The Applicability of the PICTS-SV in Offenders with Severe Substance Use Histories (open access)

The Applicability of the PICTS-SV in Offenders with Severe Substance Use Histories

Two important developments are addressed by this dissertation. First, the Psychological Inventory of Criminal Thinking Styles-Simplified Version (PICTS-SV) was examined in relation to the original PICTS. Second, the vulnerability of the PICTS-SV to intentional risk minimization (RM) was tested. Two separate studies recruited a total of 150 offenders from a court-mandated residential substance use treatment facility. As expected, Study I established the PICTS-SV's good concurrent validity with the PICTS, especially at the broad composite scale level. For Study II, criminal thinking failed to show the anticipated convergence with HCR-20 risk classifications or forensic correlates. Potential explanations, including a restricted range of risk levels in this sample, are discussed. As a particular strength, the findings highlight that the PICTS-SV, in contrast to many risk measures, displays robust resistance to RM distortion, although revisions to its Df-r validity scale are warranted. These results overall demonstrate strong evidence of the PICTS-SV's utility for assessing a dynamic criminogenic need to inform effective interventions and accurate risk determinations.
Date: August 2020
Creator: Williams, Margot Maryanne
System: The UNT Digital Library
Effect of Trauma-Related Stress during Acute Alcohol Intoxication on Driving-Related Risky Decision-Making (open access)

Effect of Trauma-Related Stress during Acute Alcohol Intoxication on Driving-Related Risky Decision-Making

Alcohol-related motor vehicle crashes are a major preventable cause of death in the United States. One potential factor that may modulate the influence of alcohol intoxication on driving-related decision-making is posttraumatic stress. The current study evaluated the influence of induction of acute trauma-related stress (via script-driven imagery) during alcohol intoxication (.06% BrAC) on driving-related risky decision-making – willingness to drive, driving-related decision-making (i.e., attempted red light runs), and driving-related reaction time (i.e., braking latency) – among 56 trauma-exposed (currently symptomatic) adult drinkers from the community (M = 25.32; 46.4% female). Results indicated that trauma-related stress may exacerbate willingness to drive during a state of acute alcohol intoxication, but, alternatively, may have only a minimal-to-moderate effect on performance-based, driving-related decision-making (i.e., red light runs), and a potentially mitigating impact on driving-related reaction time (i.e., braking latency) under the influence of alcohol. Generally, results suggest that trauma-related stress may differentially impact varying aspects of driving-related risky decision-making, above and beyond the influence of alcohol. Implications for theoretical modeling for driving-related decision-making during acute intoxication and for the advancement of education and intervention efforts, as well as suggestions for future directions, including methodological and procedural improvements, are discussed.
Date: August 2020
Creator: Kearns, Nathan T
System: The UNT Digital Library

An Investigation of the Influence of Attributional Complexity, Intolerance, Optimism, and Experiential Avoidance on Personal Psychological Distress

The purpose of this study was to investigate the impact of low attributional complexity, intolerance, optimism, and experiential avoidance (EA) on psychological distress (stress, anxiety, and depression); specifically, the mediating role of EA in these relationships was examined. Structural equation modeling (SEM) was utilized to test the hypothesized model. The overall model accounted for 62% of the variance in psychological distress. The direct negative effect of intolerance on psychological distress and the mediator effect of EA on the relationship between optimism and psychological distress were found. These results and their implications, along with study limitations and future directions are discussed.
Date: August 2020
Creator: Ergüder, Leyla
System: The UNT Digital Library
Anxiety Sensitivity and Nonmedical Prescription Drug Use among Adolescents (open access)

