Clinical Psychology Commons^™

Goodtimer For Good Behavior: A Nonconcurrent Multiple Baseline Examination Of A Behavioral Device Intervention To Reduce Child Misbehaviors, Morgan Weinstein

Selected Full Text Dissertations, 2011-

Behavioral Parent Training (BPT) effectively decreases disruptive behavior in children (Daley et al., 2014). Nonetheless, many parents perceive BPT to be challenging and demanding, leading to reports of high treatment dropout rates (Chacko et al., 2016.) To address this, the present study evaluated the effectiveness of Goodtimer, a behavioral health device utilizing contingency management, an element of BPT, to mitigate child disruptive behaviors. The Goodtimer is designed to make administering a contingency management system easier for parents. Employing a nonconcurrent multiple baseline design, the study assessed six families with children aged 3-9 years. Most parents who used the Goodtimer reported …

Why Her Business Is Our Business: Female Psychotherapists’ Experiences Working With The Perinatal Population, Alexa Garber M.S.

Selected Full Text Dissertations, 2011-

Approximately 800,000 women in the United States yearly suffer from maternal mental health (MMH) conditions (Maternal Mental Health Leadership Alliance, 2020). Not only is MMH the most common complication of pregnancy and childbirth, but rates have increased with the COVID-19 pandemic causing pregnant women and new mothers to be even more vulnerable to developing mental health problems (Thapa et al., 2020). Research on the consequences of the pandemic have indicated a pressing demand on the field of psychology to meet the needs of individuals suffering from maternal mental health. Various challenges healthcare professionals face when working with the perinatal population …

Examining Dbt Clinicians’ Perspectives Involving Parents Of Emerging Adults In Treatment: A Qualitative Study, Emma Bernstein M.S.

Selected Full Text Dissertations, 2011-

Emerging adults (ages 18-29) are at a heightened risk for developing mental illnesses, including mood disorders, anxiety disorders, and dying by suicide. Further, some emerging adults are considered to have “failed to launch” from their parents’ homes, leading to a postponement to full-fledged adulthood. While parents often play a significant role in their emerging adults’ lives, there is limited research on evidence-based treatment for emerging adults that systematically incorporate parents. Given the strong research support for Dialectical Behavior Therapy for Adolescents (DBT-A) that includes parent involvement, it is sensible to consider applying developmentally tailored adaptations to additional populations and understand …

Family Secrets: A Qualitative Analysis Of The Self After Dna Revelation, Joanna Rybnick M.S.

Selected Full Text Dissertations, 2011-

How much do we know about our families? There is limited research on the influx of family secrets revealed through genetic ancestry (genealogical/DNA) testing, a method utilized to learn about genealogy and family history that has become increasingly popular (Jorde & Bamshad, 2020). The present study stems from available research and archival stories and allows for a deeper understanding of how family secrets may present themselves in therapy. Previous research has focused on the content of secrets, categorizing themes within secrets, and the various functions of secret-keeping within family dynamics (Vangelisti, Caughlin, & Timmerman, 2001; Vangelisti & Caughlin, 1997). Additionally, …

Show And Tell… Ing What?: Correlation And Moderation Analyses Of Public Displays Of Affection And Romantic Relationship Satisfaction, Communication, And Adult Attachment Styles, Samantha Brooks M.S.

Selected Full Text Dissertations, 2011-

Public Displays of Affection (PDA) amongst romantic couples are clearly shown in everyday life, though paradoxically, they are largely unexplored and therefore poorly understood. Not only is it unknown how PDA relates to other well-studied components of romantic relationships, but it is also unclear who engages in PDA. The present study investigated the relationship between public displays of affection and previously examined, fundamental components of romantic relationships including relationship satisfaction and attachment and communication styles. It then investigated the moderating effects of relationship satisfaction on respective communication and attachment styles and PDA. Sample size was 105 participants (N= 105). Students …

A Literature Review Of Behavioral Outcome Measurement And Reporting Methods In Contemporary Diversity Training Research, Jesse Basson

Selected Full Text Dissertations, 2011-

Diversity Training (DT) has become increasingly popular within organizational and academic settings as sociopolitical issues such as race relations, gender discrimination, and advocacy for LGBTQ+ populations continue to be examined in the United States. Research on the impacts of DT on participant learning has produced mixed findings, provoking questions regarding overall effectiveness and outcome measurement in DT. Training evaluation research has previously defined learning into three separate categories; Affective learning, cognitive learning, and behavioral learning (Kraiger et al., 1993), and behavioral learning outcomes in DT have been the least investigated of the three (Kulik & Roberson, 2008a). This critical literature …

Attachment And Delusional Ideation: A Systematic Review And Proposed Model Of The Association Between Attachment Insecurity And Delusion Symptoms, Ryan Sparks M.S.

