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Trauma, Posttraumatic Stress Disorder Symptoms, and COVID-19 Impacts among South Asians (open access)

Trauma, Posttraumatic Stress Disorder Symptoms, and COVID-19 Impacts among South Asians

South Asians are the third fastest growing racial/ethnic minority group in the United States with distinct cultural characteristics. The coronavirus disease 2019 (COVID-19) pandemic has disproportionately impacted racial and ethnic minorities in the U.S, including South Asians, across several life domains: work, home life/education, social activities, economic, emotional and physical health, infection, quarantine, and positive changes. The COVID-19 pandemic may have critically impacted South Asians with traumatic event experiences and posttraumatic stress disorder (PTSD) symptom severity across several life domains. Limited work suggests high rates of interpersonal traumas and substantial PTSD symptom severity in the South Asian community. Uniquely, the current study examined which life domains impacted by the COVID-19 pandemic associated with a greater count of traumatic event types, interpersonal vs. non-interpersonal traumas, and PTSD symptom severity. Results revealed that negative experiences in social activities, as well as distress in economic, emotional, and physical health domains, were significantly associated with the count of traumatic event types. Negative social activity experiences, and distress in the economic and emotional health domains, were also significantly associated with PTSD symptom severity. Quarantine and physical health domains significantly associated with the count of interpersonal traumas, while COVID-19-related experiences (in social, quarantine, and infection domains) …
Date: August 2022
Creator: Rafiuddin, Hanan S.
System: The UNT Digital Library
Barriers and Facilitators of College Athletes Seeking Mental Health Services (open access)

Barriers and Facilitators of College Athletes Seeking Mental Health Services

The data surrounding barriers to student-athletes seeking mental health care are limited, but show that stigma is one of the most frequently reported barriers. Further, the effect of sharing demographic identities (i.e., race, gender) between a student-athlete and their mental health treatment provider has not been fully explored. The purpose of this study was to determine the frequency of reported barriers and facilitators to mental health as well as the importance of sport psychologist characteristics as a facilitator of mental health treatment. Participants consisted of student athletes from an NCAA Division I university, representing 11 sports. A series of two-way, repeated measures ANOVA analyses were conducted to determine within-subjects differences in overall reporting of barriers and facilitators, as well as between groups differences in race and gender. Significant differences were found in the rating of barriers and facilitators. Female student-athletes rated sharing a gender identity with their mental health treatment provider as more important than did male student-athletes. The findings of the study may aid athletic departments in developing targeted interventions to lower barriers and increase use of mental health resources to promote psychological well-being among student-athletes.
Date: December 2022
Creator: Yoon, Julian Jehoon
System: The UNT Digital Library
Emotion Regulation in Bipolar Disorder: A Meta-Analytic Review (open access)

Emotion Regulation in Bipolar Disorder: A Meta-Analytic Review

Bipolar disorder (BD) is a serious mental illness characterized by dramatically differing mood states and marked costs for the individual and society, making it important to find factors associated with the condition. Deficits in emotion regulation have been found across a wide range of mental health disorders and may represent an important risk factor for BD. Literature in this area has large methodological inconsistencies and many conclusions are mixed. Therefore, the current study sought to conduct a meta-analytic review of literature related to emotion regulation in BD. Results suggest that people with BD broadly report more frequent use of maladaptive emotion regulation strategies and less frequent use of adaptive emotion regulation strategies than healthy controls. Of these strategies, the largest effect sizes were found for risk-taking, rumination, impulsivity, catastrophizing, and self-blame. Comparisons to other clinical groups suggest that emotion regulation in BD is largely similar to major depressive disorder and less severely impaired than borderline personality disorder. Moderator analyses of BD samples in different mood states suggest mood state plays a limited role in emotion regulation strategy usage, although some maladaptive strategies may be more common in samples with depressive symptoms. Among emotion regulation strategies, increased positive rumination and suppression …
Date: December 2022
Creator: Potts, Anabel Faye
System: The UNT Digital Library

The Role of Affiliative and Aversive Personality Traits in Predicting Social Attitudes