Anxiety Sensitivity and Nonmedical Prescription Drug Use among Adolescents

Research suggests that non-medical prescription drug (NMPD) use is becoming increasingly prevalent, particularly among adolescents. A critical step towards developing effective intervention efforts requires identifying adolescents who are at risk for NMPD use. An extensive literature suggests that both adolescents and adults with elevated anxiety sensitivity (AS) are at greater risk for problematic substance use, and a small body of work has identified similar links with NMPD use specifically among adults. However, most of this literature combines all prescription drugs into a single category, and no work has evaluated the relation between AS and NMPD use among adolescents. The current study endeavors to further this area of research by examining the relation between AS (overall and subscales) and NMPD use among adolescents. The project evaluated 276 adolescents (age 9-19 years) enrolled in a residential treatment program on level of AS, including sub-dimensions (i.e., cognitive, physical, and social), and NMPD use across three categories of drugs: analgesic (e.g., Vicodin®), anxiolytic (e.g., Xanax®), and stimulant (e.g., Adderall®). A series of logistic regression models indicated that overall AS predicted nonmedical analgesic use, but not anxiolytic/sedative or stimulant use. A closer investigation of the AS subscales demonstrated that only the AS social subscale significantly …
Date: August 2020
Creator: Carey, Caitlyn
System: The UNT Digital Library
Athletic Participation as a Protective Factor for Childhood Maltreatment (open access)

Athletic Participation as a Protective Factor for Childhood Maltreatment

The purpose of the study was to examine whether athletic participation as a child and/or adolescent acts as a protective factor for youth who endure childhood maltreatment. After screening for childhood maltreatment, our 269 participants were separated into either an athlete group or a non-athlete group and compared using two one-way multivariate analyses of covariance (MANCOVA). Emotional neglect served as the covariate due to non-athletes' significantly higher emotional neglect scores than athletes. The first MANCOVA compared athletes and non-athletes on positive outcomes, which included measures of post-traumatic growth, three adaptive coping strategies, and self-compassion. In the second MANCOVA, we assessed for differences between athletes and non-athletes on negative outcomes, which included measures of traumatic, depressive, and anxious symptomology and a maladaptive coping strategy. Neither MANCOVA reached significance, rejecting our hypothesis that athletes would be more resilient than non-athletes to the negative impact of childhood maltreatment. Discussion considers possible reasons for the lack of significance, such as the recency of athletic participation or the specific type of maltreatment experienced, as well as limitations and directions for future research.
Date: August 2020
Creator: Rushton, James R
System: The UNT Digital Library

Racial/Ethnic Discrimination: Relationship to Risk Factors for Cardiovascular Disease

The current project used data from the Health & Retirement Study (HRS) 2016 wave and assesses the relationship between everyday racial/ethnic discrimination and risk factors for cardiovascular disease. The role of acculturation and social support on this relationship was also considered. The sample size consisted of 3,994 non-Hispanic White, 1,140 non-Hispanic Black, and 842 Hispanic older adults. The results suggest that non-Hispanic Black and Hispanic individuals endorse higher perceived everyday racial/ethnic discrimination (p < .001) in comparison to non-Hispanic White individuals. Additionally, non-Hispanic Black adults have higher systolic and diastolic blood pressure readings (p < .001) than non-Hispanic White and Hispanic adults. Support for the direct and moderating role of certain aspects of social support and acculturation on health outcomes/behaviors related to cardiovascular disease risk among non-Hispanic Black (R2 = .07, F(15, 415) = 2.06, p= .011) and Hispanic (R2 = .30, F(5, 34) = 2.97, p = .025) older adults, respectively, were found. The limitations and clinical implications of the study are further discussed.
Date: August 2020
Creator: Yanouri, Lamia
System: The UNT Digital Library

Investigating the Effects of Vicarious Racial Trauma Among College Students

Racial trauma is linked to issues such as psychological distress, lower well-being, anxiety, and depression. The present research investigated some of the potential effects of viewing overt instances of racially violent media on trauma and, in general, on the psychological well-being of individuals. Specifically, the present study utilized physiological and psychological measures to explore how different racial groups on college campuses are impacted by exposure to vicariously traumatizing stimuli when the victim is either an in-group or an out-group member. The present study posited that higher ethnic-racial identity can serve as a buffer to the deleterious effects of racial trauma. In addition, this study explored the role that ethnic-racial identity of the perceiver plays in this relationship. Findings indicate that Black students exhibited the greatest level of emotional arousal in response to both the neutral and negative video depicting a police officer. Black students were also more likely to watch or be exposed to vicarious, racially traumatizing content. Additionally, greater ethnic-racial salience was associated with increased physiological response to both neutral and negative, video content depicting police officers.
Date: August 2020
Creator: Latimer, Kyjeila
System: The UNT Digital Library
Return to Sport: The Effects of Mindful Self-Compassion and Imagery on Subjective Physical Functioning and Psychological Responses Post-ACL Surgery (open access)