Selected Full Text Dissertations, 2011-

Early repeated child-parent experiences impact the emergence of children’s reality testing by providing them with secure, trusting relationships with reality-oriented caregivers in which beliefs can be evaluated and refined. These relationships facilitate open and reciprocal communication about thoughts and feelings. Caregivers facilitate the development of children’s reflective capacities by helping them connect their inner experiences to their behavior. This process encourages them to assess whether their thoughts and feelings accurately reflect reality by remaining attuned to the perceptions of reality that are shared with others. Given the centrality of early caregiving experiences to one’s development of reality testing, attachment theory …

An Examination Of Psycho-Behavioral Risk And Resilence Profiles In People With Chronically Painful Knee Osteoarthritis, Daniel Kusko

All ETDs from UAB

The prevalence and impact of chronic pain are far-reaching and costly to our society. Chronic pain conditions are affecting many people in the US and abroad. Osteoarthritis (OA) is commonly referred to as a slow progressing degenerative disease that tends to develop over 10 to 15 years and can result in functional limitations and pain. Chronic knee OA is a common form of OA pain that affects many adults across the globe. Biopsychosocial factors are theorized to play an important role in how people with chronic pain may develop, exacerbate, or cope with pain. The goal of this project was …

An Examination Of Sleep Quality And Experimental Pain Sensitivity In People With Hiv And Insomnia, Caroline Kathryn Webb

All ETDs from UAB

Prior research has established a bidirectional relationship between sleep and pain, yet this relationship has been understudied in people living with HIV. The current study investigated the relationship between HIV status (H+/H-) and insomnia status (I+/I-) on sleep and quantitative sensory testing (QST) variables. The study was comprised of two research visits where participants were screened and completed the QST protocol. Participants completed the Insomnia Severity Index (ISI), Dysfunctional Beliefs and Attitudes about Sleep (DBAS), and actigraphy as subjective and objective measures of sleep. There were four groups: H-/I- (n=46), H-/I+ (n=37), H+/I- (n=14), and H+/I+ (n=39) (N=136). Results showed …

Resilience After Prenatal Substance Exposure: Exploring The Role Of Cumulative And Specific Protective Factors In Predicting Toddlerhood Temperament Profiles, Anjeli Elkins

Theses and Dissertations--Psychology

Objective

Prenatal exposure to common substances, including nicotine, marijuana, cocaine, methamphetamine, opiates, and alcohol, has been linked to a wide range of psychiatric disorders and neurodevelopmental impairments. Identifying protective factors that may improve temperament profiles in toddlers who have experienced prenatal substance exposure may protect against these adverse outcomes and is crucial for developing targeted early interventions.

Methods

Participants (n=92; Mage = 28.7 years; 47.0% White) were biological mothers of toddlers (Mage = 22.6 months) with prenatal substance exposure. Mothers responded to an online survey that gathered information on substance use during pregnancy, proposed perinatal protective factors, and child temperament. …

Responses To Tobacco Use Screening And Tobacco Cessation Assistance Offers Among Rural And Ubran Cancer Survivors At An Nci-Designated Comprehensive Cancer, Abigayle Feather

Theses and Dissertations--Psychology

Smoking after cancer diagnosis is associated with poor outcomes while smoking cessation can improve quality of life and promote survival. Although there are calls for equitable tobacco treatment delivery in cancer and other healthcare settings, disparities in tobacco-related disease burden persist. In the context of an outpatient cancer center’s population-based tobacco treatment program, this study examines the association between cancer survivors’ rural and Appalachian residence and 1) current tobacco use status, 2) decision to decline cessation assistance, and 3) reason for declining assistance. A cross-sectional, retrospective analysis was conducted using electronic health record data from 16,839 adults (64.04% female, 88.49% …

Associations Between Queer Parent Family Socialization And Adolescent Outcomes Among Diverse Lgbtq+ Parent Families In The U.S., Nita U. Kulkarni

Theses and Dissertations--Psychology

Queer parent family socialization refers to the way LGBTQ+ parents talk with their children about what it means to be queer in society, how to handle discrimination, and ways to have pride in their family’s identity. This construct has been linked with positive well-being outcomes in children, and this study used a strengths-based, mixed- methods framework informed by Minority Stress Theory and intersectionality to examine how queer parent family socialization related to several adolescent well-being outcomes, namely internalizing behaviors, social competence, and adaptive coping. Participants recruited across two projects were 191 queer parents with an adolescent and 114 adolescents with …

Weighted Family History Density Of Substance Use: Influence On Participant Substance Use Onset, Escalation, And Duration, Carleigh A. Litteral

Theses and Dissertations--Psychology

Substance use disorders impose a staggering toll on the United States (U.S.), straining healthcare systems, destabilizing communities, and profoundly impacting both individuals and families. Approximately one in six Americans aged 12 and older had a past-year substance use disorder in 2022 (Key Substance Use, 2022), and nearly one-third of adults experience a substance use disorder in their lifetime (Wu, 2010), contributing to an economic burden exceeding $400 billion annually (National Drug Threat Assessment, 2011). Family history of substance use disorders is a key predictor of vulnerability, with individuals who have affected relatives being 2–8 times more …

Exploring The Effects Of Transcranial Direct Current Stimulation Of The Right Inferior Frontal Gyrus On Inhibitory Control In Posttraumatic Stress Disorder, Colton Rippey

Theses and Dissertations--Psychology

Background: The right inferior frontal gyrus (rIFG) is implicated in stop signal reaction time (SSRT) performance – a common measure of inhibitory control – and emotional expression and control. Individuals with posttraumatic stress disorder (PTSD) exhibit poorer stop SSRT performance, which is associated with rIFG hypoactivity. Neuromodulation of the rIFG with transcranial direct current stimulation (tDCS) can significantly improve inhibitory control and reduce fearful responding to threatening stimuli. Research has yet to test the effects of multifocal tDCS targeting the rIFG on inhibitory control or emotional reactivity in individuals with PTSD.