Interpersonally aversive, antagonistic, or "dark" traits have been the focal point of research for decades. In more recent personality research, affiliative, prosocial, or "light" traits have become an area of emerging interest. Examining both domains may allow for a more comprehensive perspective to understanding behaviors and social attitudes involved in human nature related to social dominance and authoritarianism. The purpose of this study was to explore the associations among aversive versus affiliative personality traits with social dominance orientation (SDO) and right-wing authoritarianism (RWA). Both SDO and RWA are robustly tied to prejudice and discrimination, as well as other negative interpersonal characteristics. In this way, the current study will help address if expression of SDO and RWA are primarily linked with presence of a negative (aversive traits) or more so with the absence of a positive (affiliative traits) The current study involved a large general population sample of males who were assessed with Self-Report Psychopathy Scale-Short Form (SRP-SF), subscales from the Short Dark Tetrad (SD4), and the Light Triad Scale (LTS), along with variables tapping the multifaceted domains involved in SDO and RWA. In addition to a series of multiple regression analyses, an exploratory structural equation model (ESEM) was tested to …
Date: December 2022
Creator: Ngo, Darlene A.
System: The UNT Digital Library

Inflammatory Biomarker Levels and Vaccine Response

This study was conducted as part of a parent grantwhich examined the relationship between components of sleep and antibody responses to the flu vaccine in a population of 392 nurses working at two large hospitals. During/after sleep data was collected, nurses had blood drawn at four time points: immediately pre-vaccination, 1-, 6-, and 11-months post vaccine to obtain serum for detection of anti-influenza antibodies measured with an HI (hemagglutination inhibition) assay. Additionally, the inflammatory biomarkers IL6, IL1-β, TNF-α and CRP were measured at the pre-vaccine time point only to determine any correlation between the markers and antibody response. Data was analyzed using a hierarchical regression. In the first step, analyses assessed whether each change/average in cytokines over the one-month period had an impact on vaccine response for each of the four viral strains in the flu vaccine. In a second step, analyses assessed whether variables such as insomnia, stress, age, smoking, BMI, and race had any impact on vaccine response beyond the effects exerted through inflammation. The change in association (β) between the primary independent variable and primary dependent variable were examined in order to determine whether there are any suppression effects caused by baseline covariates on the relationship between …
Date: May 2022
Creator: Alkire, Christopher B
System: The UNT Digital Library

Elucidating the Effects of Pre-Treatment Expectation Measures on Therapeutic Outcomes: A Meta-Analysis

Client pre-treatment expectations have a significant impact on psychotherapy outcome, therapeutic alliance, and attendance. Client expectations are thought to account for approximately 11-14% of variance in premature termination from psychotherapy. However, measures that conflate treatment beliefs and distinct measurement techniques for the same outcome construct obscure the relationship between expectations and psychotherapy outcomes. Clarifying these associations is necessary to support development of useful methods and processes that support client retention in evidence-based treatments. With drop-out rates of approximately 20% across treatment settings, and as high as 69.4% in psychology training clinics, risk of attrition is a significant liability to effective treatment. The meta-analytic findings presented herein clarify the association of pre-treatment expectations with psychotherapy outcome, considering competing definitions for client expectations and discrepant psychotherapy outcome measurement. Implications for attrition, treatment outcomes, and therapeutic alliance are discussed.
Date: December 2022
Creator: Herrera, Christa N.
System: The UNT Digital Library
Collegiate Student-Athletes' Psychological Distress and Counseling Use during COVID-19 (open access)

Collegiate Student-Athletes' Psychological Distress and Counseling Use during COVID-19