Return to Sport: The Effects of Mindful Self-Compassion and Imagery on Subjective Physical Functioning and Psychological Responses Post-ACL Surgery

In the current study, I examined the efficacy of mindful self-compassion, imagery, and goal-setting (i.e., treatment as usual) interventions on athletic identity, knee self-efficacy, subjective knee functioning, and perceived injustice, following ACL surgery. Twenty-nine adolescent and young adult athletes participated in the interventions and completed self-report measures assessing each of these constructs prior to their surgery and over seven weeks post-ACL surgery. HLM analyses demonstrated significant decreases in athletic identity and increases in subjective knee functioning from pre-surgery through seven weeks post-surgery. Intervention group further explained these decreases, though no one intervention clearly emerged as more or less beneficial. No significant changes were observed for athletes' ratings of knee self-efficacy or perceived injustice. Limitations and areas for future research are discussed.
Date: August 2020
Creator: Clevinger, Kristina J.
System: The UNT Digital Library

The Role of Combat Exposure, Moral Injury, and Trauma Symptoms in the Lives of Military Families

The current study used a sample of service members and veterans to explore the association of combat exposure and perceptions of the family system using a moderated mediation model. Combat veterans over the age of 18 with a family of creation (N = 154) completed an online survey through which they were administered a background information questionnaire, the Combat Experiences subscale of the Deployment Risk and Resilience Inventory – 2, the Moral Injury Events Scale, the PTSD Checklist for DSM-5, the Patient Health Questionnaire, the Beck Anxiety Inventory, the McMaster Family Assessment Device, and the Dyadic Adjustment Scale – Revised. Results of six moderated mediation analyses revealed that exposure to potentially morally injurious events (pMIEs) moderated the relationship between (1) combat exposure and couple relationship satisfaction and (2) combat exposure and family functioning, both via PTSS, anxious symptoms, and depressive symptoms. To our knowledge, the empirical models presented in this paper are the first to model the role of pMIEs in SMV literature, and provide a foundation for other models to emerge moving forward. Implications and limitations are discussed.
Date: August 2020
Creator: Raiche, Emily
System: The UNT Digital Library
The PICTS, Trauma, Experiential Avoidance, Criminal Thinking and Behavior in an Online Community Sample (open access)

The PICTS, Trauma, Experiential Avoidance, Criminal Thinking and Behavior in an Online Community Sample

This study sought to generalize the Psychological Inventory of Criminal Thinking Styles (PICTS) factor structure using the PICTS-Layperson (PICTS:L) in a community sample. The current study also sought to replicate previous findings that criminal thinking mediates the relationship between trauma and criminal behavior. Additionally, this study sought to explore if and/or how experiential avoidance (EA) contributes to the relationships between post-traumatic symptoms (PTS) and criminal thinking, and criminal thinking and criminal behavior. Community members recruited through Mturk, completed online measures of PTS, EA, criminal thinking, criminal behavior, and a demographics questionnaire. A confirmatory factor analysis (CFA), which was conducted to assess the PICTS:L factor structure in an online community sample, demonstrated the hierarchical second order factor structure was a good fit after problem items were removed. Mediation analyses results found that criminal thinking mediated the relationship between PTS and criminal behavior therefore replicating previous findings. Moderated mediation analyses were conducted to determine if EA moderates the relationships between PTS and criminal thinking, and criminal thinking and behavior. Findings suggest that EA plays a significant role, particularly for women who endorse relatively low EA. These and exploratory findings, limitations, implications, and future directions for work in these areas are discussed.
Date: August 2020
Creator: Hulsey, Teresa
System: The UNT Digital Library
Improving Athletes' Confidence and Mindset Post-ACL Reconstructive Surgery (open access)

