences Of Depression, Anxiety, And Stress, Vanessa Watterson

Masters Theses

Undergraduates’ mental health has seen a significant decline over the past several decades. Past research has identified significant correlations between specific cognitive vulnerabilities and experiences of psychological distress. The current study reviewed the literature on relationships between three cognitive vulnerabilities (anxiety sensitivity, intolerance of uncertainty, and alexithymia) and individuals’ experiences of depression, anxiety, and stress. Further, this study utilized a hierarchical regression model to examine the predictive abilities of anxiety sensitivity, intolerance of uncertainty, and alexithymia on depression, anxiety, and stress, respectively. The findings indicated that all three cognitive vulnerabilities had significant and unique contributions to depression, anxiety, and stress …


Childhood Maltreatment And Social Anxiety In College Students: Examining The Role Of Distress Tolerance, Alexa N. Matthies 2025 Eastern Illinois University

Childhood Maltreatment And Social Anxiety In College Students: Examining The Role Of Distress Tolerance, Alexa N. Matthies

Masters Theses

This study examines the relationship between childhood emotional maltreatment and social anxiety, with a focus on the mediating role of distress tolerance. Emotional maltreatment has been linked to numerous adverse psychological outcomes, yet its specific contribution to social anxiety symptoms requires further exploration. Using a sample of 94 participants aged 18 to 24, this research employs validated instruments, including the Childhood Trauma Questionnaire and Liebowitz Social Anxiety Scale, to assess the prevalence and impacts of emotional abuse and neglect. Findings reveal significant correlations between emotional abuse, neglect, and elevated social anxiety symptoms. Distress tolerance emerged as a key mediator, partially …


The Long-Term Psychological Effects Of Violent Crime On Victims: A Review Of Evidence And Supportive Interventions, Jayden E. Oleksyn-Lamb 2025 Missouri State University

The Long-Term Psychological Effects Of Violent Crime On Victims: A Review Of Evidence And Supportive Interventions, Jayden E. Oleksyn-Lamb

Graduate Theses/Dissertations

This study utilizes anonymous survey data collected from 26 mental health professionals in various regions of Canada to understand which psychological disturbances are the most prevalent among victims of violent crime as well as which psychological interventions are most beneficial for treating violent crime victims. The data revealed that Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), anger, guilt, self-blame, and shame are each highly prevalent. Findings also revealed that certain therapeutic methods including Eye Movement Desensitization Reprocessing (EMDR), Supportive Counselling (SC), Progressive Relaxation (PR), Cognitive Reprocessing Therapy (CPT) and Cognitive Restructuring (CR) are associated with …


Utilizing The Spatial Evaluation Of Language And Flexibility For Youth (Self-Y) In Clinical Case Conceptualization, Katelyn Frahm 2025 Missouri State University

Utilizing The Spatial Evaluation Of Language And Flexibility For Youth (Self-Y) In Clinical Case Conceptualization, Katelyn Frahm

Graduate Theses/Dissertations

Individuals diagnosed with autism spectrum disorder (ASD) often experience challenges with restricted and repetitive behaviors, relating directly to challenges with psychological flexibility (Hyman et al., 2020; Hayes et al., 2006). Unfortunately, the history of applied behavior analysis has extended harmful implications of treatment that have focused on compliance training and punishment, often worsening psychological flexibility (Sandoval-Norton et al., 2019). Research is calling behavior analysis to combine flexible approaches, such as Acceptance and Commitment Therapy, with technologies exploring the intricacies of individual relational networks (Hayes et al., 1999; Hayes et al., 2022; Hayes & King, 2024). The present study introduced the …


The Pathways Of Father-Child Attachment: Examining Conflict Communication, Emotion Regulation, And Psychopathology In Emerging Adults, Kanica Bhutoria 2025 Eastern Michigan University

The Pathways Of Father-Child Attachment: Examining Conflict Communication, Emotion Regulation, And Psychopathology In Emerging Adults, Kanica Bhutoria

Master's Theses and Doctoral Dissertations

Emerging adulthood is marked by instability, identity exploration, and heightened vulnerability to mental health difficulties. Parental attachment relationships shape emotion regulation and conflict communication during this transition, with implications for psychopathology. Using a cross-sectional survey design, this study examined associations among attachment-related anxiety and avoidance toward mothers and fathers, conflict communication, emotion regulation strategies, and psychopathology in 334 emerging adults. Participants completed measures of parental attachment; conflict communication; behavioral and cognitive emotion regulation strategies; and internalizing, externalizing, substance use, and crime-related symptoms. Attachment-related anxiety toward both parents was associated with elevated internalizing symptoms. Greater conflict communication with fathers was uniquely …


Predicting 18-Month M-Chat-R/F With Pediatractmv3.0 Motor And Social/Communication/Cognition Domains, Ryan Krebs 2025 Eastern Michigan University

Predicting 18-Month M-Chat-R/F With Pediatractmv3.0 Motor And Social/Communication/Cognition Domains, Ryan Krebs

Master's Theses and Doctoral Dissertations

Background. The developmental cascade framework suggests early delays in one system can impact others. Infants born preterm or with autism spectrum disorder (ASD) often show such delays. Methods. The study included 498 infants enrolled in PediaTracTM a novel caregiver-report measure. The convergent validity of PediaTrac with the Ages and Stages Questionnaire (ASQ-3) was examined, along with its ability to predict ASD risk at 18 months using cross-sectional (9- and 12-month) and longitudinal (0–12-month) latent traits of motor (MOT) and social/communication/cognitive (SCG) abilities. Results. Strong convergent validity was found between PediaTrac and ASQ-3 domains at both time points. MOT at 9-months …


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