The onset of COVID-19 and cancellation of collegiate sports may have exacerbated student-athletes' psychological distress. Within a national sample of collegiate student-athletes (N = 5755; 66.7% women; 72.3% White), I determined how gender, race, and sport season related to rates of depression, stress, and counseling use. I used a cross-sectional methodology and collected data in April/May 2020. Overall, 26.5% (n = 1526) and 10.6% (n = 612) of the collegiate student-athletes endorsed clinical and high levels for depression and stress, respectively; 25.1% (n = 1443) and 69.7% (n = 4014) reported subclinical and moderate levels of depression and stress, respectively. Few student-athletes reported counseling use before (17.1%) or after (2.3%) the onset of COVID-19; those who reportedly used services endorsed higher levels of depression and stress than those who did not. Female student-athletes reported higher rates of depression, stress, and counseling use than male student-athletes. There were no race or sport season effects. Student-athletes who competed in spring sports endorsed higher levels of counseling use than student-athletes who participated in a fall season sport. Athletic departments must address their student-athletes' psychological distress by facilitating a higher use of mental health services.
Date: May 2022
Creator: Slavin, Lindsey Eve
System: The UNT Digital Library
Differential Treatment and Outcomes of Racial and Ethnic Minorities in Psychotherapy (open access)

Differential Treatment and Outcomes of Racial and Ethnic Minorities in Psychotherapy

Therapeutic alliance has been consistently demonstrated as a robust predictor of treatment outcomes, though the time in psychotherapy at which therapeutic alliance best predicts outcomes is unclear. Unfortunately, evidence suggests that racial and ethnic minority clients typically form weaker therapeutic alliances in treatment. The weaker development in therapeutic alliance among racial and ethnic minority clients may mediate discrepancies in treatment outcomes, including higher dropout rates. The purpose of this study was to explore this possibility by (1) investigating the temporal relationship between therapeutic alliance and treatment outcomes and (2) examining differences in therapeutic alliance ratings and treatment outcome, including unilateral termination, among racial and ethnic minority clients. The findings of this study may be integral to identifying and addressing psychotherapy treatment disparities that are tied to racial or ethnic minority status.
Date: May 2022
Creator: Dimmick, A. Andrew
System: The UNT Digital Library
Empirical Correlates of the Personality Assessment Inventory (PAI) in an Outpatient Sample: A Replication and Extension (open access)

Empirical Correlates of the Personality Assessment Inventory (PAI) in an Outpatient Sample: A Replication and Extension

The Personality Assessment Inventory (PAI) has gained widespread favor since its publication. However, validation studies of its interpretive descriptors remained limited to date. As such, the primary goal of the current study aimed at validating the interpretive descriptors through the lens of empirical correlates using the PDSQ as the external criterion. It also served as a replication and extension to the 2018 study conducted by Rogers and colleagues. The final archival sample included 204 clients from the UNT Psychology Clinic who were administered PAI between May 2016 and December 2020. Overall, reliability and construct validity were strongly supported for PAI clinical scales. Further, the current study replicated large majority of the correlates identified by Rogers and colleagues, which boosted the confidence in reproducible interpretations based on empirical correlates. Importantly, investigation of item-level and gendered correlates provided crucial interpretive implications that were otherwise obscured. For example, item-level correlates refined interpretation by clarifying the nature of scale-level correlates, particularly those of moderate strength. On the other hand, notable gender differences were identified for certain scales, which led to drastic differences in patterns of gendered vs. non-gendered correlates. Finally, several important methodological considerations are proposed in hope to facilitate the empirical research concerning …
Date: May 2022
Creator: Pan, Minqi
System: The UNT Digital Library
Untangling Relational Trauma: A Symptom Network Model of Complex Posttraumatic Stress Disorder within a Relational Framework (open access)

Untangling Relational Trauma: A Symptom Network Model of Complex Posttraumatic Stress Disorder within a Relational Framework

The recent inclusion of complex posttraumatic stress disorder (CPTSD) within the International Classification of Diseases, eleventh edition (ICD-11) prompted scholars to re-evaluate treatment guidelines for traumatic disorders. The present study aimed to conceptualize dyadic, community, and systemic connections within the context of ICD-11 traumatic disorders and investigate unique associations between factors capturing relational quality. The current study additionally utilized a novel network modeling approach to explore the CPTSD symptom network structure using a college sample of trauma survivors. Consistent with generations of theory and research, relational quality factors associated with the disturbances in self-organization (DSO) symptom cluster, and anticipated discrimination associated with both relational disturbance and sense of threat. Affect dysregulation, re-experiencing, and relational engagement emerged as most central within the CPTSD symptom network, providing evidence towards the role of affect regulation in relational functioning, while intersectional discrimination associated with both the PTSD and DSO symptom clusters. Findings from the present study provide context to the potential application of a relational and systems focused intervention.
Date: August 2022
Creator: Archuleta, William P
System: The UNT Digital Library
Mending Broken Hearts: Contributions of Attachment Style, Decentering, and Meaning Making for Breakup Adjustment during Emerging Adulthood (open access)