Improving Athletes' Confidence and Mindset Post-ACL Reconstructive Surgery

Tears to the anterior cruciate ligament (ACL) represent a serious sport injury that can be physically and psychologically debilitating for athletes. Recovery from ACL surgery is a six to nine month process, though the first four months of rehabilitation represents the key time of recovery. Thus, psychological interventions should occur during these first four months, but then examine athletes' psychological and physical functioning over the longer term. Past research has supported the efficacy of goal setting and imagery in helping athletes during their ACL recovery, and MSC has been shown to help athletes regulate emotions and improve their sport performance. MSC-based interventions, however, have not been examined in relation to injured athletes' psychological functioning and physical recovery. Thus, I examined the relative effects of three psychological interventions (i.e., GS, IM, and MSC) on athletes' post-ACL responses. Overall, I found no significant differences in the effects of GS, IM, or MSC on athletes' athletic identity, confidence in returning to sport, reinjury anxiety, stress related to sport injury, perceptions of ability to cope with injury, and subjective knee functioning. Although non-significant, athletes in the GS group showed slightly larger rates of change in their reinjury anxiety and cognitive appraisal compared to athletes …
Date: August 2020
Creator: Tomalski, Jenna
System: The UNT Digital Library
Achievement Motivation Theory as a Model for Explaining College Athletes' Grit (open access)

Achievement Motivation Theory as a Model for Explaining College Athletes' Grit

This study examined the direct and indirect associations of the perceived coach-created motivational climate, athletes' implicit theory, and athletes' achievement goal orientation in relation to their levels of grit. Five hundred twenty-three Division I and II collegiate student-athletes (male = 246, female = 277) from five institutions across the south-central and southeast areas of the United States completed self-report measures assessing the previously described constructs. The measurement model fit the data well (SRMR = .055; CFI = .938; RMSEA = .067) and demonstrated invariance across the male and female athletes. The structural model demonstrated adequate fit (SRMR = .088; CFI = .918; RMSEA = .068). All direct and indirect paths in the model were significant in the expected direction, with the exception of the direct path from entity theory to ego goal orientation and the indirect path from ego-involving climate to ego goal orientation through entity theory, which were both non-significant. The mastery-incremental constructs accounted for 65% of the variance in grit. Results indicate that achievement motivation theory is an appropriate framework through which to examine grit, and achievement motivation constructs may be significant antecedents of grit's development. Limitations and future directions are discussed.
Date: August 2020
Creator: Albert, Erin
System: The UNT Digital Library
Effectiveness of the SASSI-4 in Classifying Substance Use Disorders and Detecting Response Styles (open access)

Effectiveness of the SASSI-4 in Classifying Substance Use Disorders and Detecting Response Styles

The current study explored the effects of simulated adjustment domains (i.e., partial denial and social desirability) on specialized substance abuse measures in a sample of 104 inpatient offenders with substance use disorders. Results indicated nearly two thirds (57.9%) of offenders successfully escaped detection on the SASSI-4 and InDUC-2R. Further, subtle approaches employed by the SASSI-4 failed to detect unacknowledged substance use by simulators, and the remaining decision rules were redundant and most likely contributed to the false positive rates for non SU offenders. More promisingly, the current study developed an empirically based validity scale to bolster the SASSI-4's effectiveness in detecting response styles that showed initial promise. Results, a review of detection strategies for SU validity scales, and implications for assessment are further explored.
Date: August 2020
Creator: Hartigan, Sara E
System: The UNT Digital Library
Spiritually-Oriented Expressive Writing and Positive Psychological Outcomes Following a Natural Disaster (open access)

Spiritually-Oriented Expressive Writing and Positive Psychological Outcomes Following a Natural Disaster

Many religious/spiritual (R/S) individuals receive meaning from R/S and utilize R/S to help them cope with stressful life events. However, natural disasters can disrupt the R/S meaning-making process (e.g., positive R/S coping strategies) because natural disasters can elicit cognitive dissonance between one's core R/S beliefs and personal disaster experience. R/S individuals suffering from a disaster experience could benefit from interventions that allow them to process their R/S experiences. The purpose of this dissertation is to fill a gap in the literature by exploring the effectiveness of a spiritually-oriented expressive writing intervention on positive psychological outcomes (e.g., meaning in life, satisfaction with life) in 132 R/S individuals that have experienced a natural disaster (i.e., survivors of the 2016 Baton Rouge, Louisiana flood). Quantitative results indicated the spiritually-oriented intervention was effective in promoting increased meaning in life but not life satisfaction. Survivors with lower pre-intervention positive attitudes toward God evidenced the strongest positive impact on their meaning in life. Qualitative analyses, using the constant comparative method from Corbin and Strauss's grounded theory approach, revealed six themes in the experimental group's written responses: (a) R/S growth, (b) R/S struggle, (c) R/S cognitive dissonance, (d) R/S reappraisals, (e) R/S proximity-seeking, and (f) spiritual support …
Date: August 2020
Creator: Mosher, David K
System: The UNT Digital Library
Sexual Attraction, Behaviors, and Boundary Crossing between Sport Psychology Professionals and Their Athlete-Clients: Prevalence, Attitudes, and Supervision (open access)