Methods: The current study aims to examine the impact …

Global Sleep Quality, Emotion Regulation Difficulties, And Ptsd Symptom Severity In Trauma-Exposed College Women, Grace M. Seymour

Theses and Dissertations--Psychology

Sleep problems are common among college women and may contribute to PTSD symptoms. Those with emotion regulation difficulties may have increased difficulty managing distress worsened by poor sleep, though it is unclear which specific facets of emotion regulation are most relevant. This study examined interactions between sleep quality and facets of emotion regulation difficulties on PTSD symptoms among college women (N = 1,037) using self-report measures: the Pittsburgh Sleep Quality Index (PSQI), PTSD Checklist for DSM-5 (PCL-5), and Difficulties in Emotion Regulation Scale (DERS-18). Two significant interactions emerged. Sleep disturbance interacted with difficulties engaging in goal-directed behavior (b …

Putative Mechanisms Of Personality Change In Treatment, Hannah Croom

Theses and Dissertations--Psychology

BPD Compass was designed to engage the BPD-relevant traits from the Alternative Model of Personality Disorders in the DSM-5 by targeting putative mechanisms associated with these personality domains: aversive reactivity to engage negative affectivity, attachment insecurity to engage antagonism, and self-efficacy to engage disinhibition. The goal of the present study was to test the associations between putative mechanisms and respective personality traits. We used multilevel structural equation modeling to test if personality domains and putative mechanisms changed in treatment, if changes in putative mechanism were associated with changes in respective personality domain, and if within-person changes in putative mechanisms predicted …

Examining Values In The Treatment Of Borderline Personality Disorder: A Single-Case Experimental Design, Nicole Stumpp

Theses and Dissertations--Psychology

Borderline personality disorder impacts roughly 1.6% of the general population yet only a quarter of people with BPD are able to access treatment. Understanding the mechanisms that promote behavior change in treatment is crucial for improving care for this population. Experiential avoidance has been linked to risky behaviors, a prevalent and debilitating symptom observed in BPD. Values identification may be a fruitful avenue for engaging experiential avoidance in treatment. The goal of the present study is to understand the unique and combined effects of values identification and behavior change skills (i.e., opposite actions, exposure) on experiential avoidance (target), maladaptive behavior …

Randomized Controlled Trial Of A Single-Session Mechanism-Focused Intervention For Suicidal Thoughts And Behaviors, Martina Fruhbauerova

Theses and Dissertations--Psychology

Suicide remains a critical public health concern, with increasing rates and millions experiencing suicidal ideation annually. Although evidence-based treatments exist, many are time-intensive, underutilized, and often inaccessible to high-risk individuals, especially those recently discharged from inpatient psychiatric care. Brief, scalable interventions targeting core psychological mechanisms implicated in suicidal thoughts and behaviors (STBs) are needed. This study evaluated a novel Single Session Mechanism-Focused Intervention (SSMFI) designed to reduce hopelessness and negative perceptions of social relatedness among adults hospitalized for STBs. In a randomized controlled trial (N = 38) conducted on two inpatient psychiatric units, participants were assigned to either the SSMFI …

Systematic Review Examining How Black Youth In The United States Cope With Stressful And Traumatic Experiences, Marcus Aaron Flax

Dissertations

Coping is an important behavioral skillset that youth use to emotionally regulate after experiencing stress or trauma. Research has repeatedly highlighted the stressors that Black youth experience, often finding that Black youth face higher levels of stress and trauma than their White peers. However, there has been a lack of research in understanding how Black youth cope with these higher levels of stress. This systematic review includes 72 studies (N = 16,205 participants) examining the frequency and effectiveness of coping strategies used by Black youth in response to a trauma or stressor, along with the associations between utilized coping strategies …

American Indian Survivors Of Domestic Violence And Self-Perceived Mental Health After Seeking Domestic Violence Services, Arial Swallow

Dissertations and Theses

Domestic violence has long-term impacts on women’s emotional, psychological, and physical health, with American Indian women experiencing disproportionately high rates of violence and face unique barriers in overcoming challenges of healing. As part of a larger study, this research aimed to better understand the healing process of American Indian women domestic violence survivors in rural areas. This study examined findings from a mixed methods approach, which investigated the significance of identifying co-occurring mental health needs and providing support, education, and resources to address these needs. The research utilized a quantitative method of descriptive statistics, identifying survivors who endorsed mental health …