Mending Broken Hearts: Contributions of Attachment Style, Decentering, and Meaning Making for Breakup Adjustment during Emerging Adulthood

Breakups within emerging adulthood (EA) are associated with heightened distress because of individuals' tendency to be preoccupied by and prioritize romantic relationships. Global narrative scoring systems, such as Boals et al.'s meaning making (MM) and Feffer et al.'s interpersonal decentering, can be a useful for analyzing the activated cognitive processing in narratives about stressful events and have been linked to positive adjustment from those events. Attachment may moderate the benefits of processing a breakup. While avoidantly-attached people report lower breakup distress because of their tendency to suppress attachment-related thoughts and emotions, anxiously-attached individuals report prolonged distress due to their tendency to ruminate about the past relationship and to experience continued attachment to their ex-partner. The current study assessed the cross-sectional effects of MM and decentering on depression and breakup non-acceptance, as well as how attachment moderates the relationship between decentering and breakup adjustment. Results found higher MM was associated with higher depression and non-acceptance. More mature decentering was related to lower non-acceptance, but was unrelated to depression. Initial MM efforts may evoke more distress as individuals focus on distressing thoughts or emotions previously avoided. Initial decentering maturity may help with breakup adjustment as one effectively reflects on their own and …
Date: December 2022
Creator: Straup, Madison L.
System: The UNT Digital Library

How Much Does Sleep Vary from Night to Night? A Quantitative Summary of Intraindividual Variability in Sleep by Age, Gender, and Racial/Ethnic Identity

Habitual (i.e., average or typical) sleep duration and sleep efficiency vary widely by demographic characteristics, including age, gender, and racial/ethnic identity. Despite a wealth of studies on demographic patterns in habitual sleep, these results are often based on cross-sectional surveys, which ask participants to retrospectively recall their "typical" or "recent" sleep. Yet, sleep is a highly dynamic behavior and may fluctuate substantially from night-to-night. This intraindividual variability (IIV) in sleep/wake patterns can be captured a multitude of ways, most commonly by using formula-based calculations. Although there is growing attention on the importance of IIV in sleep, findings on demographic differences are still inconclusive, and there are no guidelines for typical values of IIV in sleep. The present study quantitatively synthesized 8 international data sets (N = 2847 participants, 29,832 total days of sleep data), focusing on examining age, gender, and racial/ethnic identity differences in IIV in sleep measured via sleep diaries, actigraphy, and electroencephalography. Sleep duration and sleep efficiency varied widely from night-to-night within people (duration: 64-119 minutes; efficiency: 5-8%). Different metrics of IIV were strongly correlated within and across sleep measurement types. Younger adults had more IIV in diary and actigraphy sleep duration. Gender differences in IIV in sleep …
Date: May 2022
Creator: Messman, Brett A
System: The UNT Digital Library

Diverging Perceptions of Emotional Black and White Female Leaders

Stereotypical beliefs about emotion have been shown to influence perceptions of competence. While emotional White women are often presumed to be generally less competent, emotional Black women receive variable competence ratings due to the intersecting stereotypes concerning both their race and gender. However, it is unclear how perceptions of competence fluctuate in response to anger, a stereotypically male emotion, in comparison to sadness, a stereotypically female emotion. The project at hand utilized participants' responses to a scenario of White and Black leaders engaging with subordinates in their workplace expressing either neutral, angry, or sad responses to an interaction. We aimed to identify if a Black woman leader's expression of anger garnered a more favorable response than a White woman leader's expression of anger in addition to whether both leader's expression of sadness would garner similarly low ratings of competence. Results reveal that perceptions of a woman leader's competence can be influenced by race alone with no significant influence from emotional expression. Specifically, a Black woman leader's competence can on average be rated lower than a White woman's competence regardless of emotional expression. This study provides further evidence that group stereotypes manifest differentially based on context.
Date: May 2022
Creator: Briggs, Madasen
System: The UNT Digital Library
Investigating the Motivation-Cognition Interface: The Influence of Motivation on the Recognition Old/New Effect and Metamemory (open access)