Sexual Attraction, Behaviors, and Boundary Crossing between Sport Psychology Professionals and Their Athlete-Clients: Prevalence, Attitudes, and Supervision

Sport psychology professionals (SPPs), like psychologists in general, may cross therapeutic boundaries (e.g., hug a client) and even become sexually attracted to their athlete-clients (ACs). I examined the prevalence of these issues, as well as SPPs' ethical training and use of supervision in relation to them. Participants were 181 SPPs; 92 (50.8%) reported being sexually attracted to one or more of their ACs. In regards to specific behaviors, approximately half (49.4%) reported discussing personal matters unrelated to their (n = 87), whereas far fewer had engaged in sexual behaviors with their ACs, such as discussing sexual matters unrelated to their work (n = 4), and caressing or intimately touching an AC (n = 1). No SPP reported kissing, dating, having sexual intercourse, or engaging in other sexual activities with their ACs. The three most common nonsexual boundary crossings were (a) consulting with an AC in public places (e.g., hotel lobby or practice field; 87.8%), (b) working with an AC at practice (86.2%), (c) working with an AC at a competition (75.0%). Interestingly, few SPPs sought supervision/consultation regarding the attraction, though 83.7% said they would do so if they were attracted in the future. I also examined differences across gender, mental …
Date: May 2020
Creator: Palmateer, Tess M
System: The UNT Digital Library
Race Talk: Barriers to Having Constructive Discourse on Race in America among People of Color (open access)

Race Talk: Barriers to Having Constructive Discourse on Race in America among People of Color

Gordon Allport formalized a theory about intergroup contact, positing that contact between dissimilar groups could be effective in reducing intergroup prejudice. Over half a century later, research suggests that engaging in race talk —conversations about race and racism— can offer benefits such as increased racial literacy and critical consciousness, less intimidation when it comes to addressing race, less fear of differences, and a greater appreciation for people of all cultures and communities. However, race can be a difficult topic to discuss. It typically incites strong emotions, often challenges an individual's lived reality, and triggers anxiety and discomfort for conversational participants. While these barriers to race talk have been well-studied with White participants, little empirical work has been conducted with people of color as a focus. The present study utilized a qualitative, focus-group based methodology with grounded theory analyses to gather information on people of color's barriers to race talk. Results suggest that varied interpersonal contexts — such as when talking to White individuals, other people of color from different racial groups, and their own race— elicit differing levels of comfort and subsequent changes to engagement in race talk. Furthermore, intersecting identities such as gender, sexual orientation, and skin tone further …
Date: December 2020
Creator: Moore, Everrett D
System: The UNT Digital Library

Validation of an Outcome Tracking System for Use in Psychology Training Clinics

The ability to monitor client change in psychotherapy over time is vital to quality assurance in psychotherapy as well as the continuing improvement of psychotherapy research. Currently there is not a free and comprehensive outcome measure for psychotherapy that meets current research and treatment goals. This study took further steps to validate a suite of measures to aid in treatment and research, theoretically based in the research domain criteria (RDoC) and the phase model of change frameworks. Items previously tested in a community sample were further tested in a clinical population in psychotherapy training clinics and a community clinical sample Data was analyzed using bi-factor confirmatory factor analysis and multidimensional item response theory. Additional exploratory analyses were conducted to explore differential item functioning in these samples.
Date: August 2020
Creator: Kilmer, Elizabeth Davis
System: The UNT Digital Library

Comparing Diabetic and Non-Diabetic Latinxs: Racial Discrimination Perception, Depressive Symptoms, and Blood Pressure

Associations between greater perceived racial discrimination and both higher levels of depressive symptomology and higher blood pressure have been established in the literature. Research has found that depression is often comorbid with diabetes and individuals with type 2 diabetes are at an increased risk for depression as the prevalence of depression is 2 to 3 times higher in people with diabetes when compared to the general population. Additionally, individuals with type 2 diabetes are also at an increased risk for high blood pressure. Although these associations are present in the literature, no studies have been found that examine all of these variables in conjunction. The current study used data from the 2014 Health and Retirement Study to examine the associations among perceived racial/ethnic discrimination, depression symptoms, and blood pressure for older Latinx adults (ages 50+) with type 2 diabetes (n = 303) and without type 2 diabetes (n = 521), while controlling for sex, age, partner status, and education. Findings indicated diabetes status was positively associated with both depression symptoms (t(790) = 5.32, p < .001) and systolic blood pressure (t(703) = 2.74, p = .006). Racial/ethnic discrimination was positively associated with depression (r(206) = .14, p = .045); however, …
Date: August 2020
Creator: Escobar, Irene
System: The UNT Digital Library

Cross-Cultural Adult Attachment, Assertiveness, Self-Conscious Emotions, and Psychological Symptoms

Although the overall quantity of international research has increased, existent studies tend to adopt an instrument developed in one culture to use in the other, leading to measurement bias. In addition, previous cross-cultural research mainly focuses on comparisons between collectivist and individualistic backgrounds (e.g., American vs. Chinese) without considering the similarities and differences within the collectivist societies (e.g., China vs. Mexico). This dissertation project has two purposes, with Study 1 aiming to examine measurement equivalence of two widely used instruments while Study 2 investigating if an attachment-based two-serial mediation model remained constant among three cross-cultural samples collected from the US, Mexico, and China. A total of 1211 participants, including 360 American university students, 441 Mexican students, and 410 Chinese students participated in the study. Differential item functioning (DIF) in lordif package in R and structural equation modeling (SEM) in Mplus 8.1 were adopted for Study 1 and 2, respectively. The results of Study 1 indicated the proposed instruments were culturally invariant in English, Spanish, and Chinese with some modifications. Study 2 showed that assertiveness/self-conscious emotions mediated the association between adult attachment and depression/aggression only in the US group. However, the two-serial mediation model in which the link between adult attachment …
Date: August 2020
Creator: Jin, Ling
System: The UNT Digital Library
Implicit and Explicit Racial Attitudes Responses to Casts of Video Game Characters (open access)

Implicit and Explicit Racial Attitudes Responses to Casts of Video Game Characters

Prior research has established a relationship between playing video games containing stereotyped representations of traditionally marginalized groups and resulting negative attitudes towards those groups. Yet, very little work has examined video games containing more positive, non-stereotyped representations and whether these diverse casts have inverse effects resulting in positive attitudes following exposure, an effect demonstrated in television media. The current study makes use of two paradigms, one based on short-term priming theory concerning immediate exposure to media, and one on long-term cultivation theory dealing with the overall media diet, and the relation to attitudes towards Blacks including symbolic racism, colorblindness, and implicit bias. In Study 1 (n = 31), Black and White participants reported how much time weekly they spent playing a popular game with positive representations of People of Color before completing measures. In Study 2 (n = 91), Black and White participants were exposed to one of three games, one with positive representation, one with negative representation, and a control game before completing study measures. Findings suggested that participant race was related to pro-Black attitudes (p = .009), but that direct exposure to a game with positive representation (p = .13) as well as playing the game during the …
Date: August 2020
Creator: Archibald, Audon G
System: The UNT Digital Library

Adult Attachment, Perceived Social Support, and Problematic Video Gaming Behavior

With the growing popularity in video games, there has been increased concerns over the prolonged exposure to the entertainment medium. Problematic gaming is defined as a pattern of gaming behavior that causes significant impairment in personal, social, other important areas of functioning, often characterized by preoccupation and loss of interest in other areas. This study examined how problematic gaming behaviors may be influenced by insecure adult attachment and perceived social support from differing sources. It was hypothesized that avoidant attachment would have a significant direct and indirect effect (via perceived social support) on problematic gaming. In addition, perceived social support from online friends and from offline friends were hypothesized to moderate the relationship between attachment and problematic gaming, Participants were recruited from both SONA (n = 151) and Amazon's Mturk (n = 264) to complete an online research questionnaire that measured variables of interest. Results indicated that the direct and indirect effects of attachment avoidance on problematic gaming were supported in both subsamples but the moderator effects were not. Further exploratory analysis found that anxious attachment demonstrated a similar pattern as avoidant attachment, but with a significant moderator effect of perceived social support from online friends (enhance) on the attachment …
Date: December 2020
Creator: Gu, Peter
System: The UNT Digital Library