Investigating the Motivation-Cognition Interface: The Influence of Motivation on the Recognition Old/New Effect and Metamemory

The purpose of this study was to thoroughly review previous work and to create a new experimental paradigm combining recognition memory with value-based incentives and metacognitive confidence judgments, which may provide convergent evidence for the motivation-cognition interface. This paradigm involves a game-like task administering global and local motivational incentives. Furthermore, trial-level metacognitive confidence ratings were gathered to understand the relationship of metacognitive accuracy and value as a function of strategic control of attention and memory and incentive-based motivation. Paired samples t-tests and a repeated measures ANOVA were used to identify differences in recognition performance based on reward incentive, and Goodman-Kruskall gamma correlations between performance confidence estimates were used to measure metacognitive accuracy. The results showed the mean number of recognition hits (correctly remembering previously seen items) were indeed greater for high-value items compared to low-value items. I also report an unanticipated effect of block, such that the hit rate increased for low valued items from Block 1 to Block 2. Unfortunately, I did not find meaningful results for the metacognitive judgments. This study lays important groundwork for subsequent research incorporating physiological testing to provide a much-needed link between mind and brain with respect to motivation and cognition. Moreover, this study …
Date: May 2022
Creator: Doshier, Kirby
System: The UNT Digital Library
The Effects of Coach-Created Motivational Climate of Teamwork Behaviors (open access)

The Effects of Coach-Created Motivational Climate of Teamwork Behaviors

This study aims to examine how individual athlete perceptions of motivational climate act as an antecedent and influence beliefs about teamwork behaviors. Specifically, how the positive and negative aspects of coach-created motivational climate are associated with: (a) understanding the team's purpose and the ability to plan to achieve the team's mission, (b) implementing designed plans for team success, (c) assessing team performances and environment, (d) creating alterations focused on increasing the probability for team success, and (e) preserving interpersonal relationships by resolving conflicts effectively. Participants consisted of female NCAA Division I collegiate athletes (N = 536; Mage = 20.13 years, SD = 1.36) from colleges/universities located in 22 of the 50 states. Hierarchical cluster analysis revealed three motivational climate clusters; low task/high ego, moderate task/moderate ego, and high task/low ego. The main effect for motivational climate and the overall model of teamwork and the individual component of their behavioral dimensions was significant. The DDA revealed a single significant function for each of the six (i.e., the overall model and individual overarching components of teamwork) MANOVAs conducted, which indicated the composite measures of teamwork behaviors discriminated between the different motivational climate clusters.
Date: May 2022
Creator: Sokoloff, Derek Michael
System: The UNT Digital Library
Gender Role Conflict and Religion/Spirituality (open access)

Gender Role Conflict and Religion/Spirituality

Relatively few studies have explored the relationship between gender role conflict (GRC) and an individual's religious/spiritual identities. This study sought to add to the research on GRC by exploring the experiences of female and male GRC, and expand the understanding of the influence of religion/spirituality (R/S) variables on GRC. Participants (N = 359) were recruited from social media and undergraduate courses and completed an online survey that assessed GRC, a variety of R/S variables, and life satisfaction. Overall, there were some significant differences found between male and female experiences of GRC. In general, the R/S variables did not have a large impact on GRC. However, religious fundamentalism and extrinsic and quest religious orientations were related to specific subscales of GRC. Maintaining congruency between one's personal values and one's religious institution was related to lower levels of specific subscales of GRC. Additionally, GRC was related to lower levels of life satisfaction. Regarding the subscales of GRC, restrictive emotionality was the strongest predictor of lower life satisfaction. By furthering research on the interplay between GRC and R/S, clinicians will be more equipped to handle the repercussions of stereotypical roles within gender and religion, address negative attitudes and behaviors, and lead discussions about …
Date: May 2022
Creator: Norton, Jolene
System: The UNT Digital Library