Childhood Emotional Maltreatment and the Self: Examining the Roles of Attachment, Affect, and Dissociation in Psychological Functioning

Childhood maltreatment by a caregiver can occur in many forms, ranging from overt abuse to more subtle neglect. Amidst a primary focus on the outcome of posttraumatic stress disorder (PTSD), less research attention has been given to understanding the impact of maltreatment on one's developing sense of self, internal working model (IWM) of relationships, and emotion regulation capacities. Difficulties experiencing, regulating, and enjoying a full range of affect are common transdiagnostic features among adult survivors of child maltreatment, who frequently display emotional reactivity (e.g., mood swings, anger) and/or disengagement (e.g., numbing, dissociation). What makes the difference between individuals who lash out in emotional outbursts, those who tend to withdraw or dissociate, and those who frequently alternate between these two affective poles? In a mixed college and community sample of 417 adults, we explored two covert forms of childhood emotional maltreatment (e.g., chronic emotional disengagement and frightened/helpless parenting) as potentially linked to adult psychological and relational functioning. Controlling for the effects of childhood physical and sexual abuse, path analysis indicated that these types of maltreatment were significantly associated with insecure attachment patterns, emotional reactivity, and dissociation in adulthood. These findings inform therapeutic work with survivors of childhood trauma, signifying the importance …
Date: August 2020
Creator: Captari, Laura E.
System: The UNT Digital Library

Association of Trainee Psychotherapist Competency and Client Outcomes

Client outcomes in psychology training clinics have been shown to be generally worse than other outpatient settings. Although this finding has been repeatedly demonstrated, no consensus of cause has emerged in the literature. One possible explanation of such findings may relate to psychotherapist effects, a historically neglected variable that has received increased attention in more recent literature. Among psychotherapist effects researched, competency has emerged as a compelling factor worthy of more research. Given that most growth in competence occurs during graduate training, investigating the relationship between competency and client outcome offers great potential benefit for informing optimal training, nature of client symptom improvement, and a more accurate depiction of differences in psychotherapist effects across training and non-training settings. The purpose of this study was to explore the trajectory of competence development during doctoral training in health services psychology and to investigate the association of trainee competency to the psychotherapy outcomes evidenced by their clients. Practicum evaluations of 36 trainees and outcome data (using the Outcome Questionnaire-45.2) from 244 adult clients were included in analyses. Results of the study suggest there is a positive relationship between cumulative semesters of training and competency scores (rs[118]= .34, p < .001). Notably, there was …
Date: August 2020
Creator: Dziurzynski, Kristan
System: The UNT Digital Library

Assessment of Feigned Neurocognitive Impairment in Retired Athletes in a Monetarily Incentivized Forensic Setting

Compromised validity of test data due to exaggeration or fabrication of cognitive deficits inhibits the capacity to establish appropriate conclusions and recommendations in neuropsychological examinations. Detection of feigned neurocognitive impairment presents a formidable challenge, particularly for evaluations involving possibilities of significant secondary gain. Among specific populations examined in this domain, litigating mild traumatic brain injury (mTBI) samples are among the most researched. One subpopulation with potential to contribute significantly to this body of literature is that of retired athletes undergoing fixed-battery neuropsychological evaluations within an assessment program. Given the considerable prevalence of concussions sustained by athletes in this sport and the substantial monetary incentives within this program, a unique opportunity exists to establish rates of feigning within this population to be compared to similar forensic mTBI samples. Further, a fixed battery with multiple validity tests (VT) offers a chance to evaluate the classification accuracy of an aggregated VT failure paradigm, as uncertainty abounds regarding the optimal approach to the recommended use of multiple VTs for effort assessment. The current study seeks to examine rates of feigned neurocognitive impairment in this population, demonstrate prediction accuracy equivalence between models based on aggregated VT failures and logistic regression, and compare classification performance of …
Date: August 2020
Creator: Smotherman, Jesse M.
System: The UNT Digital Library